The association between domestic violence during pregnancy and low birth weight or prematurity

Audi, Celene Aparecida Ferrari; Corrêa, Ana Maria Segall; Latorre, Maria do Rosário Dias de Oliveira; Santiago, Sílvia Maria

doi:10.2223/jped.1744

Cited by 21 publications

(30 citation statements)

References 17 publications

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“…These results corroborate those found in Guatemala, where 81% of the women victims of IPV were non-smokers and only 2% used illicit drugs (18) . With regard to the habit of ingesting alcohol, our results confirm the results found in a study conducted in Campinas (16) , where approximately 95% did not habitually consume alcohol.…”

Section: Discussionsupporting

confidence: 89%

“…The study population was characterized by 17.6% of participants in a situation of violence, which corroborates the results of a study conducted in Campinas, where 19.6% of the participants were also in a situation of IPV during pregnancy (16) . The study group was characterised by having young adult pregnant women with an average age of 24.5 years.…”

Section: Discussionsupporting

confidence: 88%

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Violência por parceiro íntimo na gestação: identificação de mulheres vítimas de seus parceiros

Oliveira

Fonseca-Machado

Stefanello

et al. 2015

Rev. Gaúcha Enferm.

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Objective: To identify women in situations of violence by intimate partners during the current pregnancy among users of prenatal care services. Methods:Observational, cross-sectional study conducted from May 2012 to May 2013 in a prenatal service in Ribeirão Preto -SP, with 358 pregnant women from the 36th week of pregnancy. Data were collected through interviews. The adopted techniques and methods were univariate analysis, frequency distribution, measures of central tendency and variability, and the chi-square and Student's t-test. Results:Violence by an intimate partner during pregnancy was identified in 63 women (17.6%) aged between 15 and 42 years. Of the total, 39.7% were Catholic and 87.3% were non-smokers. Most of the women were unmarried and unemployed. Only 20 of the women felt they had suffered some form of violence during their lifetime. Conclusion:These results will enable the creation of strategies to recognize, intervene, where necessary, and support victims. Keywords: Spouse abuse. Pregnancy. Nursing. Millennium Development Goals. RESUMO Objetivo: Identificar, entre as usuárias de um serviço de atendimento pré-natal, mulheres em situação de violência por parceiro íntimo durante a gestação atual.Métodos: Estudo observacional, transversal, realizado com 358 gestantes a partir da 36ª semana de gestação de maio/2012 a maio/2013 em um serviço de pré-natal no município de Ribeirão Preto-SP. Os dados foram coletados através de entrevista. Empregou-se análise univariada, distribuição de frequências, medidas de tendência central e variabilidade, e testes qui-quadrado e t de Student.Resultados: A violência por parceiro íntimo durante a gestação foi identificada em 63 mulheres (17,6%), com idade entre 15 e 42 anos, a maioria solteira. 39,7% pertenciam à religião católica, a maioria não estava inserida no mercado de trabalho, e 87,3% referiram não fumar. Apenas 20 consideraram terem sofrido algum tipo de violência durante a vida. Conclusão: Esta identificação proporcionará o desenvolvimento de estratégias para reconhecer e intervir nos casos e dar o apoio necessário às vítimas.Palavras-chave: Maus-tratos conjugais. Gravidez. Enfermagem. Objetivos de Desenvolvimento do Milênio. RESUMEN Objetivo: Identificar entre los usuarios de los servicios de atención prenatal, las mujeres en situaciones de violencia en la pareja durante el embarazo actual.Métodos: Estudio observacional y transversal, desarrollado con 358 mujeres embarazadas de la semana 36 de gestación mayo/2012 a mayo/2013, de un servicio prenatal en la ciudad de Ribeirão Preto-SP. Los datos fueron recolectados a través de entrevistas. Se utilizó el análisis univariado, distribución de frecuencias, medidas de tendencia central y variabilidad y chi-cuadrado y t de Student.Resultados: La violencia por parte de su pareja durante el embarazo fue identificado en 63 mujeres (17,6%), con edades comprendidas entre 15 y 42 años, la mayoría solteras. el 39,7% pertenecía a la religión católica, la mayoría no estaba en el mercado de trabajo y el 87,3% no info...

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 88%

Violência por parceiro íntimo na gestação: identificação de mulheres vítimas de seus parceiros

Oliveira

Fonseca-Machado

Stefanello

et al. 2015

Rev. Gaúcha Enferm.

