Article ; Online: Adverse Childhood Experiences: Associations with a Blunted Cortisol Stress Response During Pregnancy.
Maternal and child health journal
2023 Volume 27, Issue 8, Page(s) 1293–1300
Abstract: Introduction: Adverse Childhood Experiences (ACEs) are associated with a range of negative physical and mental health outcomes, yet there is limited research focused on the effect of ACEs on stress responses during pregnancy. Expectant mothers ... ...
Abstract | Introduction: Adverse Childhood Experiences (ACEs) are associated with a range of negative physical and mental health outcomes, yet there is limited research focused on the effect of ACEs on stress responses during pregnancy. Expectant mothers experience an increase in cortisol levels as pregnancy progresses, with this increase having important implications for fetal and early infant development. Little is known about the impact of ACEs on maternal cortisol levels. This study explored the relationship between maternal ACEs and cortisol response among expectant mothers nearing or in the third trimester of pregnancy. Methods: 39 expectant mothers were exposed to a Baby Cry Protocol via an infant simulator, with salivary cortisol collected at five points in time (N = 181). Stepwise, multilevel model creation resulted in a random intercept and random slope model with an interaction term for total number of ACEs and week of pregnancy. Results: The repeated measures data showed that cortisol levels decreased across collection times, from arrival at the lab, through the Baby Cry Protocol, to recovery. Predictive margins for the interaction term showed that while exposure to a greater number of ACEs was associated with higher cortisol levels early in the third trimester, the expected increase in cortisol late in pregnancy was blunted for expectant mothers who were exposed to a greater number of ACEs. Discussion: These findings findings suggest the importance of ACEs screening and intervention efforts as part of prenatal care. |
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MeSH term(s) | Female ; Pregnancy ; Child ; Infant ; Humans ; Hydrocortisone ; Stress, Psychological ; Mothers/psychology ; Pregnancy Trimester, Third ; Adverse Childhood Experiences |
Chemical Substances | Hydrocortisone (WI4X0X7BPJ) |
Language | English |
Publishing date | 2023-03-31 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 1339905-6 |
ISSN | 1573-6628 ; 1092-7875 |
ISSN (online) | 1573-6628 |
ISSN | 1092-7875 |
DOI | 10.1007/s10995-023-03651-2 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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