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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2019

Open Access 01-12-2019 | Affective Disorder | Research article

Intimate partner violence identified through routine antenatal screening and maternal and perinatal health outcomes

Authors: Karina Chaves, John Eastwood, Felix A. Ogbo, Alexandra Hendry, Bin Jalaludin, Sarah Khanlari, Andrew Page

Published in: BMC Pregnancy and Childbirth | Issue 1/2019

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ABSTRACT

Background

This study investigated the association between intimate partner violence (IPV) identified on routine prenatal screening and perinatal outcomes for mother and infant.

Methods

Routinely collected perinatal data for a cohort of all women and their infants born in public health facilities in Sydney (Australia) over the period 2014–2016 (N = 52,509) were analysed to investigate the risk of adverse maternal and perinatal outcomes associated with a history of IPV. The association between an affirmative response on prenatal IPV screening and low birth weight (LBW) < 2.5 kg, preterm birth < 37 weeks, breastfeeding indicators and postnatal depressive symptoms (PND) was investigated in a series of logistic regression models.

Results

IPV was associated with an increased risk of PND (OR = 2.53, 95% CI 1.76–3.63), not breastfeeding at birth (OR = 1.65, 95% CI 1.30–2.09), non-exclusive breastfeeding at discharge (OR = 1.66, 95% CI 1.33–2.07) and first post-natal visit (OR = 1.54, 95% CI 1.24–1.91). Self-reported fear of a partner was strongly associated with an increased risk of PND (OR = 3.53, 95% CI 2.50–5.00), and also LBW (OR = 1.58, 95% CI 1.12–2.22), preterm birth (OR = 1.38, 95% CI 1.08–1.76), lack of early initiation of breastfeeding (OR = 1.67, 95% CI 1.28–2.17), non-exclusive breastfeeding at discharge from hospital (OR = 1.60, 95% CI 1.24–2.06) and at the first post-natal visit (OR = 1.27, 95% CI 0.99–3.04).

