Emma Fransson

About me
Publications
CV
Public outreach and news

Research

At CTMR we are investigating the microbiome and its relation to health and
disease. My research interests include microbiota during pregnancy and
postpartum and potential correlations to health, including mental health.

Articles

Article: ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA. 2024;103(8):1596-1605
Antibiotic or gastric acid inhibitor use during pregnancy and postpartum depression: Population-based cohort study
Gudnadottir U; Kamau N; Fornes R; Nguyen MH; Callens S; Fransson E; Engstrand L; Bruyndonckx R; Brusselaers N
Article: ACTA PAEDIATRICA. 2024;113(7):1672-1678
School children's perceptions about being offered the HPV vaccination - A focus group study
Enskar I; Fransson E; Enskar K; Neveus T; Grandahl M
Article: PSYCHONEUROENDOCRINOLOGY. 2024;164:107009
Mid-pregnancy allopregnanolone levels and trajectories of perinatal depressive symptoms
Bjorvang RD; Wallden Y; Fransson E; Comasco E; Sundstrom-Poromaa I; Skalkidou A
Article: SCIENTIFIC REPORTS. 2024;14(1):11183
Compositional and functional differences of the vaginal microbiota of women with and without cervical dysplasia
Norenhag J; Edfeldt G; Stalberg K; Garcia F; Hugerth LW; Engstrand L; Fransson E; Du J; Schuppe-Koistinen I; Olovsson M
Article: TRANSLATIONAL PSYCHIATRY. 2024;14(1):203
Investigating heart rate variability measures during pregnancy as predictors of postpartum depression and anxiety: an exploratory study
Eriksson A; Kimmel MC; Furmark T; Wikman A; Grueschow M; Skalkidou A; Frick A; Fransson E
Article: CHILD DEVELOPMENT. 2024;95(3):721-733
Interactions of perinatal depression versus anxiety and infants' early temperament trajectories
Soerensen F; Kimmel MC; Brenner V; Kraegeloh-Mann I; Skalkidou A; Mahjani B; Fransson E
Article: EUROPEAN PSYCHIATRY. 2024;67(1):e14
Feeling better? - Identification, interventions, and remission among women with early postpartum depressive symptoms in Sweden: a nested cohort study
Giden K; Vinnerljung L; Iliadis SI; Fransson E; Skalkidou A
Article: PLOS ONE. 2024;19(5):e0280612
Inflammatory biomarkers and perinatal depression: A systematic review.
Silva-Fernandes A; Conde A; Marques M; Caparros-Gonzalez RA; Fransson E; Mesquita AR; Figueiredo B; Skalkidou A
Article: PSYCHOSOMATIC MEDICINE. 2024;86(1):52-58
Association of Diabetes Mellitus in Pregnancy and Perinatal Depression
Bjorvang RD; Liakea I; Carpentsier B; Kozinszky Z; Skalkidou A; Fransson E
Article: BMJ OPEN. 2023;13(11):e072839
Cohort profile: the U-BIRTH study on peripartum depression and child development in Sweden
Tu H-F; Fransson E; Kallak TK; Elofsson U; Ramklint M; Skalkidou A
Article: BMC PREGNANCY AND CHILDBIRTH. 2023;23(1):237
Autonomic function and inflammation in pregnant women participating in a randomized controlled study of Mindfulness Based Childbirth and Parenting
Radmark L; Osika W; Wallen MB; Nissen E; Lonnberg G; Branstrom R; Henje E; Gardner R; Fransson E; Karlsson H; Niemi M
Article: BMC PREGNANCY AND CHILDBIRTH. 2023;23(1):153
Pre-pregnancy complications-associated factors and wellbeing in early pregnancy: a Swedish cohort study
Gudnadottir U; Du J; Hugerth LWW; Engstrand L; Schuppe-Koistinen I; Itzel EW; Fransson E; Brusselaers N
Article: SCIENTIFIC REPORTS. 2022;12(1):21253
Differentiated mental health patterns in pregnancy during COVID-19 first two waves in Sweden: a mixed methods study using digital phenotyping
Fransson E; Karalexi M; Kimmel M; Brann E; Kollia N; Tas A; van Zoest V; Nordling E; Skalkidou A; Papadopoulos FC
Article: ARCHIVES OF WOMENS MENTAL HEALTH. 2022;25(6):1087-1095
