Psychosocial risk, prenatal counseling and maternal behavior: Findings from PRAMS, 2004-2008

Elizabeth E. Krans, Matthew M. Davis, Eleanor Schwarz

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Objective: To determine the impact of prenatal counseling regarding psychosocial risk factors on maternal behavior. Study Design: We analyzed data from 198,323 women participating in the Pregnancy Risk Assessment Monitoring System (PRAMS). The χ2 and logistic regression analyses assessed the relationship between psychosocial risk, prenatal counseling and maternal behavior. Results: The odds of receiving risk-appropriate prenatal counseling were significantly greater for participants who used alcohol (odds ratio, 1.13; 95% confidence interval, 1.08-1.17) and tobacco (odds ratio, 2.02; 95% confidence interval, 1.91-2.13). After receiving counseling, women quit using alcohol (72.9% vs 27.1%; P <.01) and tobacco (79.9% vs 20.1%; P <.01) at a significantly greater rate and women with unintended pregnancies were more likely to use postpartum contraception (83.6% vs 16.4%; P <.01) than women who were not counseled. However, no significant differences were found in the rates of intimate partner violence during pregnancy (56.1% vs 43.9%; P =.09) between women who did and did not receive counseling. Conclusion: Counseling regarding psychosocial risk factors during pregnancy may positively impact maternal behavior.

Original languageEnglish (US)
JournalAmerican Journal of Obstetrics and Gynecology
Issue number2
StatePublished - Feb 1 2013
Externally publishedYes


  • pregnancy
  • prenatal care
  • psychosocial risk

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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