Cited by 175Child Abuse and TraumaMaternal Mental Health During Pregnancy and PostpartumMaternal and Perinatal Health Interventions

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Early Childhood Adversity and Pregnancy Outcomes

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Smith, Megan V., Gotman, Nathan, Yonkers, Kimberly A.·2016·Maternal and Child Health Journal

DOI 10.1007/s10995-015-1909-5PMC PMC4849279

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Abstract

Objectives To examine the association between adverse childhood experiences (ACEs) and pregnancy outcomes; to explore mediators of this association including psychiatric illness and health habits.Methods Exposure to ACEs was determined by the Early Trauma Inventory Self Report Short Form; psychiatric diagnoses were generated by the Composite International Diagnostic Interview administered in a cohort of 2303 pregnant women. Linear regression and structural equation modeling bootstrapping approaches tested for multiple mediators.Results Each additional ACE decreased birth weight by 16.33 g and decreased gestational age by 0.063. Smoking was the strongest mediator of the effect on gestational age.Conclusions ACEs have an enduring effect on maternal reproductive health, as manifested by mothers' delivery of offspring that were of reduced birth weight and shorter gestational age.

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Authors: Smith, M. V., Gotman, N., & Yonkers, K. A.
Affiliations: Yale University (US)
Corresponding author: Smith, Megan V.
ORCID: Smith, Megan V.
Yonkers, Kimberly A.
Venue: Maternal and Child Health Journal
Publisher: Springer Science and Business Media LLC
Published: 2016-01-14
Volume: 20
Issue: 4
Pages: 790-798
ISSN: 1092-7875 (ISSN-L)
1573-6628
DOI: 10.1007/s10995-015-1909-5
PMC: PMC4849279
OpenAlex: W2237725051
Cited by: 175
References: 36
Citations by year: 2026: 9 · 2025: 18 · 2024: 15 · 2023: 21 · 2022: 18 · 2021: 34 · 2020: 20 · 2019: 16 · 2018: 16 · 2017: 7 · 2016: 1
FWCI: 17.85
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Maternal and Child Health Journal (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: Yonkers (HD045735)
Mazure (DA031050)
Topics: Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords: adverse childhood experiences, pregnancy outcomes, birth weight, gestational age, maternal smoking, mental illness, health habits
MeSH terms: Adolescent, Adult, Child, Preschool, Depressive Disorder, Major, Major Depressive Disorder, Female, Gestational Age, Humans, Life Change Events, Massachusetts, Mothers, Pregnancy, Pregnancy Outcome, Prospective Studies, Severity of Illness Index, Smoking, Socioeconomic Factors, Violence, Crime Victims, Premature Birth

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