Associations between adverse childhood experiences and obstetrical outcomes in a predominantly Black-identifying and low-income pregnant population

Recent literature indicates that adverse childhood experiences have been associated with poor obstetrical outcomes, including pregnancy loss, preterm birth, and low birthweight. Several studies have been conducted in primarily self-identified White individuals who report middle to high income levels...

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Bibliographic Details
Published in:American journal of obstetrics & gynecology MFM 2023-07, Vol.5 (7), p.101008-101008, Article 101008
Main Authors: Jasthi, Divya L., Lappen, Justin R., Garber, Sarah, Kennedy, Sarah, McCarther, Noria, Nagle-Yang, Sarah, Moore, Tamika, Frank, Scott, Huth-Bocks, Alissa
Format: Article
Language:English
Subjects:
Adverse Childhood Experiences
Birth Weight
Black or African American
Female
Humans
Hypertension, Pregnancy-Induced
Infant, Newborn
low-income
Poverty
Pregnancy
Premature Birth - diagnosis
Premature Birth - epidemiology
Premature Birth - etiology
Retrospective Studies
urban
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Summary:Recent literature indicates that adverse childhood experiences have been associated with poor obstetrical outcomes, including pregnancy loss, preterm birth, and low birthweight. Several studies have been conducted in primarily self-identified White individuals who report middle to high income levels. Less is known about the impact of adverse childhood experiences on obstetrical outcomes in minority-identifying and low-income populations, who are known to experience a greater number of adverse childhood experiences and are at higher risk of maternal morbidity. This study aimed to examine associations between adverse childhood experiences and a broad range of obstetrical outcomes among predominantly Black-identifying pregnant persons who have low income and live in an urban area. This is a single-center retrospective cohort study of pregnant persons referred to a mental healthcare manager because of elevated psychosocial risks identified by screening tools or provider concerns during the study period from April 2018 to May 2021. Pregnant persons aged
ISSN:2589-9333
2589-9333
DOI:10.1016/j.ajogmf.2023.101008