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Psychological, cultural and neuroendocrine profiles of risk for preterm birth

Overview of attention for article published in BMC Pregnancy and Childbirth, September 2015
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Title
Psychological, cultural and neuroendocrine profiles of risk for preterm birth
Published in
BMC Pregnancy and Childbirth, September 2015
DOI 10.1186/s12884-015-0640-y
Pubmed ID
Authors

R. Jeanne Ruiz, Alok Kumar Dwivedi, Indika Mallawaarachichi, Hector G. Balcazar, Raymond P. Stowe, Kimberly S. Ayers, Rita Pickler

Abstract

Preterm birth remains a major obstetrical problem and identification of risk factors for preterm birth continues to be a priority in providing adequate care. Therefore, the purpose of this study was to elucidate risk profiles for preterm birth using psychological, cultural and neuroendocrine measures. From a cross sectional study of 515 Mexican American pregnant women at 22-24 weeks gestation, a latent profile analysis of risk for preterm birth using structural equation modeling (SEM) was conducted. We determined accurate gestational age at delivery from the prenatal record and early ultrasounds. We also obtained demographic and prenatal data off of the chart, particularly for infections, obstetrical history, and medications. We measured depression (Beck Depression Inventory), mastery (Mastery scale), coping (The Brief Cope), and acculturation (Multidimensional Acculturation Scale) with reliable and valid instruments. We obtained maternal whole blood and separated it into plasma for radioimmunoassay of Corticotrophin Releasing Hormone (CRH). Delivery data was obtained from hospital medical records. Using a latent profile analysis, three psychological risk profiles were identified. The "low risk" profile had a 7.7 % preterm birth rate. The "moderate risk" profile had a 12 % preterm birth rate. The "highest risk" profile had a 15.85 % preterm birth rate. The highest risk profile had double the percentage of total infections compared to the low risk profile. High CRH levels were present in the moderate and highest risk profiles. These risk profiles may provide a basis for screening for Mexican American women to predict risk of preterm birth, particularly after they are further validated in a prospective cohort study. Future research might include use of such an identified risk profile with targeted interventions tailored to the Hispanic culture.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 104 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Unknown 103 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 19 18%
Student > Ph. D. Student 17 16%
Student > Bachelor 16 15%
Researcher 5 5%
Student > Postgraduate 5 5%
Other 21 20%
Unknown 21 20%
Readers by discipline Count As %
Medicine and Dentistry 25 24%
Psychology 20 19%
Social Sciences 8 8%
Nursing and Health Professions 8 8%
Neuroscience 4 4%
Other 10 10%
Unknown 29 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 May 2016.
All research outputs
#20,290,425
of 22,826,360 outputs
Outputs from BMC Pregnancy and Childbirth
#3,799
of 4,191 outputs
Outputs of similar age
#224,265
of 266,946 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#93
of 104 outputs
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