ArticleBJOG : an international journal of obstetrics and gynaecology2011
Post-traumatic stress disorder, child abuse history, birthweight and gestational age: a prospective cohort study.
Article in BJOG : an international journal of obstetrics and gynaecology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
77 citing papers in PubMed, 4 syntheses or guidelines pooled it, 157 citations in OpenAlex.
- Associations between PTSD and pregnancy outcomes: systematic review and Meta- analysis.BMC pregnancy and childbirth · 2025Pooled it
- Parental Preconception Adversity and Offspring Health in African Americans: A Systematic Review of Intergenerational Studies.Trauma, violence & abuse · 2023Pooled it
- Prenatal maternal posttraumatic stress disorder as a risk factor for adverse birth weight and gestational age outcomes: A systematic review and meta-analysis.Journal of affective disorders · 2021Pooled it
- Reproductive Health of Women Veterans: A Systematic Review of the Literature from 2008 to 2017.Seminars in reproductive medicine · 2018Pooled it
- Mind-body practice as a primer to maintain psychological health among pregnant women-YOGESTA-a randomized controlled trial.Frontiers in public health · 2023Trial
- Post-traumatic stress disorder and adverse pregnancy and birth outcomes: a population-based study.European journal of psychotraumatology · 2026Article
- Network analysis of PTSD symptoms following childbirth and comorbid conditions among women with sexual trauma history.Archives of women's mental health · 2025Article
- Optimizing Psychological Health Across the Perinatal Period: An Update on Maternal Cardiovascular Health: A Scientific Statement From the American Heart Association.Journal of the American Heart Association · 2025Review
- Childhood Maltreatment and Perinatal Complications: A Scoping Review of Official Health Data.Trauma, violence & abuse · 2024Article
- From pregnancy to the postpartum: Unraveling the complexities of symptom profiles among trauma-exposed women.Journal of affective disorders · 2024Article
- Parental Preconception Posttraumatic Stress Symptoms and Maternal Prenatal Inflammation Prospectively Predict Shorter Telomere Length in Children.Psychosomatic medicine · 2024Article
- hsa-miR-582-3p in umbilical cord blood is negatively associated with maternal exposure to childhood maltreatment.Epigenomics · 2024Article
- "Echoes of a dark past" is a history of maternal childhood maltreatment a perinatal risk factor for pregnancy and postpartum trauma experiences? A longitudinal study.BMC pregnancy and childbirth · 2023Article
- The impact of military sexual trauma and warfare exposure on women veterans' perinatal outcomes.Psychological trauma : theory, research, practice and policy · 2022Article
- Canada's Colonial Genocide of Indigenous Peoples: A Review of the Psychosocial and Neurobiological Processes Linking Trauma and Intergenerational Outcomes.International journal of environmental research and public health · 2022Review
- Immigrant ancestry and birthweight across two generations born in Sweden: an intergenerational cohort study.BMJ global health · 2022Article
- Prenatal distress links maternal early life adversity to infant stress functioning in the next generation.Journal of psychopathology and clinical science · 2022Article
- Identifying post-traumatic stress disorder in women of refugee background at a public antenatal clinic.Archives of women's mental health · 2022Article
- Article
- Anxiety and depressive symptoms in pregnancy predict low birth weight differentially in male and female infants-findings from an urban pregnancy cohort in India.Social psychiatry and psychiatric epidemiology · 2021Article
17 more citing papers are in PubMed but not listed here.
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
Abstract
objectiveTo determine the extent to which prenatal post-traumatic stress disorder (PTSD) is associated with lower birthweight and shorter gestation, and to explore the effects of childhood maltreatment as the antecedent trauma exposure.
designProspective three-cohort study.
settingAnn Arbor and Detroit, Michigan, United States. SAMPLE: In all, 839 diverse nulliparas in PTSD-positive (n = 255), trauma-exposed, resilient (n = 307) and non-exposed to trauma (n = 277) cohorts.
methodsStandardised telephone interview before 28 weeks of gestation to ascertain trauma history, PTSD, depression, substance use, mental health treatment history and sociodemographics, with chart abstraction to obtain chronic condition history, antepartum complications and prenatal care data, as well as outcomes.
main outcome measuresInfant birthweight and gestational age per delivery record.
resultsInfants born to women with PTSD during pregnancy had a mean birthweight 283 g less than infants of trauma-exposed, resilient women and 221 g less than infants of non-exposed women (F(3,835) = 5.4, P = 0.001). PTSD was also associated with shorter gestation in multivariate models that took childhood abuse history into account. Stratified models indicated that PTSD subsequent to child abuse trauma exposure was most strongly associated with adverse outcomes. PTSD was a stronger predictor than African American race of shorter gestation and a nearly equal predictor of birthweight. Prenatal care was not associated with better outcomes among women abused in childhood.
conclusionsAbuse-related PTSD may be an additional or alternative explanation for adverse perinatal outcomes associated with low socio-economic status and African American race in the USA. Biological and interventions research is warranted along with replication studies in other nations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.