Stress during pregnancy and gestational weight gain

OBJECTIVE: To evaluate the association between prenatal stress and gestational weight gain (GWG). STUDY DESIGN: This was an analysis of women recruited between 2013-2015 from 4 sites in the US. We tested associations between responses at 32-35wks to the Life Experiences Survey (LES), a 37-item measure of events and perceived stress, and GWG categories. Bivariable comparisons and logistic regression were used to estimate the association between the total LES score and the odds of achieving adequate GWG. RESULT: Among the 725 women, those with adequate GWG had lower median LES scores (5) compared to women with inadequate (7) and excessive (7) GWG, p=0.02. After adjusting for age, initial BMI, income, education, marital status and gestational diabetes, lower LES scores (multiples of the median) were associated with adequate GWG (aOR 0.81, 95%CI 0.67-0.98). CONCLUSION: Lower reported stress, as measured by the LES, was associated with a greater chance of women achieving adequate GWG. This relationship highlights the potential for interventions directed toward psychosocial support to have salutary effects upon GWG.