Happy Mommy! Happy Baby! Study

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1506 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-08-31

Study Completion Date

2022-07-31

Brief Summary

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The purpose of this study is to determine how difficult life-events that women experienced during their childhood might affect their babies.

Women who are asked to participate in this study will fill out forms about their physical and mental health, have 3D ultrasounds of their baby's adrenal gland, have their stress responses measured and have their baby's development and stress responses assessed.

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Detailed Description

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The objectives of this study are to further our understanding of maternal prepubertal adversity on fetal and infant neuroendocrine development. This study utilizes 3-D ultrasound to measure fetal adrenal gland volume, a battery of psychosocial/behavioral assessments to determine the degree of maternal stress and prepubertal adversity, and an acoustic startle paradigm and Trier Social Stress Test (TSST) to assess maternal arousal. This study also utilizes an infant stress test to assess infant arousal.

Conditions

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Pregnancy Stress, Psychological Stress, Physiological Maternal-fetal Relations

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Women without Prepubertal Adversity

At 8-17 weeks gestational age, 1,500 pregnant women will complete:

* Adverse Childhood Events (ACE) Questionnaire;
* Perceived Stress Scale (PSS);
* A general health and demographic questionnaire.

All women who are screened will be asked if they would be willing to allow the study team to access their delivery report.

Women who report 0 or 1 adverse childhood experiences will be invited to continue in the study as part of the Women without Prepubertal Adversity cohort. We aim to have 125 women in this cohort.

No interventions assigned to this group

Women with Prepubertal Adversity

At 8-17 weeks gestational age, 1,500 pregnant women will complete:

* Adverse Childhood Events (ACE) Questionnaire;
* Perceived Stress Scale (PSS);
* A general health and demographic questionnaire.

All women who are screened will be asked if they would be willing to allow the study team to access their delivery report.

Women who report 2 or more adverse childhood experiences will be invited to continue in the study as part of the Women without Prepubertal Adversity cohort. We aim to have 125 women in this cohort.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Aged 18 to 45 years;
* Able to give written informed consent;
* Between 8 to 17 weeks at time of recruitment;
* Attendance at 20 week ultrasound at a UPHS site;
* Healthy full term (35 6/7 weeks) infants;
* Fluency in written and spoken English.

Exclusion Criteria

* Presence of a known abnormality in the present fetus, twin pregnancy or a multiple pregnancy;
* Presence of a serious medical or neurological illness, requiring treatment during pregnancy;
* Use of an antipsychotic or antidepressant medication anytime within 2 months prior to the last menstrual period;
* Drug or alcohol abuse history within previous 2 years;
* Life-time history of psychotic disorder including, schizophrenia, schizoaffective disorder; major depression with psychotic features and bipolar disorder
* Active psychiatric illness requiring treatment based upon the clinical judgement of the study psychiatrist;
* Hamilton Depression Rating Scale Score \> 14;
* Suicidal ideation within the previous 6 months;
* Use of steroids drugs of antihypertensives during pregnancy as they could alter physiologic arousal;
* A history of preterm birth or history of preterm labor in the active pregnancy.

Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes