{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T12:30:04Z","timestamp":1792153804910,"version":"4.4.0"},"reference-count":123,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pregnancy"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Trauma is exceedingly common in the United States adult population; therefore, obstetric patients have more than likely experienced trauma within their lifetime and are at risk of re\u2010traumatization in the perinatal period. Trauma\u2010informed care is a model that seeks to address patient trauma histories and how that affects their ability to seek healthcare, as well as try to mitigate re\u2010traumatization through medical care. However, there is little dedicated curricula around this topic, and many providers feel unequipped to implement trauma\u2010informed care. Therefore, the goal of this narrative review is to provide an overview of trauma\u2010informed care in obstetrics and highlight actionable steps that providers can take to integrate trauma\u2010informed care in their practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a literature search (2005\u20132025) on PubMed and OVID using the terms (\u201ctrauma\u2010informed care\u201d OR \u201ctrauma\u2010based care\u201d OR \u201ctrauma\u2010sensitive care\u201d) AND (\u201cpregnancy\u201d OR \u201cpregnant women\u201d OR \u201cprenatal care\u201d OR \u201cperinatal care\u201d OR \u201clabor and delivery\u201d OR \u201cchildbirth\u201d OR \u201cbirth\u201d OR \u201cobstetrics\u201d). A total of 482 PubMed and 167 OVID articles were screened for relevance. Additionally, key society guidelines and existing trauma\u2010informed care curricula were reviewed to provide context and recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Our findings indicate that traumatic life events (TLEs) are highly prevalent among pregnant individuals, particularly among adolescents, racial and sexual minorities, and those of lower socioeconomic status. Pregnancy increases risk for intimate partner violence and mood disorders, and one\u2010third of women report birth itself as traumatic, with higher rates of distress after emergency cesarean delivery (up to 80.6%). A history of trauma is associated with adverse perinatal outcomes including heightened risk of preterm birth, pregnancy loss, postpartum depression, and post\u2010traumatic stress disorder. Trauma also affects maternal\u2010child bonding, breastfeeding success, and long\u2010term child development. Evidence supports that trauma\u2010informed care can mitigate these outcomes. Strategies including patient\u2010centered communication, doula support, group prenatal care, and multidisciplinary perinatal mental health programs have shown improved engagement in care, reduced cesarean risk, and better psychological outcomes for pregnant patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Trauma and traumatic stress are highly prevalent in the obstetric population, with unmanaged stress contributing to worsened maternal and fetal outcomes. Implementing both individual and institutional interventions can enhance patient\u2010centered care and support resilience among trauma survivors. By mitigating adverse health effects, trauma\u2010informed care serves as a vital strategy for advancing health equity and reducing disparities in maternal morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmf2.70081","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T10:34:39Z","timestamp":1754390079000},"source":"Crossref","is-referenced-by-count":7,"title":["Reframing obstetric care through a trauma\u2010informed lens: A narrative review of trauma\u2010informed principles and clinical applications"],"prefix":"10.1002","volume":"1","author":[{"given":"Brooke E.","family":"Schroeder","sequence":"first","affiliation":[{"name":"Duke University School of Medicine, Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey A.","family":"Kuller","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Duke University Medical Center  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah K.","family":"Dotters\u2010Katz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Duke University Medical Center  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,5]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Center for Substance Abuse Treatment (US).Trauma\u2010Informed Care in Behavioral Health Services. 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