Intimate Partner Violence and Depressive Symptoms Before Pregnancy, During Pregnancy, and After Infant Delivery

Ogbonnaya, Ijeoma Nwabuzor; Macy, Rebecca J.; Kupper, Lawrence L.; Martin, Sandra L.; Bledsoe-Mansori, Sarah E.

doi:10.1177/0886260512471080

Cited by 26 publications

(29 citation statements)

References 55 publications

(66 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Zeitlin and colleagues found that mothers experiencing IPV were less likely to bond well with their fetus, and as a result, were more likely to experience weakened mother-infant bonding compared to mothers without an abuse history [ 3 ]. Maternal depression seems to explain some of the associations observed between traumatic histories (e.g., early childhood abuse and IPV) and mother-infant bonding [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Traumatic events: exploring associations with maternal depression, infant bonding, and oxytocin in Latina mothers

et al. 2018

View full text Add to dashboard Cite

BackgroundChildhood and adulthood traumatic experiences negatively impact maternal-infant bonding and increase risk of postpartum depression (PPD). Lower oxytocin levels have also been associated with PPD and compromised mother-infant bonding. Despite advances in these areas of investigation, much of the research has not included Latinas, who are important because they have high rates of fertility, traumatic events, and PPD.MethodsTo address gaps identified in the literature, we explored associations between traumatic life events, PPD, and bonding subscale scores (e.g., Impaired Bonding, Rejection and Anger, Anxiety about Care) in a sample of 28 Latinas. We also examined associations between these factors and oxytocin (OT). Wilcoxon signed-rank tests were employed to examine differences in subscale scores over time. Kruskal–Wallis one-way analysis of variance was used to examine differences in bonding subscale scores and OT by maternal depression status and traumatic events. We also explored interaction effects of traumatic events and OT AUC on bonding subscale scores.ResultsWomen with PPD at 8 weeks had significantly higher Rejection and Anger subscale scores (p = 0.054) than non-PPD women, where higher scores represent more compromised bonding. Significant differences in Rejection and Anger (p = 0.042) and Anxiety about Care (p = 0.005) by adulthood traumatic histories were observed at 8 weeks postpartum. There was also a significant difference in Anxiety about Care scores at 4 weeks postpartum (p = 0.024) and Impaired Bonding at 8 weeks postpartum (p = 0.041) by trauma events involving an infant. There was a significant interaction between OT and childhood sexual abuse on Impaired Bonding (p = 0.038).ConclusionWe observed differential responses in bonding subscale scores by traumatic histories. Women who experienced a trauma involving an infant had higher compromised bonding scores, whereas those with adulthood traumatic histories, such as intimate partner violence, had lower scores. We also found an interaction between childhood trauma and oxytocin levels on bonding scores, suggesting a physiological response to early abuse that can have implications on mothers’ bonding perceptions. These preliminary results suggest the need for additional research on the long-term emotional and physiological effects of traumatic events occurring prior to parturition.

show abstract

Section: Introductionmentioning

confidence: 99%

Traumatic events: exploring associations with maternal depression, infant bonding, and oxytocin in Latina mothers

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Disagreements about unwanted pregnancies may precipitate physical assault. [40] , [41] Screening for IPV risk and referral to social support services when they exist, are needed at every health encounter for pregnant women, and are even more important among injured women seeking emergency care. 31 There is also the need to develop such services across the country and strengthen existing ones.…”

Section: Discussionmentioning

confidence: 99%

Injury patterns and health outcomes among pregnant women seeking emergency medical care in Kumasi, Ghana: Challenges and opportunities to improve care

