{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T07:07:53Z","timestamp":1789628873901,"version":"build-2803163510"},"reference-count":33,"publisher":"Walter de Gruyter GmbH","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This commentary addresses the need for trauma-informed screening and coordinated mental health care across obstetric (OB) and neonatal intensive care unit (NICU) settings. Perinatal post-traumatic stress disorder (PTSD) and related mental health conditions are common yet under-recognized, particularly among individuals exposed to medical trauma, prior adversity, or interpersonal violence. Perinatal PTSD prevalence estimates range from 3\u20136\u202f% in community samples and 15\u201325\u202f% in high-risk populations, including NICU parents, individuals with obstetric complications, and those with prior trauma histories. Infants hospitalized in NICUs experience their own forms of trauma related to pain, sensory overload, and caregiver separation, while parents are critical buffers of infant stress but may be unable to provide effective co-regulation when they are themselves traumatized. Guided by the Substance Abuse and Mental Health Services Administration (SAMHSA) trauma-informed framework, this commentary synthesizes current evidence on screening, perinatal PTSD risk factors, intergenerational trauma, and Collaborative Care models. The author describes how integrated mental health services can be operationalized across care environments and issue a call to action for universal screening, universal education about healthy and unsafe relationship dynamics, coordinated treatment pathways, and equity-focused implementation strategies to protect infant neurodevelopment and interrupt intergenerational cycles of trauma.<\/jats:p>","DOI":"10.1515\/jpm-2025-0683","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T06:55:36Z","timestamp":1789628136000},"source":"Crossref","is-referenced-by-count":0,"title":["Significance of perinatal trauma screening and care coordination to improve infant health outcomes"],"prefix":"10.1515","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0627-2141","authenticated-orcid":false,"given":"Aysha","family":"Jawed","sequence":"first","affiliation":[{"name":"Department of Pediatrics , Johns Hopkins University School of Medicine , Baltimore , MD , USA"},{"name":"Center for Excellence in Public Health Leadership, Kennedy Krieger Institute , Baltimore , MD , USA"},{"name":"Department of English , University of Maryland , College Park , MD , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"2026091706553135059_j_jpm-2025-0683_ref_001","unstructured":"U.S. Preventive Services Task Force. Final recommendation statement: screening for depression and suicide risk in adults [Internet]; 2023. https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/announcements\/final-recommendation-statement-screening-depression-and-suicide-risk-adults [Accessed 26 Jul 2026]."},{"key":"2026091706553135059_j_jpm-2025-0683_ref_002","unstructured":"American College of Obstetricians and Gynecologists. Screening and diagnosis of mental health conditions during pregnancy and postpartum (Clinical Practice Guideline No. 4) [Internet]; 2023. https:\/\/www.acog.org\/clinical\/clinical-guidance\/clinical-practice-guideline\/articles\/2023\/06\/screening-and-diagnosis-of-mental-health-conditions-during-pregnancy-and-postpartum [Accessed 26 Jul 2026]."},{"key":"2026091706553135059_j_jpm-2025-0683_ref_003","unstructured":"American College of Obstetricians and Gynecologists. Implementing perinatal mental health screening [Internet]; 2023. https:\/\/www.acog.org\/programs\/perinatal-mental-health\/implementing-perinatal-mental-health-screening [Accessed 26 Jul 2026]."},{"key":"2026091706553135059_j_jpm-2025-0683_ref_004","unstructured":"Association of American Medical Colleges. The toll of maternal mental illness in America [Internet]; 2023. https:\/\/www.aamc.org\/news\/toll-maternal-mental-illness-america [Accessed 26 Jul 2026]."},{"key":"2026091706553135059_j_jpm-2025-0683_ref_005","unstructured":"Association of American Medical Colleges. Lessons learned from improving maternal mental health outcomes. Washington (DC): AAMC; 2023."},{"key":"2026091706553135059_j_jpm-2025-0683_ref_006","doi-asserted-by":"crossref","unstructured":"Swedo, EA, D\u2019Angelo, DV, Fasula, AM, Clayton, HB, Ports, KA. Associations of adverse childhood experiences with pregnancy and infant health. Am J Prev Med 2023;64:512\u201324. https:\/\/doi.org\/10.1016\/j.amepre.2022.10.017.","DOI":"10.1016\/j.amepre.2022.10.017"},{"key":"2026091706553135059_j_jpm-2025-0683_ref_007","doi-asserted-by":"crossref","unstructured":"Mamun, A, Biswas, T, Scott, J, Sly, PD, McIntyre, HD, Thorpe, K, et al.. Adverse childhood experiences, the risk of pregnancy complications and adverse pregnancy outcomes: a systematic review and meta-analysis. BMJ Open 2023;13:e063826. https:\/\/doi.org\/10.1136\/bmjopen-2022-063826.","DOI":"10.1136\/bmjopen-2022-063826"},{"key":"2026091706553135059_j_jpm-2025-0683_ref_008","doi-asserted-by":"crossref","unstructured":"Bernardo, J, Rent, S, Arias-Shah, A, Hoge, MK, Shaw, RJ. Parental stress and mental health symptoms in the NICU: recognition and interventions. NeoReviews 2021;22:e496\u2013505. https:\/\/doi.org\/10.1542\/neo.22-8-e496.","DOI":"10.1542\/neo.22-8-e496"},{"key":"2026091706553135059_j_jpm-2025-0683_ref_009","doi-asserted-by":"crossref","unstructured":"Horsch, A, Garthus-Niegel, S, Ayers, S, Chandra, P, Hartmann, K, Vaisbuch, E, et al.. Childbirth-related posttraumatic stress disorder: definition, risk factors, pathophysiology, diagnosis, prevention, and treatment. Am J Obstet Gynecol 2024;230(3 Suppl):S1116\u201327. https:\/\/doi.org\/10.1016\/j.ajog.2023.09.089.","DOI":"10.1016\/j.ajog.2023.09.089"},{"key":"2026091706553135059_j_jpm-2025-0683_ref_010","doi-asserted-by":"crossref","unstructured":"Huffhines, L, Coe, JL, Busuito, A, Seifer, R, Parade, SH. Understanding links between maternal perinatal posttraumatic stress symptoms and infant socioemotional and physical health. 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