Conclusions

IPV reported at the time of pregnancy was associated with adverse infant and maternal health outcomes. Although women may be disinclined to report IPV during pregnancy, universal, routine antenatal assessment for IPV is essential for early identification and appropriate management to improve maternal and newborn health.
Literature
1.
World Health Organisation. WHO multi-country study on Women's Health and domestic violence against women: summary report of initial results on prevalence, Health outcomes and Women's responses. Geneva: World Health Organisation; 2005.
2.
World Health Organization. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. Geneva: World Health Organization; 2013.
3.
NSW Health. Unless They're asked: routine screening for domestic violence in NSW Health: an evaluation of the pilot project. NSW Health Department: Sydney; 2001.
4.
O'Doherty L, Hegarty K, Ramsay J, Davidson LL, Feder G, Taft A. Screening women for intimate partner violence in healthcare settings. Cochrane Database Syst Rev. 2015;7:CD007007.
5.
Hill A, Pallitto C, McCleary-Sills J, Garcia-Moreno C. A systematic review and meta-analysis of intimate partner violence during pregnancy and selected birth outcomes. Int J Gynecol Obstet. 2016;133(3):269–76.CrossRef
6.
Donovan BM, Spracklen CN, Schweizer ML, Ryckman KK, Saftlas AF. Intimate partner violence during pregnancy and the risk for adverse infant outcomes: a systematic review and meta-analysis. BJOG. 2016;123(8):1289–99.CrossRef
7.
Roberts GL, Lawrence JM, Williams GM, Raphael B. The impact of domestic violence on women's mental health. Aust N Z J Public Health. 1998;22(7):796–801.CrossRef
8.
Roberts GL, O'toole BI, Raphael B, Lawrence JM, Ashby R. Prevalence study of domestic violence victims in an emergency department. Ann Emerg Med. 1996;27(6):747–53.CrossRef
9.
Webster J, Sweett S, Stolz TA. Domestic violence in pregnancy. A prevalence study. Med J Aust. 1994;161(8):466–70.CrossRef
10.
Meuleners LB, Lee AH, Janssen PA, Fraser ML. Maternal and foetal outcomes among pregnant women hospitalised due to interpersonal violence: a population based study in Western Australia, 2002-2008. BMC Pregnancy Childbirth. 2011;11:70.
11.
Watson LF, Taft AJ. Intimate partner violence and the association with very preterm birth. Birth. 2013;40(1):17–23.CrossRef
12.
Quinlivan JA, Evans SF. A prospective cohort study of the impact of domestic violence on young teenage pregnancy outcomes. J Pediatr Adolesc Gynecol. 2001;14(1):17–23.CrossRef
13.
McFarlane J, Parker B. Assessing for abuse during pregnancy: severity and frequency of injuries and associated entry into prenatal care. JAMA. 1992;267(23):3176–8.CrossRef
14.
Centre for Epidemiology and Evidence. New South Wales Mothers and Babies. Sydney: NSW Ministry of Health. 2014:2016.
15.
National Health and Medical Research Council. Infant feeding guidelines. Canberra: National Health and Medical Research Council; 2012.
16.
World Health Organisation. Indicators for Assessing Infant and Young Child Feeding Practices: Part 1: Definitions: Conclusions of a Consensus Meeting Held 6–8 November 2007 in Washington DC. USA. Geneva: World Health Organisation; 2008.
17.
Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry. 1987;150(6):782–6.CrossRef
18.
Murray L, Carothers AD. The validation of the Edinburgh post-natal depression scale on a community sample. The British journal of psychiatry : the journal of mental science. 1990;157:288.CrossRef
19.
Boyce P. Stubbs R. A T The Edinburgh Postnatal Depression Scale: validation in an Australian sample Aust N Z J Psychiatry. 1993;27:472–6.
20.
Cox J, Holden J, Henshaw C. Perinatal mental Health: the Edinburgh postnatal depression scale (EPDS) manual (2nd edn): RCPsych publications; 2014.
21.
Van Buuren S, Boshuizen HC, Knook DL. Multiple imputation of missing blood pressure covariates in survival analysis. Stat Med. 1999;18(6):681–94.CrossRef
22.
Sterne JAC, White IR, Carlin JB, Spratt M, Royston P, Kenward MG, et al. Multiple imputation for missing data in epidemiological and clinical research: potential and pitfalls. BMJ. 2009;338.
23.
Spratt M, Carpenter J, Sterne JAC, Carlin JB, Heron J, Henderson J, et al. Strategies for multiple imputation in longitudinal studies. Am J Epidemiol. 2010;172(4):478–87.CrossRef
24.
Berenson AB, Wiemann CM, Wilkinson GS, Jones WA, Anderson GD. Perinatal morbidity associated with violence experienced by pregnant women. Am J Obstet Gynecol. 1994;170(6):1760–9.CrossRef
