Maternal-Child Health Outcomes from Pre- to Post-Implementation of a Trauma-Informed Care Initiative in the Prenatal Care Setting: A Retrospective Study

Background: There has been an increase in use of trauma-informed care (TIC) approaches, which can include screening for maternal Adverse Childhood Experiences (ACEs) during prenatal care. However, there is a paucity of research showing that TIC approaches are associated with improvements in maternal...

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Autores principales:	Nicole Racine, Whitney Ereyi-Osas, Teresa Killam, Sheila McDonald, Sheri Madigan
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	adverse childhood experiences screening trauma-informed care health pregnancy Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/770f8357428e4d04bc048c4bd129e5c0
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spelling	oai:doaj.org-article:770f8357428e4d04bc048c4bd129e5c02021-11-25T17:14:58ZMaternal-Child Health Outcomes from Pre- to Post-Implementation of a Trauma-Informed Care Initiative in the Prenatal Care Setting: A Retrospective Study10.3390/children81110612227-9067https://doaj.org/article/770f8357428e4d04bc048c4bd129e5c02021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/1061https://doaj.org/toc/2227-9067Background: There has been an increase in use of trauma-informed care (TIC) approaches, which can include screening for maternal Adverse Childhood Experiences (ACEs) during prenatal care. However, there is a paucity of research showing that TIC approaches are associated with improvements in maternal or offspring health outcomes. Using retrospective file review, the current study evaluated whether differences in pregnancy health and infant birth outcomes were observed from before to after the implementation of a TIC approach in a low-risk maternity clinic, serving women of low medical risk. Methods: Demographic and health data were extracted from the medical records of 601 women (<i>n</i> = 338 TIC care, <i>n</i> = 263 pre-TIC initiative) who received prenatal care at a low-risk maternity clinic. Cumulative risk scores for maternal pregnancy health and infant birth outcomes were completed by health professionals. Results: Using independent chi-squared tests, the proportion of women without pregnancy health risks did not differ for women from before to after the implementation of TIC, <i>χ</i><sup>2</sup> (2, 601) = 3.75, <i>p</i> = 0.15. Infants of mothers who received TIC were less likely to have a health risk at birth, <i>χ</i><sup>2</sup> (2, 519) = 6.17, <i>p</i> = 0.046. Conclusion: A TIC approach conveyed modest benefits for infant outcomes, but not maternal health in pregnancy. Future research examining other potential benefits of TIC approaches are needed including among women of high socio-demographic and medical risk.Nicole RacineWhitney Ereyi-OsasTeresa KillamSheila McDonaldSheri MadiganMDPI AGarticleadverse childhood experiencesscreeningtrauma-informed carehealthpregnancyPediatricsRJ1-570ENChildren, Vol 8, Iss 1061, p 1061 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adverse childhood experiences screening trauma-informed care health pregnancy Pediatrics RJ1-570
spellingShingle	adverse childhood experiences screening trauma-informed care health pregnancy Pediatrics RJ1-570 Nicole Racine Whitney Ereyi-Osas Teresa Killam Sheila McDonald Sheri Madigan Maternal-Child Health Outcomes from Pre- to Post-Implementation of a Trauma-Informed Care Initiative in the Prenatal Care Setting: A Retrospective Study
description	Background: There has been an increase in use of trauma-informed care (TIC) approaches, which can include screening for maternal Adverse Childhood Experiences (ACEs) during prenatal care. However, there is a paucity of research showing that TIC approaches are associated with improvements in maternal or offspring health outcomes. Using retrospective file review, the current study evaluated whether differences in pregnancy health and infant birth outcomes were observed from before to after the implementation of a TIC approach in a low-risk maternity clinic, serving women of low medical risk. Methods: Demographic and health data were extracted from the medical records of 601 women (<i>n</i> = 338 TIC care, <i>n</i> = 263 pre-TIC initiative) who received prenatal care at a low-risk maternity clinic. Cumulative risk scores for maternal pregnancy health and infant birth outcomes were completed by health professionals. Results: Using independent chi-squared tests, the proportion of women without pregnancy health risks did not differ for women from before to after the implementation of TIC, <i>χ</i><sup>2</sup> (2, 601) = 3.75, <i>p</i> = 0.15. Infants of mothers who received TIC were less likely to have a health risk at birth, <i>χ</i><sup>2</sup> (2, 519) = 6.17, <i>p</i> = 0.046. Conclusion: A TIC approach conveyed modest benefits for infant outcomes, but not maternal health in pregnancy. Future research examining other potential benefits of TIC approaches are needed including among women of high socio-demographic and medical risk.
format	article
author	Nicole Racine Whitney Ereyi-Osas Teresa Killam Sheila McDonald Sheri Madigan
author_facet	Nicole Racine Whitney Ereyi-Osas Teresa Killam Sheila McDonald Sheri Madigan
author_sort	Nicole Racine
title	Maternal-Child Health Outcomes from Pre- to Post-Implementation of a Trauma-Informed Care Initiative in the Prenatal Care Setting: A Retrospective Study
title_short	Maternal-Child Health Outcomes from Pre- to Post-Implementation of a Trauma-Informed Care Initiative in the Prenatal Care Setting: A Retrospective Study
title_full	Maternal-Child Health Outcomes from Pre- to Post-Implementation of a Trauma-Informed Care Initiative in the Prenatal Care Setting: A Retrospective Study
title_fullStr	Maternal-Child Health Outcomes from Pre- to Post-Implementation of a Trauma-Informed Care Initiative in the Prenatal Care Setting: A Retrospective Study
title_full_unstemmed	Maternal-Child Health Outcomes from Pre- to Post-Implementation of a Trauma-Informed Care Initiative in the Prenatal Care Setting: A Retrospective Study
title_sort	maternal-child health outcomes from pre- to post-implementation of a trauma-informed care initiative in the prenatal care setting: a retrospective study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/770f8357428e4d04bc048c4bd129e5c0
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Maternal-Child Health Outcomes from Pre- to Post-Implementation of a Trauma-Informed Care Initiative in the Prenatal Care Setting: A Retrospective Study

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