Intimate partner violence, substance use, and adverse neonatal outcomes among urban women.
Intimate partner violence, substance use, and adverse neonatal outcomes among urban women.
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DOI：
10.1016/j.jpeds.2013.01.036
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发表时间：
2013-08
期刊：
影响因子：
--
通讯作者：
Sharps P
中科院分区：
文献类型：
--
作者：
Alhusen JL;Lucea MB;Bullock L;Sharps P
评估亲密伴侣暴力、药物使用及其在妊娠期间的共同发生率，并检查其与不良新生儿结局的关系。2009年2月至2010年2月，在三个城市诊所接受产科护理的孕妇在怀孕24至28周期间接受了亲密伴侣暴力和药物使用筛查。在分娩时进行病历审查，以评估低出生体重（LBW）、早产和小于胎龄儿（SGA）的不良新生儿结局。收集了166名母亲及其新生儿的母亲和新生儿数据。总体而言，19%的样本报告了怀孕期间的亲密伴侣暴力行为。在该研究的新生儿中，41%至少有一个不良新生儿结局。近一半的母亲报告在怀孕期间使用至少一种物质。经历过亲密伴侣暴力的妇女使用大麻的流行率高于未受虐待的妇女（p < 0.01）。经历亲密伴侣暴力与SGA新生儿增加四倍相关（aOR = 4.00; 95%CI 1.58 - 9.97）。报告使用大麻的妇女有5倍的几率有一个新生儿分类为SGA（aOR = 5.16，95% CI 2.24 - 11.89）或LBW（aOR 5.00; 95% CI 1.98 - 12.65）。在城市母亲中，怀孕期间和使用药物期间亲密伴侣暴力的发生率很高，其风险延伸到新生儿。敦促儿科医生定期筛查这两个问题，并认识到这些风险因素共同发生对新生儿和儿童不良结局的影响。
To assess the prevalence of intimate partner violence, substance use, and their co-occurrence during pregnancy and examines their associations with adverse neonatal outcomes. Between February 2009 and February 2010, pregnant women receiving obstetrical care at three urban clinics were screened for intimate partner violence and substance use between 24-28 weeks gestation. A chart review was conducted upon delivery to assess for adverse neonatal outcomes of low birth weight (LBW), preterm birth, and small for gestational age (SGA). Maternal and neonatal data were collected on 166 mothers and their neonates. Overall, 19% of the sample reported intimate partner violence during their pregnancies. Of the study's neonates 41% had at least one adverse neonatal outcome. Nearly half of the mothers reported using at least one substance during pregnancy. Women experiencing intimate partner violence had a higher prevalence of marijuana use than their non-abused counterparts (p < 0.01). Experiencing intimate partner violence was associated with a fourfold increase in having a SGA neonate (aOR = 4.00; 95% CI 1.58 – 9.97). Women who reported marijuana use had five times the odds of having a neonate classified as SGA (aOR = 5.16, 95% CI 2.24 – 11.89) or LBW (aOR 5.00; 95% CI 1.98 – 12.65). The prevalence of intimate partner violence during pregnancy and substance use is high in urban mothers, the risks of which extend to their neonates. Pediatric providers are urged to routinely screen for both issues and recognize the impact of co-occurrence of these risk factors on poor neonatal and childhood outcomes.
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