Osei‐Ampofo

Flynn-OʼBrien

Owusu‐Dabo

et al. 2016

African Journal of Emergency Medicine

View full text Add to dashboard Cite

IntroductionIn high-income countries, injury is the most common cause of non-obstetric death among pregnant women. However, the injury risk during pregnancy has not been well characterized for many developing countries including Ghana. Our study described maternal and fetal outcomes after injury at the Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana, and identified associations between the prevalence of poor outcomes and maternal risk factors.MethodsWe conducted a cross-sectional study to identify pregnant women treated for injury over a 12-month period at KATH in Kumasi, Ghana. Descriptive statistics were used to characterize the population. We identified the association between poor outcomes and maternal risk factors using multivariable Poisson regression.ResultsThere were 134 women with documented pregnancy who sought emergency care for injury (1.1% of all injured women). The leading injury mechanisms were motor vehicle collision (23%), poisoning (21%), and fall (19%). Assault was implicated in 3% of the injuries. Eleven women (8%) died from their injuries. The prevalence of poor fetal outcomes: fetal death, distress or premature birth, was high (61.9%). One in four infants was delivered prematurely following maternal injury. After adjusting for maternal and injury characteristics, poor fetal outcomes were associated with pedestrian injury (adjusted prevalence ratio (aPR) 2.5, 95% CI 1.5–4.6), and injury to the thoraco-abdominal region (aPR 2.1, 95% CI 1.4–3.3).ConclusionsInjury is an important cause of maternal morbidity and poor fetal outcomes. Poisoning, often in an attempt to terminate pregnancy, was a common occurrence among pregnant women treated for injury in Kumasi. Future work should address modifiable risk factors related to traffic safety, prevention of intimate partner violence, and prevention of unintended pregnancies.

show abstract

“…Women suffering IPV during pregnancy are more likely to present depressive symptoms throughout the entire gestation and up to one year postpartum [ 25 ]. Depression during pregnancy has been associated with adverse birth and neonate outcomes [ 1 , 26 ] while these might be worse when depression and anxiety are comorbid [ 27 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

Prenatal screening for psychosocial risks in a high risk-population in Peru using the KINDEX interview

Spyridou

Schauer

Ruf-Leuschner

2016

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundPrenatal stress and other prenatal risk factors (e.g. intimate partner violence) have a negative impact on mother’s health, fetal development as well as enduring adverse effects on the neuro-cognitive, behavioral and physical health of the child. Mothers of low socio-economic status and especially those living in crime-ridden areas are even more exposed to a host of risk factors. Societies of extreme violence, poverty and inequalities, often present difficulties to provide adequate mental health care to the most needed populations. The KINDEX, a brief standardized instrument that assesses 11 different risk factors was used by midwives to identify pregnant women at-risk, in a suburban area with one of the highest levels of domestic violence in Lima. The instrument was designed to be used by medical staff to identify high-risk child-bearing women and, based on the results, to refer them to the adequate psychological or social support providers. The aim of this study is to assess the feasibility of psychosocial screening using the KINDEX in a Latin American Country for the first time, and to explore the relationship of the KINDEX with thee major risk areas, maternal psychopathology, perceived stress and traumatic experiences.MethodsThe study was conducted in cooperation with the gynecological department of a general hospital in a suburban area of Lima. Nine midwives conducted interviews using the KINDEX of ninety-five pregnant women attending the gynecological unit of the hospital. From these, forty pregnant women were re-interviewed by a clinical psychologist using established instruments in order to assess the feasibility of the prenatal assessment in public health settings and the relationship of the KINDEX with maternal perceived stress, psychopathology symptoms and trauma load during pregnancy.ResultsWe found high rates of risk factors in the examined pregnant women comparable with those found in the general population. Significant correlations were found between the KINDEX sum score and the three risks areas, stress, psychopathology and trauma load as assessed in the Clinical Expert interviews. The different risks assessed by the KINDEX are related to higher levels of stress, psychopathology and trauma load, depending on the risk.ConclusionsThe relationship between past adverse experience and current stressors with perceived maternal stress, psychopathology symptoms and traumatic experiences confirm the importance of prenatal assessment for psychosocial risks. The use of KINDEX by midwives providing obstetrical care to pregnant women in urban Peru is feasible and can be used to identify high-risk women and refer them to the adequate mental health or social services for necessary attention and support. Early interventions are essential to mitigating the adverse effects of maternal stress, trauma and psychopathology on the fetus and child.

show abstract

Intimate Partner Violence and Depressive Symptoms Before Pregnancy, During Pregnancy, and After Infant Delivery

Cited by 26 publications

References 55 publications

Traumatic events: exploring associations with maternal depression, infant bonding, and oxytocin in Latina mothers

Traumatic events: exploring associations with maternal depression, infant bonding, and oxytocin in Latina mothers

Injury patterns and health outcomes among pregnant women seeking emergency medical care in Kumasi, Ghana: Challenges and opportunities to improve care

Prenatal screening for psychosocial risks in a high risk-population in Peru using the KINDEX interview

Contact Info

Product

Resources

About