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Federación Mexicana de Ginecología y Obstetricia, A.C.

2007, Number 05

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Ginecol Obstet Mex 2007; 75 (05)

Relation between familial violence during pregnancy and risk of low weight in the newborn

Collado PSP, Villanueva ELA

Language: Spanish
References: 18
Page: 259-267
PDF size: 167.20 Kb.


ABSTRACT

Objectives: To determine the prevalence and characteristics of domestic violence before and during pregnancy, and its impact on obstetrical and perinatal outcomes, as well as to identify the main variables associated to domestic violence during pregnancy.
Patients and methods: From August to September 2004, 288 consecutive women in the puerperium period were screened for a crosssectional study in the Hospital General Dr. Manuel Gea González. The Abuse Assessment Screen and the IPPF screening instrument were used to measure emotional and physical abuse during pregnancy. Outcome data included miscarriage, cesarean delivery, gestational age, birth weight and Apgar score. Odds ratios and 95% confidence intervals were calculated to measure the associations between maternal characteristics, perinatal outcome and violence.
Results: The prevalence of domestic violence during pregnancy was 39.24%. Emotional abuse was the most prevalent type before and during pregnancy (94.71 and 96.46%, respectively) whereas the frequency of physical and sexual decreased during pregnancy. Domestic violence 12 months before pregnancy increased risk of low birth weight (OR: 1.69; 95% CI: 1.01-2.81), and miscarriage (OR: 2.09; 95% CI 1.14-3.83). The exposure to domestic violence anytime before pregnancy (OR: 3.13; 95% CI 1.48-6.63) and 12 months before pregnancy (OR: 12.79; 95% CI 6.38-25.6) increased risk of domestic violence during pregnancy.
Conclusions: Violence before and during pregnancy is common and is associated with adverse maternal and perinatal outcomes. There is a critical need to include a routine screening in the obstetric and gynecologic services and to provide medical and social services.


REFERENCES

  1. Saucedo GI. Violencia doméstica y salud: conceptualización y datos que existen en México. Perinatol Reprod Hum 1996;10:100-10.

  2. Instituto Nacional de Geografía Estadística e Informática. Encuesta Nacional sobre Violencia Intrafamiliar (Envif), 1999. México: INEGI, 2000.

  3. Velásquez DG. Violencia de género, un problema de salud pública. En: López P, Rico B, Langer A, Espinosa G (compiladoras). Género y política en salud. México: Secretaría de Salud, 2003;pp:379-88.

  4. Gazmararian JA, Lazorick S, Spitz AM, Ballard TJ, Saltzman LE, Marks JS. Prevalence of violence against pregnant women. JAMA 1996;275:1915-20.

  5. Moraes CL, Reichenheim ME. Domestic violence during pregnancy in Rio de Janeiro, Brazil. Int J Gynecol Obstet 2002;79:271-7.

  6. Campbell JC. Health consequences of intimate partner violence. Lancet 2002;359:1331-6.

  7. Arcos GE, Uarac UM, Molina VI, Repossi FA, Ulloa VM. Impacto de la violencia doméstica sobre la salud reproductiva y neonatal. Rev Med Chile 2001;129:1413-24.

  8. Valladares E, Ellsberg M, Peña R, Högberg U, Persson LA. Physical partner abuse during pregnancy: a risk factor for low birth weight in Nicaragua. Obstet Gynecol 2002;100:700-5.

  9. Núñez Rivas HP, Monge Rojas R, Gríos Dávila C, Elizondo Ureña AM, Rojas-Chavarría. La violencia física, psicológica, emocional y sexual durante el embarazo: riesgo reproductivo predictor de bajo peso al nacer en Costa Rica. Rev Panam Salud Pública 2003;14:75-83.

  10. Menezes TC, Ramos de Amorim MM, Santos LC, Faúndes A. Violéncia física doméstica e gestação: resultados de um inquérito no puerpério. RBGO 2003;25:309-16.

  11. Collado Peña S, Villanueva Egan LA. Violencia familiar: una aproximación desde la ginecología y obstetricia. Ginecol Obstet Méx 2005;73:250-60.

  12. Norton L, Peipert J, Zierter S, Lima B, Hume L. Battering in pregnancy: an assessment of two screening methods. Obstet Gynecol 1995;85:321-5.

  13. Díaz-Olavarrieta C, Campbell J, Garcia de la Cadena C, Paz C, Villa AR. Domestic violence against patients with chronic neurologic disorders. Arch Neurol 1999;56:681-5.

  14. Federación Internacional de Planificación de la Familia/Región del Hemisferio Occidental (IPPF/RHO). Instrumento de detección para proveedores trabajando con víctimas de violencia basada en género, 2000.

  15. Organización Mundial de la Salud. Dando prioridad a las mujeres: recomendaciones éticas y de seguridad para la investigación sobre la violencia doméstica contra las mujeres. Génova: OMS; 1999. (OMS/EIP/GPE/99.2).

  16. Valdez-Santiago R, Sanín-Aguirre LH. La violencia doméstica durante el embarazo y su relación con el peso al nacer. Salud Publica Mex 1996;38:352-62.

  17. Castro R, Peek-Asa C, Ruiz A. Violence against women in Mexico: a study of abuse before and during pregnancy. Am J Public Health 2003;93:1110-6.

  18. Murphy CC, Schei B, Myhr TL, Du Mont J. Abuse: a risk factor for low birth weight? A systematic review and meta-analysis. CMAJ 2001;164:1567-72.




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