Intimate partner violence and pregnancy: epidemiology and impact

Chisholm, Christian A.; Bullock, Linda; Ferguson, James

doi:10.1016/j.ajog.2017.05.042

Cited by 172 publications

(172 citation statements)

References 16 publications

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“…The possible mechanism explaining the relationship between intimate partner violence and severe acute maternal morbidity remains unclear. One explanation may be that severe acute maternal morbidity is the result of physiological mechanisms in response to acute and/or chronic stress originating from exposure to violence 16,36 as suggested in previous studies, 25,37 in addition to other aspects such as suboptimal antenatal care among participants. Normally, chemical mediators (adrenaline and noradrenaline, cortisol, catecholamines, and glucocorticoids) are increased and adequately balanced in response to stress as protective mechanisms.…”

mentioning

confidence: 93%

“…Globally, intimate partner violence affects one‐third (30%) of women . Intimate partner violence can lead to adverse and/or fatal repercussions on women's health, including during pregnancy, as it may aggravate any current maternal medical conditions and/or trigger serious pregnancy complications . Intimate partner violence has been associated with all‐cause maternal deaths, and consequently, it is important to determine whether intimate partner violence is associated with severe acute maternal morbidity.…”

Section: Introductionmentioning

confidence: 99%

“…13 Intimate partner violence can lead to adverse and/or fatal repercussions on women's health, 14,15 including during pregnancy, 16 as it may aggravate any current maternal medical conditions and/or trigger serious pregnancy complications. 16 Intimate partner violence has been associated with all-cause maternal deaths, 17,18 and consequently, it is important to determine whether intimate partner violence is associated with severe acute maternal morbidity. Therefore, the primary aim of this study was to investigate the relationship between intimate partner violence and severe acute maternal morbidity, and second, to estimate neonatal outcomes for women with severe acute maternal morbidity in the ICU.…”

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confidence: 99%

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Intimate partner violence and severe acute maternal morbidity in the intensive care unit: A case‐control study in Peru

Quintanilla

Pollock

McDonald

et al. 2019

Birth

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Background Intimate partner violence is a prevalent public health issue associated with all‐cause maternal mortality. This study investigated the relationship between intimate partner violence, severe acute maternal morbidity in the intensive care unit (ICU), and neonatal outcomes. Methods This was a prospective case‐control study in a hospital in Lima, Peru, with 109 cases (maternal ICU admissions) and 109 controls (obstetric patients not admitted to the ICU). Data were collected through face‐to‐face interviews and medical record review. Partner violence was assessed using the World Health Organization instrument. Multivariate logistic regression was used to model the association between intimate partner violence and severe acute maternal morbidity. Results There was a significantly higher rate of intimate partner violence both before and during pregnancy among cases (58.7%) than controls (27.5%). In multivariate analysis, intimate partner violence both before and during pregnancy (aOR 3.83 (95% CI: 1.99‐7.37)), being married (3.86 (1.27‐11.73)), having <8 antenatal care visits (2.78 (1.14‐6.80)), and having previous abortions (miscarriage, therapeutic, or unsafe) (1.69 (1.13‐2.51)) were significantly associated with severe acute maternal morbidity. The ICU admission rate was 18.8 (per 1000 live births), and ICU maternal mortality was 1.7%. The perinatal mortality rate was higher in cases (9.3%) than in controls (1.8%). Conclusions Intimate partner violence was associated with an increased risk of severe acute maternal morbidity. This suggests a more severe impact of intimate partner violence on pregnancy than has been previously identified. Inquiring about intimate partner violence during prenatal visits may prevent further harm to the mother‐baby dyad.

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confidence: 93%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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Intimate partner violence and severe acute maternal morbidity in the intensive care unit: A case‐control study in Peru

Quintanilla

Pollock

McDonald

et al. 2019

Birth

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“…But intimate partner violence [IPV] is more critical, that is most common and affecting women disproportionately in Nepal. It is in different forms: physical, mental, psychological or mixed (1). IPV during pregnancy is global health issue and most common in low and middle income countries which creates serious forms of consequences for woman's and child health.…”

Section: Introductionmentioning

confidence: 99%

“…It is not only the issue developing countries, but also persists in developed countries. Chisholm et al (2017) state that suicide and homicide are still the major causes of pregnancy related mortality in many localities of USA. A study from Uganda shows that women having disabilities were more vulnerable to IPV compared to the women without disabilities (8).…”

Section: Introductionmentioning

confidence: 99%

Does intimate partner violence influence the utilization of maternal health services?

D¹,

Adhikari²,

Ranabhat³

et al. 2019

Preprint

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Social Worker and Midwife Decision Making Regarding Child Protection Risk and the Unborn Baby: A Qualitative Study

2021

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A newborn baby is vulnerable to abuse and neglect, and the professional role may involve assessment before the baby is born. The aim of this paper is to explore the perspectives and experiences of midwives and child protection social workers regarding the protection of unborn babies within Northern Ireland. Data were gathered using four focus groups (14 midwives and 16 child protection social workers) within one Health and Social Care Trust. The data were analysed in terms of understanding risk factors and forming a professional judgement. The mental wellbeing of the pregnant woman, drug use, alcohol use, domestic violence, the pregnant woman's childhood experiences, gestation period and antenatal care attendance were the main risks identified. Observations, engaging with the pregnant woman and using ‘soft intelligence’ were key aspects in forming a professional judgement. The appraisal of the ability of the pregnant woman to recognise danger was an important moderating factor, and perhaps formed part of a professional judgement heuristic to assist in making sense of wide‐ranging information about diverse risks. Key Practitioner Messages Identified risk factors included mental wellbeing, age, feelings about the pregnancy, drug and alcohol use, domestic violence, the pregnant woman's childhood experiences, gestation period and antenatal care attendance. Pregnant women were unable to recognise the dangers in misusing illegal or prescription drugs, excessive alcohol consumption and initiating/maintaining relationships with sex offenders. Key skills in forming a professional judgement involved engagement with the pregnant woman, professionals' experience and observations, and the use of ‘soft intelligence’.

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Intimate partner violence and pregnancy: epidemiology and impact

Cited by 172 publications

References 16 publications

Intimate partner violence and severe acute maternal morbidity in the intensive care unit: A case‐control study in Peru

Intimate partner violence and severe acute maternal morbidity in the intensive care unit: A case‐control study in Peru

Does intimate partner violence influence the utilization of maternal health services?

Social Worker and Midwife Decision Making Regarding Child Protection Risk and the Unborn Baby: A Qualitative Study

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