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 language | English (US) |
|---|---|
| Pages (from-to) | 530-534 |
| Number of pages | 5 |
| Journal | Obstetrics and Gynecology |
| Volume | 92 |
| Issue number | 4 I |
| DOIs | |
| State | Published - Oct 1998 |
| Externally published | Yes |
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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 journal › Article
}
TY - JOUR
T1 - Effects of abuse on maternal complications and birth weight in adult and adolescent women
AU - Curry, Mary Ann
AU - Perrin, Nancy A
AU - Wall, Eric
PY - 1998/10
Y1 - 1998/10
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0031660351&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031660351&partnerID=8YFLogxK
U2 - 10.1016/S0029-7844(98)00258-0
DO - 10.1016/S0029-7844(98)00258-0
M3 - Article
C2 - 9764624
AN - SCOPUS:0031660351
VL - 92
SP - 530
EP - 534
JO - Obstetrics and Gynecology
JF - Obstetrics and Gynecology
SN - 0029-7844
IS - 4 I
ER -