Intimate partner violence identified through routine antenatal screening and maternal and perinatal health outcomes
| Autor: | Andrew Page, Alexandra Hendry, Karina Chaves, John Eastwood, Sarah Khanlari, Felix Akpojene Ogbo, Bin Jalaludin |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Breastfeeding Intimate Partner Violence Mothers Gestational Age Logistic regression lcsh:Gynecology and obstetrics Depression Postpartum 03 medical and health sciences Young Adult 0302 clinical medicine Perinatal health Pregnancy Risk Factors Prenatal Diagnosis medicine Antenatal Humans 030212 general & internal medicine lcsh:RG1-991 Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Obstetrics Public health Incidence Australia Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Prenatal screening Prenatal Care medicine.disease Postnatal depression Low birth weight Sexual Partners Cohort Spouse Abuse Domestic violence Female medicine.symptom business Research Article Follow-Up Studies |
| Zdroj: | BMC Pregnancy and Childbirth BMC Pregnancy and Childbirth, Vol 19, Iss 1, Pp 1-10 (2019) |
| ISSN: | 1471-2393 |
| Popis: | BackgroundThis study investigated the association between intimate partner violence (IPV) identified on routine prenatal screening and perinatal outcomes for mother and infant.MethodsRoutinely 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) ResultsIPV 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).ConclusionsIPV 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. |
| Databáze: | OpenAIRE |
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