Alcohol consumption habits and associations with anxiety or depressive symptoms postpartum in women with high socioeconomic status in Sweden
Lager S; Giden K; Axfors C; Sigvardsson F; Kollia N; Nylander I; Fransson E; Skalkidou A
Article: CANCER MEDICINE. 2022;11(22):4341-4353
Psychotropic medication use in parents of survivors of adolescent cancer: A register-based cohort study
Wikman A; Hoven E; Alvariza A; Lovgren M; Kreicbergs U; Skoglund C; Fransson E; Ljungman G; Ljung R; Ljungman L
Article: BMJ OPEN. 2022;12(10):e065825
Cohort profile: the Swedish Maternal Microbiome project (SweMaMi) - assessing the dynamic associations between the microbiome and maternal and neonatal adverse events
Fransson E; Gudnadottir U; Hugerth LW; Itzel EW; Hamsten M; Boulund F; Pennhag A; Du J; Schuppe-Koistinen I; Brusselaers N; Engstrand L
Article: BRAIN, BEHAVIOR, & IMMUNITY - HEALTH. 2022;22:100468
Longitudinal assessment of inflammatory markers in the peripartum period by depressive symptom trajectory groups
Brann E; Skalkidou A; Schwarz J; Papadopoulos FC; Fransson E; Poromaa IS
Article: HUMAN REPRODUCTION. 2022;37(7):1525-1543
The healthy female microbiome across body sites: effect of hormonal contraceptives and the menstrual cycle
Krog MC; Hugerth LW; Fransson E; Bashir Z; Andersen AN; Edfeldt G; Engstrand L; Schuppe-Koistinen I; Nielsen HS
Article: SCIENTIFIC REPORTS. 2022;12(1):7926
The vaginal microbiome and the risk of preterm birth: a systematic review and network meta-analysis
Gudnadottir U; Debelius JW; Du J; Hugerth LW; Danielsson H; Schuppe-Koistinen I; Fransson E; Brusselaers N
Article: TRANSLATIONAL PSYCHIATRY. 2022;12(1):186
Maternal prenatal depressive symptoms and toddler behavior: an umbilical cord blood epigenome-wide association study
Kallak TK; Fransson E; Brann E; Berglund H; Lager S; Comasco E; Lyle R; Skalkidou A
Article: JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY. 2022;77(5):1461-1467
Antibiotic use during pregnancy and the risk of preterm birth: a population-based Swedish cohort study
Nguyen MH; Fornes R; Kamau N; Danielsson H; Callens S; Fransson E; Engstrand L; Bruyndonckx R; Brusselaers N
Article: BMJ OPEN. 2022;12(4):e059033
Predicting perinatal health outcomes using smartphone-based digital phenotyping and machine learning in a prospective Swedish cohort (Mom2B): study protocol
Bilal AM; Fransson E; Brann E; Eriksson A; Zhong M; Giden K; Elofsson U; Axfors C; Skalkidou A; Papadopoulos FC
Article: BEHAVIOURAL BRAIN RESEARCH. 2022;418:113635
Metabolite trajectories across the perinatal period and mental health: A preliminary study of tryptophan-related metabolites, bile acids and microbial composition
Kimmel M; Jin W; Xia K; Lun K; Azcarate-Peril A; Plantinga A; Wu M; Ataei S; Rackers H; Carroll I; Meltzer-Brody S; Fransson E; Knickmeyer R
Article: FRONTIERS IN GLOBAL WOMEN'S HEALTH. 2022;3:820353
Working Memory During Late Pregnancy: Associations With Antepartum and Postpartum Depression Symptoms
Liakea I; Ashish KC; Brann E; Fransson E; Poromaa IS; Papadopoulos FC; Skalkidou A
Article: JOURNAL OF AFFECTIVE DISORDERS. 2021;295:733-739
Migraine as a risk factor for mixed symptoms of peripartum depression and anxiety in late pregnancy: A prospective cohort study
Welander NZ; Mwinyi J; Asif S; Schioth HB; Skalkidou A; Fransson E
Article: ACTA PAEDIATRICA. 2021;110(12):3294-3301
Birth order and socioeconomic disadvantage predict behavioural and emotional problems at age 3 years
Hjern A; Bergstrom M; Fransson E; Lindfors A; Bergqvist K
Article: BRAIN, BEHAVIOR, & IMMUNITY - HEALTH. 2021;17:100332
Psychoneuroimmunology in the context of perinatal depression - Tools for improved clinical practice
