{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T10:11:49Z","timestamp":1776679909828,"version":"3.51.2"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"09","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study aimed to evaluate the association between maternal adverse childhood experiences (ACEs) levels and the risk of perinatal complications.<\/jats:p><jats:p>This is a retrospective cohort study of 5,693 mother\u2013child pairs born between 2019 and 2021, who completed questionnaires on maternal ACE scores and perinatal complications such as preterm birth, low birth weight infants, pregnancy-induced hypertension (PIH), gestational diabetes mellitus (GDM), and premature rupture of membrane (PROM). Odds ratios (OR) and 95% confidence intervals (CI) were calculated using logistic regression according to the three ACE score groups after adjusting for confounding factors such as maternal age, child's sex, household income, and maternal education.<\/jats:p><jats:p>Maternal ACEs have a significant positive correlation with preterm birth (OR: 1.42, 95% CI: 1.09\u20131.86, p for trend\u2009=\u20090.009), PIH (OR: 1.55, 95% CI: 1.17\u20132.07, p for trend\u2009=\u20090.002), and PROM (OR: 1.42, 95% CI: 1.09\u20131.84, p for trend\u2009=\u20090.01). These associations remained unchanged when stratified according to smoking, alcohol consumption, and obesity.<\/jats:p><jats:p>Maternal ACEs were associated with the risk of perinatal complications such as preterm birth, PIH, and PROM.<\/jats:p>","DOI":"10.1055\/a-2464-3665","type":"journal-article","created":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T18:46:11Z","timestamp":1734115571000},"page":"1168-1178","source":"Crossref","is-referenced-by-count":2,"title":["The Association between Perinatal Complications and Adverse Childhood Experiences: Findings from a Nationwide Online Survey"],"prefix":"10.1055","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9598-7626","authenticated-orcid":false,"given":"Yousuke","family":"Imanishi","sequence":"additional","affiliation":[{"name":"Division of Public Health, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Suita City, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ichiro","family":"Wada","sequence":"additional","affiliation":[{"name":"Department of Interdisciplinary Studies, Faculty of International Liberal Arts, Dokkyo University, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Tabuchi","sequence":"additional","affiliation":[{"name":"Department of Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan"},{"name":"Division of Epidemiology, School of Public Health, Tohoku University Graduate School of Medicine, Miyagi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,12,13]]},"reference":[{"issue":"08","key":"ref1","doi-asserted-by":"crossref","first-page":"e356","DOI":"10.1016\/S2468-2667(17)30118-4","article-title":"The effect of multiple adverse childhood experiences on health: a systematic review and 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