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Intimate partner violence identified through routine antenatal screening and maternal and perinatal health outcomes.
- Source :
-
BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2019 Oct 16; Vol. 19 (1), pp. 357. Date of Electronic Publication: 2019 Oct 16. - Publication Year :
- 2019
-
Abstract
- Background: This study investigated the association between intimate partner violence (IPV) identified on routine prenatal screening and perinatal outcomes for mother and infant.<br />Methods: Routinely collected perinatal data for a cohort of all women and their infants born in public health facilities in Sydney (Australia) over the period 2014-2016 (N = 52,509) were analysed to investigate the risk of adverse maternal and perinatal outcomes associated with a history of IPV. The association between an affirmative response on prenatal IPV screening and low birth weight (LBW) < 2.5 kg, preterm birth < 37 weeks, breastfeeding indicators and postnatal depressive symptoms (PND) was investigated in a series of logistic regression models.<br />Results: IPV was associated with an increased risk of PND (OR = 2.53, 95% CI 1.76-3.63), not breastfeeding at birth (OR = 1.65, 95% CI 1.30-2.09), non-exclusive breastfeeding at discharge (OR = 1.66, 95% CI 1.33-2.07) and first post-natal visit (OR = 1.54, 95% CI 1.24-1.91). Self-reported fear of a partner was strongly associated with an increased risk of PND (OR = 3.53, 95% CI 2.50-5.00), and also LBW (OR = 1.58, 95% CI 1.12-2.22), preterm birth (OR = 1.38, 95% CI 1.08-1.76), lack of early initiation of breastfeeding (OR = 1.67, 95% CI 1.28-2.17), non-exclusive breastfeeding at discharge from hospital (OR = 1.60, 95% CI 1.24-2.06) and at the first post-natal visit (OR = 1.27, 95% CI 0.99-3.04).<br />Conclusions: IPV reported at the time of pregnancy was associated with adverse infant and maternal health outcomes. Although women may be disinclined to report IPV during pregnancy, universal, routine antenatal assessment for IPV is essential for early identification and appropriate management to improve maternal and newborn health.
- Subjects :
- Adult
Australia epidemiology
Depression, Postpartum etiology
Female
Follow-Up Studies
Gestational Age
Humans
Incidence
Infant, Newborn
Intimate Partner Violence prevention & control
Intimate Partner Violence psychology
Male
Pregnancy
Pregnancy Outcome epidemiology
Retrospective Studies
Risk Factors
Spouse Abuse statistics & numerical data
Young Adult
Depression, Postpartum epidemiology
Intimate Partner Violence statistics & numerical data
Mothers psychology
Prenatal Care methods
Prenatal Diagnosis methods
Sexual Partners psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2393
- Volume :
- 19
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC pregnancy and childbirth
- Publication Type :
- Academic Journal
- Accession number :
- 31619194
- Full Text :
- https://doi.org/10.1186/s12884-019-2527-9