Adverse childhood experiences and maternal disability: Findings from the North Dakota and South Dakota PRAMS, 2019South Dakota PRAMS, 2019

Abstract Rationale. Prior research has found adverse childhood experiences (ACEs) to be a risk factor for disability in adulthood. Moreover, accumulating evidence highlights that both ACEs and disability during pregnancy are a risk factor for both maternal and infant wellbeing. Yet, no previous work has assessed whether ACEs increase the risk of maternal disability. Objective The current study assesses the link between maternal ACE exposure and disability. Methods Data are from the North Dakota and South Dakota Pregnancy Risk Assessment Monitoring System (PRAMS), 2019 (N = 1775). Logistic regression was used to assess the relationship between accumulating ACEs and maternal disability. Results Mothers with exposure to a greater number of ACE—notably, 4 or more ACEs— had elevated rates of several disabilities including difficulty communicating, difficulty remembering, difficulty seeing, and difficulty walking. Conclusions Understanding the long-term health repercussions of ACEs for pregnant women and mothers is important to help inform the design and implementation of health care interventions. This study can be used to better understand the prevalence of disabilities among mothers and corroborate early life experiences as an important risk factor for disability.