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“…Na presente investigação, a exposição a violência familiar confirmou-se como potencial fator de confundimento para a associação entre desnutrição e desenvolvimento intelectual abaixo da média. Os efeitos negativos da exposição direta ou indireta a violência familiar sobre a morbidade infantojuvenil têm sido considerados por vários autores 24,25 . Criança exposta a violência familiar apresenta quadros depressivos e/ou comportamento manifestado por isolamento social progressivo, além de distúrbios do sono e do apetite; a anorexia infanto-juvenil seria um exemplo de disfunção nas relações entre nutrição e a psique da criança 21 .…”

Section: Discussionunclassified

Influence of domestic violence on the association between malnutrition and low cognitive development

Silva¹,

Assis²,

Hasselmann³

et al. 2012

J Pediatr (Rio J)

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Objective: To investigate the size and direction of the association between malnutrition and low cognitive performance and to evaluate the effect of domestic violence on this association. Methods:This cross-sectional study enrolled students of both sexes, aged 7 to 14 years old, attending public elementary schools. The Raven's Progressive Matrices Test was used to measure cognitive development, the Revised Conflict Tactics Scales (CTS2), to measure domestic violence, and the body mass index (BMI) for age and sex, to define anthropometric indices. Socioeconomic data and information about food intake were also collected. Malnutrition was defined as BMI < 3rd percentile. Cognitive deficit was defined when the results of Raven's test were ≤ 25th percentile. Family violence was defined as a positive answer in at least one item about severe physical violence in the last 12 months. The size of the associations of interest was expressed as prevalence ratio (PR) and 95% confidence interval (95%CI).Results: Below-average intellectual development was found for 63.3% of the participants. Malnutrition was identified in 9.5%. Malnutrition had a negative effect on cognitive performance (adjusted prevalence ratio [aPR] = 1.60, 95% CI = 1.01 -2.52; p = 0.042) when adjusted for the association between exposure to domestic violence and age. Conclusion:The association between malnutrition and belowaverage intellectual development found in this study was affected by domestic violence, which must be taken into account when addressing the problem.J Pediatr (Rio J). 2012;88(2):149-54: Nutrition, cognitive development, domestic violence, students. ResumoObjetivo: Verificar a direção e a magnitude da associação entre desnutrição e baixo desempenho cognitivo. Além disso, avaliar a influência da violência familiar nessa relação.Métodos: Trata-se de um estudo transversal em que participaram estudantes, de ambos os sexos, com idade entre 7 e 14 anos, provenientes da rede pública do ensino fundamental. O teste das matrizes progressivas de Raven foi utilizado para mensurar desenvolvimento cognitivo; as escalas táticas de conflito revisadas, para mensurar a violência familiar; e o índice de massa corporal, para diagnóstico do estado nutricional. Foram ainda obtidas informações socioeconômicas e aquelas referentes ao consumo alimentar. A desnutrição foi classificada com base no índice de massa corporal < percentil 3; o baixo nível cognitivo, nos resultados do Raven ≤ percentil 25. Considerou-se caso de violência familiar uma resposta positiva a qualquer um dos atos de violência física grave durante os últimos 12 meses. A magnitude das associações de interesses foi expressa em razão de prevalência e respectivos intervalos de confiança de 95%.Resultados: Identificou-se que 63,3% dos participantes encontravam-se com desenvolvimento intelectual abaixo da média. A desnutrição foi identificada em 9,5%. Os dados revelaram a influencia negativa da desnutrição sobre o baixo desempenho cognitivo (razão de prevalência ajustada = 1,60; intervalo de ...

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“…Studies have shown its association with unsafe abortion, gynaecological disorders, pregnancy complications, miscarriage, low birth weight and STI/HIV infection (Audi et al 2008;Heise, Ellsberg, and Gottmoeller 2002;Silverman et al 2006;WHO 2005). Pregnancy offers a unique opportunity to identify and assist women experiencing IPV (Bacchus et al 2004) as many pregnant women visit antenatal care clinics repeatedly.…”

Section: Introductionmentioning

confidence: 99%

Opportunities and obstacles to screening pregnant women for intimate partner violence during antenatal care in Zimbabwe

Shamu

Abrahams

Temmerman

et al. 2013

Culture, Health & Sexuality

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Pregnancy offers an opportunity for midwives to recognise and respond to women experiencing intimate partner violence (IPV). However, most antenatal care interventions have been conducted in private specialist services in high-income countries and do not address the structural and cultural realities of developing country settings. We report on an exploratory qualitative study conducted in antenatal public health facilities in Harare, Zimbabwe, involving six in-depth interviews with midwives and seven FGDs with 64 pregnant and postpartum women. Recorded interviews were transcribed verbatim and analysed using thematic content analysis. We found that identifying and responding to IPV in antenatal care is hampered by inadequate human, financial and infrastructural resources as well as poor support of gender-based violence training for midwives. Midwives had divergent views of their role, with some perceiving IPV as a non-clinical, social and domestic problem that does not require their attention, while others who had been sensitised to the problem felt that it could easily overwhelm them. A comprehensive response to IPV by midwives would be difficult to achieve in this setting but sensitised midwives could respond to cues to violence and ultimately assist abused women in culturally sensitive and appropriate ways.

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The association between domestic violence during pregnancy and low birth weight or prematurity

Cited by 21 publications

References 17 publications

Violência por parceiro íntimo na gestação: identificação de mulheres vítimas de seus parceiros

Violência por parceiro íntimo na gestação: identificação de mulheres vítimas de seus parceiros

Influence of domestic violence on the association between malnutrition and low cognitive development

Opportunities and obstacles to screening pregnant women for intimate partner violence during antenatal care in Zimbabwe

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