Women with pregnancy-related risk factors, stress of various kinds, and other psychosocial factors experienced higher pregnancy anxiety in this large Canadian sample. Some of the unique predictors of pregnancy anxiety match those of earlier US studies, while others point in new directions. Screening for high pregnancy anxiety may be warranted, particularly among women giving birth for the first time and those with high-risk pregnancies.

Men appear to gain weight during the transition to parenthood, and fathers are heavier than non-fathers. Paternal perinatal weight gain may set weight trajectories in midlife and have long-term health implications. Since men do not undergo the physical demands of pregnancy and breastfeeding, the specific mechanisms underlying weight gain in new fathers warrant investigation. This review aims to stimulate research on paternal perinatal weight gain by suggesting testable potential mechanisms that (1) show change across the transition to parenthood and (2) play a role in weight and body composition. We identify seven mechanisms, within three categories: behavioural mechanisms (sleep, physical activity, and diet), hormonal mechanisms (testosterone and cortisol), and psychological mechanisms (depression and stress). We also discuss direct effects of partner pregnancy influences (e.g., 'couvade syndrome') on men's body weight. In presenting each mechanism, we discuss how it may be affected by the transition to parenthood, and then review its role in body composition and weight. Next, we describe bidirectional and interactive effects, discuss timing, and present three broad research questions to propel theoretical development.

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Directions for research include the need for validated measures of SEDM for AYA cancer survivors, as well as interventions that target both the health care team's and the patient's role in promoting SEDM. (PsycINFO Database Record

Despite evidence linking prenatal psychosocial stress and social support to perinatal maternal and infant health, no study has explored couple conflict behavior during pregnancy as a predictor of subsequent birth outcomes. The current study examines whether couples' positive and negative conflict behaviors during pregnancy predict their stress during the birth experience and gestational and birth outcomes. Forty-seven first-time expectant couples participated in a conflict discussion during pregnancy that was observationally coded. Several months later, following the birth of their child, couples reported on their subjective childbirth stress. By summing medical chart data on gestational outcomes and birth complications, we computed a cumulative birth risk score. Negative conflict behavior was related to higher cumulative birth risk scores, and conversely, positive conflict behavior was associated with lower birth risk, even after controlling for maternal pregnancy symptoms. Similarly, more negative conflict behavior predicted higher mother-reported birth stress, while positive conflict behavior predicted lower fatherreported birth stress. However, birth stress effects became nonsignificant after controlling for maternal pregnancy symptoms. Although the pregnancy literature has focused primarily on maternal characteristics, these findings highlight the significance of couple interactions in predicting parental birth stress and birth outcomes. This study integrates psychological, behavioral, and medical chart data to enhance our understanding of how interpersonal factors influence gestational outcomes and the birth experience. These results have important clinical implications for potential couple interventions during pregnancy that can shape fetal development, the labor and delivery experience, and influence child and family health.