居住于美国26个州的妇女妊娠前和妊娠期的家庭暴力:与母亲及新生儿健康的关系

作     者：Silverman J.G. Decker M.R. Reed E. Raj A. 张新艳 

作者机构：Department of Society Human Development and Health Harvard School of Public Health Dr. 

出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)

年 卷 期：2006年第2卷第10期

页      面：7-8页

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100404[医学-儿少卫生与妇幼保健学] 10[医学] 

主　　题：新生儿健康 妇女妊娠 家庭暴力 低出生体重婴儿 新生儿发病率 阴道出血 尿路感染 重症监护 监护系统 

摘      要：Objective: To conduct a population-based assessment of associations of intimate partner violence in the year prior to and during pregnancy with maternal and neonatal morbidity. Study design: Data from women giving birth in 26 U.S. states and participating in the 2000 to 2003 Pregnancy Risk Assessment Monitoring System(n=118,579) were analyzed. Results: Women reporting intimate partner violence in the year prior to pregnancy were at increased risk for high blood pressure or edema(adjusted odds ratio 1.37-1.40), vaginal bleeding(adjusted odds ratio 1.54-1.66), severe nausea, vomiting or dehydration(adjusted odds ratio 1.48-1.63), kidney infection or urinary tract infection(adjusted odds ratio 1.43-1.55), hospital visits related to such morbidity(adjusted odds ratio 1.45-1.48), and delivery preterm(adjusted odds ratio 1.37), of a low-birthweight infant(adjusted odds ratio 1.17), and an infant requiring intensive care unit care(adjusted odds ratio 1.31-1.33) compared with those not reporting intimate partner violence. Women reporting intimate partner violence during but not prior to pregnancy experienced higher rates of a subset of these concerns. Conclusion: Women experiencing intimate partner violence both prior to and during pregnancy are at risk for multiple poor maternal and infant health outcomes, suggesting prenatal risks to children from mothers’abusive partners.