Fransson E
Article: OBSTETRICS AND GYNECOLOGY. 2021;138(4):633-646
Associations Between Maternal Depression, Antidepressant Use During Pregnancy, and Adverse Pregnancy Outcomes: An Individual Participant Data Meta-analysis.
Vlenterie R; van Gelder MMHJ; Anderson HR; Andersson L; Broekman BFP; Dubnov-Raz G; El Marroun H; Ferreira E; Fransson E; van der Heijden FMMA; Holzman CB; Kim JJ; Khashan AS; Kirkwood BR; Kuijpers HJH; Lahti-Pulkkinen M; Mason D; Misra D; Niemi M; Nordeng HME; Peacock JL; Pickett KE; Prady SL; Premji SS; Räikkönen K; Rubertsson C; Sahingoz M; Shaikh K; Silver RK; Slaughter-Acey J; Soremekun S; Stein DJ; Sundström-Poromaa I; Sutter-Dallay A-L; Tiemeier H; Uguz F; Varela P; Vrijkotte TGM; Winterfeld U; Zar HJ; Zervas IM; Prins JB; Pop-Purceleanu M; Roeleveld N
Article: ACTA PAEDIATRICA. 2021;110(9):2586-2593
Living arrangements after parental separation have minimal impact on mental health at age 7 years
Hjern A; Bergstrom M; Fransson E; Kjaer Urhoj S
Article: CHILDREN-BASEL. 2021;8(6):473
Mental Health in Schoolchildren in Joint Physical Custody: A Longitudinal Study
Hjern A; Urhoj SK; Fransson E; Bergstrom M
Article: JOURNAL OF AFFECTIVE DISORDERS. 2021;287:165-173
Who do we miss when screening for postpartum depression? A population-based study in a Swedish region
Brann E; Fransson E; Wikman A; Kollia N; Nguyen D; Lilliecreutz C; Skalkidou A
Article: TRANSLATIONAL PSYCHIATRY. 2021;11(1):286
Heart rate variability in late pregnancy: exploration of distinctive patterns in relation to maternal mental health
Kimmel MC; Fransson E; Cunningham JL; Brann E; Grewen K; Boschiero D; Chrousos GP; Meltzer-Brody S; Skalkidou A
Article: MSYSTEMS. 2021;6(3):e00175-e00121
A MicroRNA Gene Panel Predicts the Vaginal Microbiota Composition
Cheng L; Kazmierczak D; Norenhag J; Hamsten M; Fransson E; Schuppe-Koistinen I; Olovsson M; Engstrand L; Hydbring P; Du J
Article: CLINICAL EPIGENETICS. 2021;13(1):78
DNA methylation in cord blood in association with prenatal depressive symptoms
Kallak TK; Brann E; Fransson E; Johansson A; Lager S; Comasco E; Lyle R; Skalkidou A
Article: AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY. 2021;224(3):296.e1-296.e23
No evidence for a placental microbiome in human pregnancies at term
Sterpu I; Fransson E; Hugerth LW; Du J; Pereira M; Cheng L; Radu SA; Calderon-Perez L; Zha Y; Angelidou P; Pennhag A; Boulund F; Scheynius A; Engstrand L; Wiberg-Itzel E; Schuppe-Koistinen I
Article: FRONTIERS IN PSYCHIATRY. 2021;12:685656
Metabolic Profiling Indicates Diversity in the Metabolic Physiologies Associated With Maternal Postpartum Depressive Symptoms
Brann E; Malavaki C; Fransson E; Ioannidi M-K; Henriksson HE; Papadopoulos FC; Chrousos GP; Klapa MI; Skalkidou A
Article: FRONTIERS IN CELLULAR AND INFECTION MICROBIOLOGY. 2021;11:625229
Dysbiosis of the Human Oral Microbiome During the Menstrual Cycle and Vulnerability to the External Exposures of Smoking and Dietary Sugar
Bostanci N; Krog MC; Hugerth LW; Bashir Z; Fransson E; Boulund F; Belibasakis GN; Wannerberger K; Engstrand L; Nielsen HS; Schuppe-Koistinen I
Article: BMJ PAEDIATRICS OPEN. 2021;5(1):e000657
Importance of living arrangements and coparenting quality for young children's mental health after parental divorce: a cross-sectional parental survey
Bergstrom M; Salari R; Hjern A; Hognas R; Bergqvist K; Fransson E
Article: INTERNATIONAL JOURNAL OF CANCER. 2020;147(12):3349-3360
Increased risk of mental health problems after cancer during adolescence: A register-based cohort study
Hoven E; Ljung R; Ljungman G; Ljungman L; Skoglund C; Fransson E; Wikman A
Article: MSPHERE. 2020;5(6):e00448-e00420
