Prospective repeated measures were used to examine attachment, social support, life stress, anxiety, and psychological wellbeing among low-income women in early and late pregnancy and the relationships of these variables to prenatal, intrapartum, and neonatal complications. One hundred and eleven medically healthy, low-income, Medicaid-eligible women ages 18-35 years, between 14 and 22 weeks of pregnancy were recruited from prenatal clinics. Self-report questionnaires and hospital records were used to collect data. Discriminant analysis was performed. The most important discriminating factors for prenatal complications were state anxiety and total functional social support. The factors for neonatal complications were negative life events and the interaction of emotional support with negative life events.

Intergenerational attachment relationships between the pregnant woman and her mother, her husband, and her fetus were examined. Self-completed instruments were used to measure the attachment variables for a convenience sample of 115 middle-class mothers who attended urban prenatal classes. Results supported the hypothesis that mother-daughter and husband-wife attachment were correlated positively. Contrary to study predictions, maternal-fetal attachment scores were not related to mother-daughter and husband-wife attachment scores. Maternal-fetal attachment was related to length of gestation. Results provide only partial support for the intergenerational model of attachment relationships.

Factors affecting the integration of research into the center include (a) community mistrust, (b) the need for participatory recruitment strategies, and (c) the need for multiple data collection methods. Meeting these challenges requires that research agendas and methods are consonant with community goals. The inclusion of clinicians, other providers, and community residents as active members of research teams is critical to success. Reframing research and practice role in terms of team effort that incorporates the community can strengthen research and practice-and benefit professionals and the populations they serve.