“…[11][12][13][14][15][16][17] Less studied but of great interest is the potential impact of ACEs on maternal health outcomes during pregnancy. A small but growing body of literature suggests that ACEs are associated with increased mental health risks during pregnancy, including higher depressive symptoms, [18][19][20][21] anxiety, 22,23 suicidality, 24,25 and substance use. 20,[26][27][28] In addition, a history of ACE exposure is associated with higher rates of psychosocial difficulties 29 and IPV in pregnancy, 20,[30][31][32] which contribute to poor mental health outcomes.…”