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RESEARCH AND PRACTICE |
Robert S. Kahn is with the Division of General and Community Pediatrics, Childrens 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, Childrens Hospital, Boston, Mass.
Correspondence: Requests for reprints should be sent to Robert S. Kahn, MD, MPH, Division of General and Community Pediatrics, Childrens 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 womens 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. Womens poor physical health and smoking had strong, graded associations with childrens physical health and behavior problems, whereas womens depressive symptoms were associated with childrens delayed language and behavior problems.
Conclusions. Substantial persistence and comorbidity of womens health conditions exist after pregnancy with adverse effects on early child outcomes. Child health professionals should support services and policies that promote womens health outside the context of pregnancy.
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