Intimate partner violence and adverse pregnancy outcomes: A population-based study
Intimate partner violence and adverse pregnancy outcomes: A population-based study
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DOI：
10.1067/mob.2003.274
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发表时间：
2003-05-01
影响因子：
9.8
通讯作者：
Henderson, AD
中科院分区：
文献类型：
--
作者：
Janssen, PA;Holt, VL;Henderson, AD
目的：本研究的目的是测量怀孕期间亲密伴侣暴力的发生率，并确定这种暴露是否与不良妊娠结局有关。STUDY设计：我们测量了1999年1月至2000年12月期间在不列颠哥伦比亚省温哥华分娩的4750名居民在怀孕期间暴露于亲密伴侣暴力和对伴侣的恐惧的流行率。我们进行了多因素分析，以考察妊娠中期或晚期出血、早产和分娩、宫内生长受限和围产儿死亡的关系。结果：我们报告了亲密伴侣在怀孕期间暴露于身体暴力的患病率为1.2%，因害怕伴侣而患病率为1.5%。躯体暴力与产前出血(OR：3.79，95%CI 1.38~10.40)、宫内发育受限(OR：3.06，95%CI 1.02~9.14)、围产儿死亡(OR：8.06，95%CI 1.42~45.63)的风险增加有关。在没有身体暴力的情况下，对伴侣的恐惧与不良妊娠结果的风险增加无关。结论：我们的研究证实了先前的工作，报告了怀孕期间身体虐待与胎儿宫内发育迟缓的关系，此外，报告与产前出血和围产儿死亡有关。
OBJECTIVES: The purpose of this study was to measure the prevalence of exposure to intimate partner violence during pregnancy and to determine whether such exposure is associated with adverse pregnancy outcomes.STUDY DESIGN: We measured the prevalence of exposure to intimate partner violence and fear of a partner during pregnancy among 4750 residents of Vancouver, British Columbia, who gave birth between January 1999 and December 2000. We undertook a multivariate analysis to examine the associations with second- or third-trimester hemorrhage, preterm labor and delivery, intrauterine growth restriction, and perinatal death.RESULTS: We report a prevalence rate of 1.2% for exposure to physical violence by an intimate partner during pregnancy and 1.5% for fear of a partner. Physical violence was associated with an increased risk of antepartum hemorrhage (adjusted odds ratio [OR]: 3.79, 95% CI 1.38-10.40), intrauterine growth restriction (OR: 3.06, 95% CI 1.02-9.14), and perinatal death (OR: 8.06, 95% CI 1.42-45.63). Fear of a partner in the absence of physical violence was not associated with an elevated risk of adverse pregnancy outcomes.CONCLUSION: Our study confirms prior work reporting an association of physical abuse during pregnancy with intrauterine growth retardation and, in addition, reports an association with antepartum hemorrhage and perinatal death.