Evidence map›Paper›PMID 41296699›Full record

ArticlePloS one2025

Maternal adverse childhood experiences and perinatal outcomes: A retrospective inceptive cohort study.

Amanda Troëng, Jessica Dolk, Marie-Therese Vinnars, Johan Hallqvist, Per Kristiansson

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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Amanda TroëngDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Jessica DolkDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Marie-Therese VinnarsDepartment of Clinical Sciences, Umeå University, Umeå, Sweden.
Johan HallqvistDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Per KristianssonDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0001-7346-1674

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAdverse childhood experiences (ACEs) are associated with poor health and social outcomes in adulthood. However, research on the relationship between ACEs and perinatal outcomes remains limited, and the effect of cumulative ACEs on perinatal outcomes has not yet been established. This study examines the association between maternal exposure to multiple ACEs and perinatal outcomes. MATERIAL AND

methodsThe study comprised a cohort study of 1,253 women enrolled in the national prenatal healthcare program in Sweden 2012-2013. In early pregnancy and one year after childbirth the women completed a total of 3 questionnaires that included questions on ACEs, mode of delivery, and birth complications. ACEs were grouped as involving 0, 1-3, or ≥4 categories according to previously defined measures. Multiple ordinal logistic regression analyses were used to compare perinatal outcomes across ACE categories adjusted for a minimal sufficient set of confounders as well as sensitivity analyses.

resultsThe women had an average age of 32, and the majority were multiparous, of Swedish origin, highly educated, non-smokers and in a relationship. The proportions of women with adverse childhood experiences in the 0, 1-3, and ≥4 categories were 42%, 46% and 12%, respectively. On the whole, the adjusted odds ratios (aOR) were highest for women exposed to adverse childhood experience in ≥4 categories, with women exposed to 0 as reference, and with aORs for women exposed to 1-3 categories in between. In women with ≥4 ACEs categories, the strongest associations were found for the outcomes emergency Caesarean delivery (aOR 2.02, CI 1.13-3.63), bleeding >1000 ml in connection with Caesarean delivery (aOR 3.54, CI 1.01-12.39), preeclampsia (aOR 4.21, CI 1.73-10.25) and requiring antibiotics (aOR 3.14, CI 1.19-8.32).

conclusionsMultiple ACEs were associated with higher rates of adverse perinatal outcomes. The maternal health services need to identify these individuals and provide extra care to mitigate their risks.

Indexed as

Adverse Childhood ExperiencesPregnancy ComplicationsPregnancy OutcomeAdultFemaleHumansPregnancyRetrospective StudiesSurveys and QuestionnairesSwedenYoung Adult

Identifiers

PMID41296699
PMCPMC12654885

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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.