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Maternal History of Adverse Childhood Experiences and Ambulatory Blood Pressure in Pregnancy

Bibliographic Data

ID19301445
AuthorsMargaret H Bublitz (0000-0001-8765-7846, Miriam Hospital, corresponding author), Laura Georgina Ward (Bridge University), Meera Simoes (Bridge University), Laura R Stroud (0000-0002-2138-968X, Bridge University), Myriam Salameh (0000-0001-5743-0018, Bridge University), Ghada Bourjeily (0000-0002-0543-4719, Bridge University)
Year2020
Volume82
Issue8
Pages757-763
Publication date2020-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/psy.0000000000000853
PMID32833898
OpenAlexW3081507852
LanguageEN
References cited58

OBJECTIVE: This study aimed to study the association between maternal history of childhood adversity and blood pressure in pregnancy. METHODS: A 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. RESULTS: Women 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. CONCLUSIONS: Results 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

Ambulatory blood pressure · Blood pressure · Body mass index · Confidence interval · Gestation · Obstetrics · Odds ratio · Pregnancy · Prehypertension · Child Abuse and Trauma · Internal Medicine · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Prenatal Substance Exposure Effects

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