ArticlePsychosomatic medicine2020
Maternal History of Adverse Childhood Experiences and Ambulatory Blood Pressure in Pregnancy.
Article in Psychosomatic medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Associations of adverse childhood experiences (ACE) with pregnancy outcomes in people with cardiac disease.European journal of obstetrics, gynecology, and reproductive biology · 2025Article
- Optimization of Ambulatory Blood Pressure Monitoring during Pregnancy: A Path Toward Risk Stratification Improvement and Management of Hypertensive Disorders.Reviews in cardiovascular medicine · 2025Review
- Association of Early-life Trauma With Gestational Diabetes and Hypertensive Disorders of Pregnancy.Epidemiology (Cambridge, Mass.) · 2025Article
- Adverse Childhood Experiences and Perinatal Mental Health: A Review of Progress and Future Directions.Current psychiatry reports · 2024Review
- Maternal exposure to childhood maltreatment and adverse birth outcomes.Scientific reports · 2023Article
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Authors and funding
6 authors.
Funding
Abstract
objectiveThis study aimed to study the association between maternal history of childhood adversity and blood pressure in pregnancy.
methodsA total of 127 pregnant women completed measures of adverse childhood experiences (ACE) and prenatal stress between June 2015 and April 2019. At 11 weeks' gestation (range, 6-17 weeks), we measured 24-hour ambulatory blood pressure. All women were considered to be at risk for pregnancy complications due to elevated body mass index and self-reporting snoring in pregnancy.
resultsWomen were, on average, 30 years old (range, 19-40 years), and average (standard deviation) body mass index in this sample was 34 (7) kg/m (range, 27-55 kg/m). Higher ACE scores were associated with higher nighttime blood pressure (systolic blood pressure: β = 0.23, p = .013; diastolic blood pressure: β = 0.22, p = .028). There were no significant associations between the ACE score and daytime blood pressure. Women with four or more ACEs were more likely to display nocturnal blood pressure nondipping (odds ratio = 3.97, 95% confidence interval = 1.38-11.40). Associations between ACE and nocturnal blood pressure remained significant after adjusting for symptoms of prenatal stress.
conclusionsResults indicate that experiences of childhood adversity are associated with elevated nocturnal blood pressure and loss of a typical decline in blood pressure between day and night.
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