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August 2002, Vol 92, No. 8 | American Journal of Public Health 1312-1318
© 2002 American Public Health Association


RESEARCH AND PRACTICE

Women’s Health After Pregnancy and Child Outcomes at Age 3 Years: A Prospective Cohort Study

Robert S. Kahn, MD, MPH, Barry Zuckerman, MD, Howard Bauchner, MD, Charles J. Homer, MD and Paul H. Wise, MD

Robert S. Kahn is with the Division of General and Community Pediatrics, Children’s Hospital Medical Center, Cincinnati, Ohio. Barry Zuckerman, Howard Bauchner, and Paul H. Wise are with the Department of Pediatrics, Boston University School of Medicine, Boston, Mass. Charles J. Homer is with the Division of General Pediatrics, Children’s Hospital, Boston, Mass.

Correspondence: Requests for reprints should be sent to Robert S. Kahn, MD, MPH, Division of General and Community Pediatrics, Children’s Hospital Medical Center TCHRF 6549, 3333 Burnet Ave, Cincinnati, OH 45229-3039 (e-mail: robert.kahn{at}chmcc.org).

Objectives. This study examined the persistence and comorbidity of women’s physical and mental health conditions after pregnancy and the association of these conditions with child outcomes.

Methods. A national cohort of women who recently gave birth were surveyed in 1988 and again in 1991. We examined longitudinal data on maternal poor physical health, depressive symptoms, and smoking, and maternal report of child outcomes (at age ~3 years).

Results. Women’s poor physical health and smoking had strong, graded associations with children’s physical health and behavior problems, whereas women’s depressive symptoms were associated with children’s delayed language and behavior problems.

Conclusions. Substantial persistence and comorbidity of women’s health conditions exist after pregnancy with adverse effects on early child outcomes. Child health professionals should support services and policies that promote women’s health outside the context of pregnancy.




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