Effects of abuse on maternal complications and birth weight in adult and adolescent women

Mary Ann Curry, Nancy A Perrin, Eric Wall

Research output: Contribution to journalArticle

Abstract

Objective: To estimate the incidence of physical and sexual abuse in a sample of adult and adolescent pregnant women and to determine the relationship between abuse and maternal complications and infant birth weight. Methods: One thousand eight hundred ninety-seven women were screened for abuse during pregnancy. Maternal complications and infant birth weight were obtained by record review. Results: Physical abuse in the past year and/or during pregnancy was reported by 37.6% of the adolescent and 22.6% of the adult women (P <.001). Abused adult women were more likely to have unplanned pregnancies (P <.001) and to begin care after 20 weeks (P <.01) than nonabused women. For the aggregate sample of 1597 for whom birth weights were available, abuse was a significant risk factor for low birth weight (LBW) (P <.05) as was poor obstetric history (P <.05). Using Institute of Medicine risk factors for LBW, abused adults were more likely to have poorer past obstetric histories and to use tobacco, alcohol, and drugs (P <.05). Abused adolescents were at greater risk for smoking and first- or second- trimester bleeding (P <.05). For the aggregate, abused women were at greater risk for poor obstetric history, vaginal/cervical infection during pregnancy, smoking, and alcohol and drug use. Conclusion: More than one-third of the adolescent and nearly one-fourth of the adult women reported abuse in the past year and/or during pregnancy. Abuse is related to poor obstetric history, substance use, and LBW. The short abuse assessment screen detects potential abuse in order that interventions can be implemented.

Original languageEnglish (US)
Pages (from-to)530-534
Number of pages5
JournalObstetrics and Gynecology
Volume92
Issue number4 I
DOIs
StatePublished - Oct 1998
Externally publishedYes

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Birth Weight
Obstetrics
Low Birth Weight Infant
Mothers
Battered Women
Pregnancy
History
Smoking
Alcohols
Unplanned Pregnancy
National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
Sex Offenses
Tobacco Use
Second Pregnancy Trimester
Pharmaceutical Preparations
Pregnant Women
Hemorrhage
Incidence
Infection
Physical Abuse

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Effects of abuse on maternal complications and birth weight in adult and adolescent women. / Curry, Mary Ann; Perrin, Nancy A; Wall, Eric.

In: Obstetrics and Gynecology, Vol. 92, No. 4 I, 10.1998, p. 530-534.

Research output: Contribution to journalArticle

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