Assessment of In Vitro and In Silico Protocols for Sequence-Based Characterization of the Human Vaginal Microbiome
Hugerth LW; Pereira M; Zha Y; Seifert M; Kaldhusdal V; Boulund F; Krog MC; Bashir Z; Hamsten M; Fransson E; Nielsen HS; Schuppe-Koistinen I; Engstrand L
Article: NPJ BIOFILMS AND MICROBIOMES. 2020;6(1):39
Vaginal microbiota and human papillomavirus infection among young Swedish women
Cheng L; Norenhag J; Hu YOO; Brusselaers N; Fransson E; Ahrlund-Richter A; Gudnadottir U; Angelidou P; Zha Y; Hamsten M; Schuppe-Koistinen I; Olovsson M; Engstrand L; Du J
Article: BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY. 2020;127(11):1382-1390
Severe obstetric lacerations associated with postpartum depression among women with low resilience - a Swedish birth cohort study
Asif S; Mulic-Lutvica A; Axfors C; Eckerdal P; Iliadis SI; Fransson E; Skalkidou A
Article: JOURNAL OF AFFECTIVE DISORDERS. 2020;273:542-551
Maternal perinatal depressive symptoms trajectories and impact on toddler behavior ? the importance of symptom duration and maternal bonding
Fransson E; Sorensen F; Kallak TK; Ramklint M; Eckerdal P; Heimgartner M; Krageloh-Mann I; Skalkidou A
Article: JOURNAL OF NEUROSCIENCE RESEARCH. 2020;98(7):1268-1282
Characteristics of women with different perinatal depression trajectories
Wikman A; Axfors C; Iliadis SI; Cox J; Fransson E; Skalkidou A
Article: JOURNAL OF NEUROSCIENCE RESEARCH. 2020;98(7):1309-1321
Inflammatory markers in women with postpartum depressive symptoms
Brann E; Fransson E; White RA; Papadopoulos FC; Edvinsson A; Kamali-Moghaddam M; Cunningham JL; Sundstrom-Poromaa I; Skalkidou A
Article: SSM-POPULATION HEALTH. 2020;10:100511
Child living arrangements following separation and mental health of parents in Sweden
Fritzell S; Gahler M; Fransson E
Article: SCIENTIFIC REPORTS. 2019;9(1):15328
Spring peaks and autumn troughs identified in peripheral inflammatory markers during the peripartum period
Henriksson HE; White RA; Iliadis SI; Fransson E; Papadopoulos FC; Sundstrom-Poromaa I; Skalkidou A
Article: BMJ OPEN. 2019;9(10):e031514
Cohort profile: the Biology, Affect, Stress, Imaging and Cognition (BASIC) study on perinatal depression in a population-based Swedish cohort
Axfors C; Brann E; Henriksson HE; Hellgren C; Kallak TK; Fransson E; Lager S; Iliadis SI; Sylven S; Papadopoulos FC; Ekselius L; Sundstrom-Poromaa I; Skalkidou A
Article: SCANDINAVIAN JOURNAL OF PUBLIC HEALTH. 2019;47(2):137-145
Children with two homes: Psychological problems in relation to living arrangements in Nordic 2-to 9-year-olds
Bergstrom M; Fransson E; Wells MB; Kohler L; Hjern A
Article: CHILD AND ADOLESCENT PSYCHIATRY AND MENTAL HEALTH. 2019;13:9
Clinicians' attitudes toward standardized assessment and diagnosis within child and adolescent psychiatry
Danielson M; Mansdotter A; Fransson E; Dalsgaard S; Larsson J-O
Article: PLOS ONE. 2019;14(4):e0214913
"We also communicate through a book in the diaper bag"-Separated parents' ways to coparent and promote adaptation of their 1-4 year olds in equal joint physical custody
Bergstrom M; Sarkadi A; Hjern A; Fransson E
Article: ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA. 2018;97(3):349-356
Low levels of anti-secretory factor in placenta are associated with preterm birth and inflammation
Gustafsson AM; Fransson E; Dubicke A; Hjelmstedt AK; Ekman-Ordeberg G; Silfverdal S-A; Lange S; Jennische E; Bohlin K
Article: ACTA PAEDIATRICA. 2018;107(2):294-300
Preschool children living in joint physical custody arrangements show less psychological symptoms than those living mostly or only with one parent
Bergstrom M; Fransson E; Fabian H; Hjern A; Sarkadi A; Salari R
