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Prospectus: Screening for Adverse Childhood Experiences in an Obstetric Population

Resident: Hillary O'Brien, MD

Faculty Advisor: Katie Smith, MD, MS

Background

Adverse Childhood Experiences (ACEs) are stressors or traumatic events such as abuse, loss of a parent, or food/housing insecurity experienced prior to age eighteen. ACEs are common among pregnant patients and are associated with serious morbidity during pregnancy and the postpartum period including mental health issues, hypertensive disorders, preterm birth, and breastfeeding difficulties. While this topic is gaining attention, screening for ACEs in obstetrics is not widespread. Pregnancy is an optimal time to implement screening as it is a time of increased healthcare utilization.

Methods

The purpose of this study is to identify the prevalence of ACEs in the OUSHC obstetric population and identify which ACEs are most common. We also plan to understand the feasibility of screening by clinicians, the patient acceptability of screening, and utility of implementing ACEs screening.

Results / Conclusions

Results from data are expected in 2024.








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E Armour, A Coleman, C Farnell, D Hardin, J Maxwell, H O'Brien

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