Intimate Partner Violence During Pregnancy and Adverse Neonatal Outcomes in Low-Income Women

Alhusen, Jeanne L.; Bullock, Linda; Sharps, Phyllis; Schminkey, Donna; Comstock, Emily; Campbell, Jacquelyn

doi:10.1089/jwh.2014.4862

Cited by 66 publications

(66 citation statements)

References 48 publications

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“…[4][5][6] Indeed, studies conducted among samples of low-income predominantly single women have noted that up to 30% of women experienced IPV during the perinatal period. [7][8][9] Program (DOVE) IPV intervention in reducing violence for women experiencing current violence or violence in the year before pregnancy, using community health nurse prenatal/ postpartum home visitation by random assignment to the DOVE intervention or usual IPV care.…”

Section: Introductionmentioning

confidence: 99%

Domestic Violence Enhanced Perinatal Home Visits: The DOVE Randomized Clinical Trial

Sharps

Bullock

Campbell

et al. 2016

Journal of Women's Health

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Background: Perinatal intimate partner violence (IPV) is common and has significant negative health outcomes for mothers and infants. This study evaluated the effectiveness of an IPV intervention in reducing violence among abused women in perinatal home visiting programs. Materials and Methods: This assessor-blinded multisite randomized control trial of 239 women experiencing perinatal IPV was conducted from 2006 to 2012 in U.S. urban and rural settings. The Domestic Violence Enhanced Home Visitation Program (DOVE) intervention group (n = 124) received a structured abuse assessment and six home visitor-delivered empowerment sessions integrated into home visits. All participants were screened for IPV and referred appropriately. IPV was measured by the Conflicts Tactics Scale2 at baseline through 24 months postpartum. Results: There was a significant decrease in IPV over time (F = 114.23; p < 0.001) from baseline to 1, 3, 6, 12, 18, and 24 months postpartum (all p < 0.001). Additional models examining change in IPV from baseline indicated a significant treatment effect (F = 6.45; p < 0.01). Women in the DOVE treatment group reported a larger mean decrease in IPV scores from baseline compared to women in the usual care group (mean decline 40.82 vs. 35.87). All models accounted for age and maternal depression as covariates. Conclusions: The DOVE intervention was effective in decreasing IPV and is brief, thereby facilitating its incorporation within well-woman and well-child care visits, as well as home visiting programs, while satisfying recommendations set forth in the Affordable Care Act for IPV screening and brief counseling.

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Section: Introductionmentioning

confidence: 99%

Domestic Violence Enhanced Perinatal Home Visits: The DOVE Randomized Clinical Trial

Sharps

Bullock

Campbell

et al. 2016

Journal of Women's Health

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“…Recent studies in HIV-infected populations reported antenatal depression and stress to be associated with poor adherence to ART, and poor HIV-related clinical, immunologic and virologic outcomes, which can potentially increase the incidence of adverse pregnancy outcomes 17–20. Although the prevalence of psychosocial stressors and alcohol abuse is high in many HIV-infected populations,21–23 their effects on birth outcomes have not yet been studied.…”

Section: Introductionmentioning

confidence: 99%

Effect of alcohol consumption and psychosocial stressors on preterm and small-for-gestational-age births in HIV-infected women in South Africa: a cohort study

et al. 2017

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ObjectivesPsychosocial stressors such as depression and stress, intimate partner violence (IPV) and alcohol use have been linked to preterm and small-for-gestational-age (SGA) births in general populations. The prevalence of psychosocial stressors and alcohol abuse is high in many HIV-infected (HIV+) populations. Our objective was to evaluate the effects of psychosocial stressors and alcohol abuse on birth outcomes in HIV-infected women.MethodsAntenatal depression and non-specific psychological distress, periconception IPV and alcohol consumption were measured during the second trimester among HIV+ women initiating antiretroviral treatment with efavirenz + emtricitibine + tenofovir in Cape Town, South Africa. Log binomial regression models were used to estimate the risk ratios (RR) and 95% CIs of the effects of psychosocial stressors and periconception alcohol consumption on birth outcomes: SGA (birth weight <10th centile for gestational age) and preterm (<37 weeks) births.ResultsOf the 571 mother–infant pairs, 26% of women reported hazardous alcohol consumption (Alcohol Use Disorders Identification Test-C score ≥3) periconception periods, 11% reported depressive symptoms, 7% reported non-specific psychological distress and 15% reported experiencing physical or psychological IPV. 14% of infants were born preterm and 12% were SGA. Infants born to women reporting hazardous drinking were twice (adjusted RR 2.00 (95% CI 1.13 to 3.54)) as likely to be SGA compared with women reporting low alcohol intake. Alcohol consumption did not have a significant effect on the incidence of preterm birth. Depressive symptoms, non-specific psychological distress, physical and psychological IPV did not increase the risk of SGA or preterm birth significantly.ConclusionsThe observed elevated risk of SGA births associated with periconception alcohol consumption underscores the urgent need to reduce alcohol consumption among women of childbearing age. Interventions targeting modifiable risk factors of adverse birth outcomes need to be integrated into HIV prevention and maternal child health programmes to improve the long-term health of HIV-exposed children.Trial registration numberNCT01933477; Pre-results.

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“…IPV during pregnancy is a significant health issue with negative sequelae for women and children (Alhusen et al 2014; Martin et al 2001; Shah et al 2010; Silverman et al 2006). Extant research has found that between 3% and 9% of women experience IPV during pregnancy though well-established risk factors including young age, single relationship status, minority race/ethnicity, and poverty place a woman at higher risk (Tjaden et al 2000; Vest et al 2002).…”

Section: Introductionmentioning

confidence: 99%

Intimate partner violence and suicidal ideation in pregnant women

Alhusen

Frohman

Purcell

2015

Arch Womens Ment Health

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Intimate partner violence (IPV) during pregnancy is a major public health issue with significant implications for maternal mental health. Less studied is the association between IPV during pregnancy and suicidal ideation. This study reports the prevalence and correlates of suicidal ideation among low-income pregnant women receiving prenatal care at a university obstetrical clinic from February 2009 to March 2010. We performed a cross-sectional analysis of 166 women surveyed between 24 – 28 weeks gestation using the Edinburgh Postnatal Depression Scale (EPDS) and the Abuse Assessment Screen (AAS). Multiple logistic regression identified factors associated with antenatal suicidal ideation. The prevalence of suicidal ideation was 22.89%. In the fully adjusted model antenatal depressive symptomatology (OR = 17.04; 95% CI 2.10 – 38.27) and experiencing IPV (OR = 9.37; 95% CI 3.41 – 25.75) were significantly associated with an increased risk of antenatal suicidal ideation. The prevalence of antenatal suicidal ideation in the current study was higher than other population-based samples though this sample was predominantly single, low-income, and 19% experienced IPV during pregnancy. Given the strong association of antenatal suicidal ideation, depressive symptomatology, and IPV, health care providers are urged to identify those women at risk so that antenatal care can be tailored to best support optimal maternal and neonatal outcomes.

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Intimate Partner Violence During Pregnancy and Adverse Neonatal Outcomes in Low-Income Women

Cited by 66 publications

References 48 publications

Domestic Violence Enhanced Perinatal Home Visits: The DOVE Randomized Clinical Trial

Domestic Violence Enhanced Perinatal Home Visits: The DOVE Randomized Clinical Trial

Effect of alcohol consumption and psychosocial stressors on preterm and small-for-gestational-age births in HIV-infected women in South Africa: a cohort study

Intimate partner violence and suicidal ideation in pregnant women

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