“…Mental and behavioral health conditions, including depression, anxiety, exposure to violence/abuse, and substance use, are especially important to consider during pregnancy, as they can increase the risk of poor perinatal [ 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 ] and childhood outcomes [ 19 , 20 , 21 , 22 , 23 , 24 ]. Studies that have examined ACEs and mental health conditions in pregnancy have found associations between ACEs and prenatal depression/depressive symptoms [ 25 , 26 , 27 , 28 , 29 , 30 ], anxiety/anxiety symptoms [ 26 , 29 ], post-traumatic stress/post-traumatic stress disorder [ 25 , 26 , 29 ], and poor mental health [ 31 ]. Studies have also found an association between maternal ACEs and prenatal use of alcohol [ 26 , 27 , 32 , 33 , 34 ], tobacco or cannabis [ 26 , 27 , 31 , 32 , 35 ], and substance use or illicit drug use [ 26 , 27 , 31 , 32 ].…”