25.
Silverman JG, Decker MR, Reed E, Raj A. Intimate partner violence victimization prior to and during pregnancy among women residing in 26 U.S. states: associations with maternal and neonatal health. Am J Obstet Gynecol. 2006;195(1):140–8.CrossRef
26.
Yost NP, Bloom SL, McIntire DD, Leveno KJ. A prospective observational study of domestic violence during pregnancy. Obstet Gynecol. 2005;106(1):61–5.CrossRef
27.
Webster J, Chandler J, Battistutta D. Pregnancy outcomes and health care use: effects of abuse. Am J Obstet Gynecol. 1996;174(2):760–7.CrossRef
28.
Janssen PA, Holt VL, Sugg NK, Emanuel I, Critchlow CM, Henderson AD. Intimate partner violence and adverse pregnancy outcomes: a population-based study. Am J Obstet Gynecol. 2003;188(5):1341–7.CrossRef
29.
Nunes MAA, Camey S, Ferri CP, Manzolli P, Manenti CN, Schmidt MI. Violence during pregnancy and newborn outcomes: a cohort study in a disadvantaged population in Brazil. Eur J Pub Health. 2011;21(1):92–7.CrossRef
30.
Gentry J, Bailey BA. Psychological intimate partner violence during pregnancy and birth outcomes: threat of violence versus other verbal and emotional abuse. Violence Vict. 2014;29(3):383–92.CrossRef
31.
Lipsky S, Holt VL, Easterling TR, Critchlow CW. Impact of police-reported intimate partner violence during pregnancy on birth outcomes. Obstet Gynecol. 2003;102(3):557.PubMed
32.
El Kady MD, Gilbert HW, Xing HG, Smith HL. Maternal and neonatal outcomes of assaults during pregnancy. Obstet Gynecol. 2005;105(2):357–63.
33.
Alhusen JL, Lucea MB, Bullock L, Sharps P. Intimate partner violence, substance use, and adverse neonatal outcomes among urban women. J Pediatr. 2013;163(2):471–6.CrossRef
34.
Howard LM, Oram S, Galley H, Trevillion K, Feder G. Domestic violence and perinatal mental disorders: a systematic review and meta-analysis. PLoS Med. 2013;10(5):e1001452.CrossRef
35.
Ludermir AB, Lewis G, Valongueiro SA, de Araújo TVB, Araya R. Violence against women by their intimate partner during pregnancy and postnatal depression: a prospective cohort study. Lancet. 2010;376(9744):903–10.CrossRef
36.
Patel VRM, Desouza N. Gender, poverty and postnatal depression: a study of new mothers in Goa India. Am J Psychiatry. 2002;259:43–7.CrossRef
37.
Eastwood J, Ogbo FA, Hendry A, Noble J. Page A. PLoS One: The impact of antenatal depression on perinatal outcomes in Australian women; 2017.
38.
Ogbo F, Eastwood J, Page A, Arora A, McKenzie A, Jaluludin B, et al. Prevalence and determinants of exclusive breastfeeding in the early postnatal period in Sydney, Australia. (In press). International Breastfeeding Journal. 2017.
39.
James J, Taft A, Amir L, Agius P. Does intimate partner violence impact on women's initiation and duration of breastfeeding? Breastfeeding review. 2014;22(2):11–9.PubMed
40.
Silverman JG, Decker MR, Reed E, Raj A. Intimate partner violence around the time of pregnancy: association with breastfeeding behavior. J Women's Health (Larchmt). 2006;15(8):934.CrossRef
41.
Enney K. Postpartum Depression (PPD) and Its Impact on Child Development: An Exploration of the Attachment, Emotional, Social, and Cognitive Outcomes of Children Exposed to PPD [Ph.D]. ProQuest Dissertations Publishing. 2013.
42.
Murray L, Fiori-Cowley A, Hooper R, Cooper P. The impact of postnatal depression and associated adversity on early mother-infant interactions and later infant outcome. Child Dev. 1996;67(5):2512–26.CrossRef
43.
Hahn-Holbrook J, Haselton M, Dunkel Schetter C, Glynn L. Does breastfeeding offer protection against maternal depressive symptomatology? Official Journal of the Section on Women's Health of the World Psychiatric Association. 2013;16(5):411–22.
44.
Jahanfar S, Janssen PA, Howard LM, Dowswell T. Interventions for preventing or reducing domestic violence against pregnant women. Cochrane Database Syst Rev. 2013;2.
45.
46.
Flach C, Leese M, Heron J, Evans J, Feder G, Sharp D, et al. Antenatal domestic violence, maternal mental health and subsequent child behaviour: a cohort study. BJOG Int J Obstet Gynaecol. 2011;118(11):1383–91.CrossRef
Metadata
Title
Intimate partner violence identified through routine antenatal screening and maternal and perinatal health outcomes
Authors
Karina Chaves
John Eastwood
Felix A. Ogbo
Alexandra Hendry
Bin Jalaludin
Sarah Khanlari
Andrew Page
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2019
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-019-2527-9

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