Abuse during pregnancy: Associations with maternal health and infant birth weight
Abuse during pregnancy: Associations with maternal health and infant birth weight
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DOI：
10.1097/00006199-199601000-00007
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发表时间：
1996-01-01
期刊：
影响因子：
2.5
通讯作者：
Soeken, K
中科院分区：
文献类型：
--
作者：
McFarlane, J;Parker, B;Soeken, K
对1,203名非裔美国人、西班牙裔和白色女性进行了分层、前瞻性队列分析。所有妇女在第一次产前检查和怀孕期间两次以上的虐待评估。他们还评估了低出生体重的危险因素，使用医学研究所相关。怀孕期间身体虐待或性虐待的发生率为16%（16）。受虐待的妇女在妊娠晚期开始产前护理的可能性是受虐待妇女的两倍。虐待是经常性的，60%的妇女报告重复发作。对于所有三个种族群体来说，更严重的虐待与婴儿出生体重较低显著相关。怀孕期间的虐待是低出生体重以及母亲体重增加少、感染、贫血、吸烟以及使用酒精和药物的重大风险。与未受虐待的妇女相比，怀孕期间受虐待的妇女产下的婴儿平均少133克，受虐待的白色妇女产下的婴儿出生体重减少最多。
A stratified, prospective cohort analysis was completed on 1,203 African American, Hispanic, and White women. All women were assessed for abuse at the first prenatal visit and twice more during pregnancy. They were also assessed for risk factors of low birth weight using Institute of Medicine correlates. Prevalence of physical or sexual abuse during pregnancy was 16% (1 of 6). Abused women were twice as likely to begin prenatal care during the third trimester, with abuse preceding late entry. Abuse was recurrent, with 60% of the women reported repeated episodes. More severe abuse was significantly correlated with lower infant birth weights for all three ethnic groups. Abuse during pregnancy was a significant risk for low birth weight as well as maternal low weight gain, infections, anemia, smoking, and use of alcohol and drugs. When compared to women who were not abused, women abused during pregnancy delivered infants averaging 133 g less. Abused White women delivered infants with the greatest reduction in birth weight.