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Olsen JM, Galloway EG, Guthman PL. Exploring women's perspectives on prenatal screening for adverse childhood experiences. Public Health Nurs. 2021;38(6):997-1008doi: 10.1111/phn.12956.
Olsen, J. M., Galloway, E. G., & Guthman, P. L. (2021). Exploring women's perspectives on prenatal screening for adverse childhood experiences. Public health nursing (Boston, Mass.), 38(6), 997-1008. https://doi.org/10.1111/phn.12956
Olsen, Jeanette M, et al. "Exploring women's perspectives on prenatal screening for adverse childhood experiences." Public health nursing (Boston, Mass.) vol. 38,6 (2021): 997-1008. doi: https://doi.org/10.1111/phn.12956
Olsen JM, Galloway EG, Guthman PL. Exploring women's perspectives on prenatal screening for adverse childhood experiences. Public Health Nurs. 2021 Nov;38(6):997-1008. doi: 10.1111/phn.12956. Epub 2021 Aug 16. PMID: 34402097.
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Public Health Nurs. 2021 Nov;38(6):997-1008. doi: 10.1111/phn.12956. Epub 2021 Aug 16.

Exploring women's perspectives on prenatal screening for adverse childhood experiences.

Public health nursing (Boston, Mass.)

Jeanette M Olsen, Elizabeth G Galloway, Pamela L Guthman

Affiliations

  1. College of Nursing and Health Sciences, University of Wisconsin-Eau Claire, Eau Claire, Wisconsin, USA.

PMID: 34402097 DOI: 10.1111/phn.12956

Abstract

OBJECTIVE: To learn more about women's views on screening for adverse childhood experiences (ACEs) during healthcare visits in pregnancy.

DESIGN: Mixed methods with an online survey.

SAMPLE: A convenience sample of 154 women with a history of one or more pregnancies was recruited through public health department social media pages in one predominantly rural region of a Midwest state.

MEASUREMENTS: Quantitative measures included demographic variables, ACE scores, and preferences regarding screening format, strategies, and resources. Additional perspectives were captured through open-ended questions.

RESULTS: Women's mean ACE score was 2.56 (SD = 2.37) with 68% reporting 0-3 ACEs and 32% reporting four or more. Routine screening for ACEs during prenatal care was supported by 67.5% of women with 9.1% indicating sometimes, 20.8% unsure, and 2.6% against. Strong preference was indicated for screening by one's physician or midwife (80.3%), in an exam room (83.1%), using an independently completed questionnaire (64.2%). Preferred approaches for screening and post-screening interventions also were identified with qualitative themes providing additional insights.

CONCLUSIONS: Findings inform strategies for efficiently and sensitively screening for ACEs during pregnancy, highlight the importance of using a trauma-informed approach, and provide direction for educational and interventional resource development.

© 2021 Wiley Periodicals LLC.

Keywords: adverse childhood experiences; prenatal care; rural health; screening

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