Document Detail


Abuse during pregnancy and stress because of abuse during pregnancy and birthweight.
MedLine Citation:
PMID:  12405239     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: to determine whether there is an independent association between physical abuse during pregnancy or stress because of emotional, sexual, or physical abuse during pregnancy and birthweight after adjusting for behavioral, psychosocial, demographic, and medical variables. METHODS: We conducted a cross sectional study of 808 low-income women, age 18 years or older, who delivered single infants from pregnancies of 20 weeks or longer. Abuse during the current pregnancy was measured as reported events of physical abuse and stress because of emotional, sexual, or physical abuse. Multiple regression models were developed to estimate the association of low birthweight (LBW) and mean birthweight with abuse during pregnancy, adjusting for behavioral, psychosocial, demographic, and medical variables. RESULTS: Physical abuse during pregnancy was not associated with LBW or with mean birthweight. Women who reported stress because of abuse had 2.1 times higher odds of LBW (95% CI 1.2, 3.6) than those who did not, and the mean birthweight of their infants was 236 g lower (95% CI -371, -102) than those of women who reported no stress because of abuse in the adjusted regression models. Furthermore, the adjusted mean birthweight for LBW infants of women reporting stress because of abuse was significantly lower (-372, 95% CI 595, -149) than for LBW infants of women reporting no stress. CONCLUSIONS: Stress because of abuse during pregnancy was associated with both LBW and lower mean birthweight after adjusting for behavioral, psychosocial, demographic, and medical variables.
Authors:
Maja Altarac; Donna Strobino
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of the American Medical Women's Association (1972)     Volume:  57     ISSN:  0098-8421     ISO Abbreviation:  J Am Med Womens Assoc     Publication Date:  2002  
Date Detail:
Created Date:  2002-10-30     Completed Date:  2002-11-22     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7503064     Medline TA:  J Am Med Womens Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  208-14     Citation Subset:  IM    
Affiliation:
Johns Hopkins University, School of Hygiene and Public Health, Baltimore, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Birth Weight*
Cross-Sectional Studies
Female
Humans
Infant, Low Birth Weight*
Infant, Newborn
Life Style
Logistic Models
Odds Ratio
Pregnancy
Pregnancy Complications* / etiology,  psychology
Pregnancy Outcome
Questionnaires
Risk Factors
Spouse Abuse* / statistics & numerical data
Stress, Psychological* / complications,  etiology
United States / epidemiology
Grant Support
ID/Acronym/Agency:
R01DA07621-03/DA/NIDA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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