Article: CHILD INDICATORS RESEARCH. 2018;11(3):861-883
The Living Conditions of Children with Shared Residence - the Swedish Example
Fransson E; Laftman SB; Ostberg V; Hjern A; Bergstrom M
Article: ACTA PAEDIATRICA. 2017;106(12):2048-2054
National data study showed that adolescents living in poorer households and with one parent were more likely to be bullied
Laftman SB; Fransson E; Modin B; OEstberg V
Article: PUBLIC HEALTH. 2017;149:106-112
Self-esteem in children in joint physical custody and other living arrangements
Turunen J; Fransson E; Bergstrom M
Article: AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY. 2017;216(6):602.e1-602.e21
The preterm cervix reveals a transcriptomic signature in the presence of premature prelabor rupture of membranes
Makieva S; Dubicke A; Rinaldi SF; Fransson E; Ekman-Ordeberg G; Norman JE
Article: PSYCHONEUROENDOCRINOLOGY. 2017;79:146-159
Inflammatory markers in late pregnancy in association with postpartum depression-A nested case-control study
Brann E; Papadopoulos F; Fransson E; White R; Edvinsson A; Hellgren C; Kamali-Moghaddam M; Bostrom A; Schioth HB; Sundstrom-Poromaa I; Skalkidou A
Article: CHILDREN AND YOUTH SERVICES REVIEW. 2016;66:154-160
Why should they live more with one of us when they are children to us both? Parents' motives for practicing equal joint physical custody for children aged 0-4
Fransson E; Sarkadi A; Hjern A; Bergstrom M
Article: SCANDINAVIAN JOURNAL OF PUBLIC HEALTH. 2016;44(2):177-183
Psychological complaints among children in joint physical custody and other family types: Considering parental factors
Fransson E; Turunen J; Hjern A; Ostberg V; Bergstrom M
Article: JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH. 2015;69(8):769-774
Fifty moves a year: is there an association between joint physical custody and psychosomatic problems in children?
Bergstrom M; Fransson E; Modin B; Berlin M; Gustafsson PA; Hjern A
Article: SCANDINAVIAN JOURNAL OF PSYCHOLOGY. 2014;55(5):433-439
Mental health in Swedish children living in joint physical custody and their parents' life satisfaction: A cross-sectional study
Bergstrom M; Fransson E; Hjern A; Kohler L; Wallby T
Article: BMC PSYCHOLOGY. 2014;2(1):46
Exploring salivary cortisol and recurrent pain in mid-adolescents living in two homes.
Fransson E; Folkesson L; Bergström M; Östberg V; Lindfors P
Article: BMC PUBLIC HEALTH. 2013;13:868
Living in two homes-a Swedish national survey of wellbeing in 12 and 15 year olds with joint physical custody
Bergstrom M; Modin B; Fransson E; Rajmil L; Berlin M; Gustafsson PA; Hjern A
Article: AMERICAN JOURNAL OF REPRODUCTIVE IMMUNOLOGY. 2012;67(6):506-514
Negative Emotions and Cytokines in Maternal and Cord Serum at Preterm Birth
Fransson E; Dubicke A; Bystrom B; Ekman-Ordeberg G; Hjelmstedt A; Lekander M
Article: BIRTH-ISSUES IN PERINATAL CARE. 2011;38(1):10-16
Antenatal Depressive Symptoms and Preterm Birth: A Prospective Study of a Swedish National Sample
Fransson E; Ortenstrand A; Hjelmstedt A
Article: JOURNAL OF REPRODUCTIVE IMMUNOLOGY. 2010;84(2):176-185
Pro-inflammatory and anti-inflammatory cytokines in human preterm and term cervical ripening
Dubicke A; Fransson E; Centini G; Andersson E; Bystrom B; Malmstrom A; Petraglia F; Sverremark-Ekstrom E; Ekman-Ordeberg G
Article: JOURNAL OF REPRODUCTIVE IMMUNOLOGY. 2010;84(1):86-94
High-mobility group box protein 1 and its signalling receptors in human preterm and term cervix
Dubicke A; Andersson P; Fransson E; Andersson E; Sioutas A; Malmstrom A; Sverremark-Ekstrom E; Ekman-Ordeberg G
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All other publications

