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Post-traumatic stress disorder (PTSD) during pregnancy is associated with maternal risk behaviors (e.g., smoking, substance use) and adverse neonatal and maternal outcomes. Diagnostic criteria for PTSD are shown in the table.
Researchers conducted a telephone survey to examine the prevalence of and risk factors for PTSD among 1581 nulliparous pregnant women. Participants (age, ≥18; <28 weeks' gestation) were racially and ethnically diverse (minority women were 45% black, 4% Latina, 7% Asian, 2% Native American or Alaska Native, and 3% other) and were seen at eight Midwestern maternity clinics that served primarily privately or primarily publicly insured patients.
Overall, 22% of women reported no histories of trauma, 24% reported trauma expos…