ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Adverse Childhood Experiences and Pregnancy Intentions among Pregnant Women Seeking Prenatal Care.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- An Integrative Review Exploring Womens' Experiences of Retraumatization Within Perinatal Services.Journal of midwifery & women's healthPooled it
- Adverse Childhood Experiences and Unintended Pregnancy: Evidence From North Dakota PRAMS, 2017-2020.AJPM focus · 2026Article
- Evaluation of an Adverse Childhood Experiences Screening Program for Pregnant Patients in Rural Missouri.Journal of child & adolescent trauma · 2026Article
- Article
- "I Just Wouldn't Like Him to go Through What I Went Through as a Kid": A Qualitative Study on the Mitigating Effects of Positive Childhood Experiences in Mothers with a History of Adverse Childhood Experiences in an Irish Population.Community mental health journal · 2025Article
- Do adverse childhood experiences increase the risk of postpartum traumatic stress and depression?Journal of evaluation in clinical practice · 2025Article
- Pediatric ACEs Screening and Referral: Facilitators, Barriers, and Opportunities for Improvement.Journal of child & adolescent trauma · 2024Article
- Childhood maltreatment exposure is differentially associated with transdiagnostic perinatal depression symptoms.Journal of affective disorders · 2024Article
- The Association Between Adverse Childhood Experiences and Preterm Delivery: A Latent Class Approach.Journal of women's health (2002) · 2024Article
- Maternal childhood adversity and pregnancy intentions as predictors of pregnancy happiness.Journal of reproductive and infant psychology · 2024Article
- The Feasibility of the Adverse Childhood Experiences Questionnaire among Women in Danish Antenatal Care: A Mixed-Methods Study.International journal of environmental research and public health · 2023Article
- The Feasibility and Acceptability of the Adverse Childhood Experiences Questionnaire in Danish Antenatal Care-A Qualitative Study of Midwives' Implementation Experiences.International journal of environmental research and public health · 2023Article
- Associations of Adverse Childhood Experiences With Pregnancy and Infant Health.American journal of preventive medicine · 2023Article
- Joint effects of recent stressful life events and adverse childhood experiences on perinatal comorbid anxiety and depression.BMC pregnancy and childbirth · 2023Article
- Screening for adverse childhood experiences in antenatal care settings: A scoping review.The Australian & New Zealand journal of obstetrics & gynaecology · 2022Article
- Adult Daughters of Alcoholic Parents-A Qualitative Study of These Women's Pregnancy Experiences and the Potential Implications for Antenatal Care Provision.International journal of environmental research and public health · 2022Article
- Associations between Adverse Childhood Experiences and Sexual Risk among Postpartum Women.International journal of environmental research and public health · 2021Article
- Adverse Childhood Experiences on Reproductive Plans and Adolescent Pregnancy in the Gulf Resilience on Women's Health Cohort.International journal of environmental research and public health · 2020Article
- Association Between Adverse Childhood Experiences and Prenatal Pandemic-Related Traumatic Stress.Women's health reports (New Rochelle, N.Y.)Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThis study examined whether adverse childhood experiences (ACEs) are associated with increased risk of having an unwanted or mistimed pregnancy.
methodsWomen in two medical centers within an integrated health system were screened for ACEs during standard prenatal care (N = 745). Multinomial multivariable logistic regression analyses examined the associations of ACEs (count and type) with pregnancy intentions, adjusting for covariates.
resultsOverall, 58.3% of pregnant women reported no ACEs, 19.1% reported one ACE, and 22.7% reported two or more ACEs; 76.2% reported wanting to get pregnant, 18.5% reported wanting to get pregnant but not at this time (i.e., mistimed pregnancy), and 5.2% reported not wanting to get pregnant at all (i.e., unwanted pregnancy). Having two or more (vs. 0) ACEs was associated with higher odds of an unwanted pregnancy (odds ratio, 2.60; 95% confidence interval, 1.19-5.68). Further, childhood loss of parent (odds ratio, 2.20; 95% confidence interval, 1.03-4.71) and neglect (odds ratio, 5.67; 95% confidence interval, 1.72-18.72) were each associated with higher odds of an unwanted pregnancy in separate analyses. ACEs count and type were not significantly associated with having a mistimed pregnancy.
conclusionsAmong women screened for ACEs during standard prenatal care, ACEs were associated with increased odds of having an unwanted pregnancy, but not a mistimed pregnancy. Additional research is needed to better understand the mechanisms through which ACEs and other individual, social, and contextual factors impact pregnancy intentions to better support women and provide appropriate resources to help prevent unintended pregnancies.
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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.