Conference publication: JOURNAL OF PSYCHOSOMATIC OBSTETRICS & GYNECOLOGY. 2023;44
Association of diabetes in pregnancy with perinatal depression
Bjorvang R; Liakea I; Carpentsier B; Kozinszky Z; Skalkidou A; Fransson E
Review: HUMAN REPRODUCTION OPEN. 2022;2022(2):hoac015
The microbiome in reproductive health: protocol for a systems biology approach using a prospective, observational study design
Krog MC; Madsen ME; Bliddal S; Bashir Z; Vexo LE; Hartwell D; Hugerth LW; Fransson E; Hamsten M; Boulund F; Wannerberger K; Engstrand L; Schuppe-Koistinen I; Nielsen HS
Corrigendum: MSPHERE. 2020;5(6):e01253-e01220
Assessment of In Vitro and In Silico Protocols for Sequence-Based Characterization of the Human Vaginal Microbiome (vol 5, e00448-20, 2020)
Hugerth LW; Pereira M; Zha Y; Seifert M; Kaldhusdal V; Boulund F; Krog MC; Bashir Z; Hamsten M; Fransson E; Nielsen HS; Schuppe-Koistinen I; Engstrand L
Thesis / dissertation: 2012
Preterm birth : parents' experiences, affect, stress and inflammatory markers
Fransson, Emma

Employments

Affiliated to Research, Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, 2025-2025

Degrees and Education

Degree Of Doctor Of Philosophy, Department of Women's and Children's Health, Karolinska Institutet, 2012

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