Screening for intimate partner violence in the early postpartum period: Maternal and child health and social outcomes from birth to 5-years post-delivery

2021 ◽  
Vol 111 ◽  
pp. 104865
Author(s):  
Tamara L. Taillieu ◽  
Douglas A. Brownridge ◽  
Marni Brownell
2018 ◽  
Vol 24 (5) ◽  
pp. 434 ◽  
Author(s):  
Shubha Kamana Mandal ◽  
Leesa Hooker ◽  
Hassan Vally ◽  
Angela Taft

Intimate-partner violence and poor mental health are common, harmful issues for women of childbearing age. Although the prevalence and correlates of postpartum depression are well established, far less is known about postpartum anxiety. We aimed to investigate the association between postnatal depression and anxiety, and intimate-partner violence among women attending Victorian Maternal and Child Health services, using data from a randomised control trial: Improving Maternal and Child Health care for Vulnerable Mothers (MOVE). These data included postnatal women who had given birth between May and December 2010. Multiple logistic regression was used to estimate the association between intimate partner violence (using the Composite Abuse Scale) and postnatal depression and anxiety (Depression, Anxiety and Stress Scale), controlling for participant socio-demographic characteristics. Findings showed that abused women were more likely to report postnatal depressive and anxiety symptoms. There was an almost two-fold (odds ratio (OR) 1.76, 95% CI 1.03–3.01) and three-fold (OR 2.6, 95% CI 1.58–4.28) increase in the odds of reporting depressive and anxiety symptoms respectively, among abused compared with non-abused women. Abused women are at a higher risk of mental health problems. This study validated findings that intimate-partner violence is strongly associated with an increased risk of postnatal depression and highlighted the previously under-reported relationship with postnatal anxiety.


2019 ◽  
Vol 13 ◽  
Author(s):  
Nayara Girardi Baraldi ◽  
Angelina Lettiere Viana ◽  
Daniela Taysa Rodrigues Pimentel ◽  
Juliana Stefanello

RESUMO Objetivo: refletir sobre a prática do aleitamento materno num contexto de violência por parceiro íntimo e sua importância na prática profissional. Método: trata-se de estudo qualitativo, descritivo, do tipo análise reflexiva, desenvolvido por meio de uma revisão narrativa da literatura. Reuniram-se os dados na categoria: “A violência por parceiro íntimo e as repercussões na prática do aleitamento materno”. Resultados: observam-se repercussões dessa violência no início e na manutenção da amamentação. Destaca-se a fragilidade das condições psicológicas e físicas da mulher e visualizam-se, inclusive, quadros de desmame precoce a fim de proteger a criança da violência. Acrescenta-se, no entanto, que não se nota, por parte da saúde, uma atenção especial diante desse evento. Conclusão: constatou-se que a violência por parceiro íntimo está presente no ciclo gravídico-puerperal com repercussões na saúde materno-infantil, inclusive, no aleitamento materno. Salienta-se, entretanto, a baixa visibilidade da problemática nas áreas acadêmica e assistencial. Espera-se que este estudo contribua para reflexões sobre a temática e impulsione novos questionamentos, pesquisas e transformações no modelo de acolhimento e cuidado. Descritores: Violência por Parceiro Íntimo; Violência Contra a Mulher; Aleitamento Materno; Desmame; Saúde Materno-Infantil; Cuidados de Enfermagem.ABSTRACT Objective: to reflect on the practice of breastfeeding in a context of intimate partner violence and its importance in professional practice. Method: this is a qualitative, descriptive study, of the type reflexive analysis, developed through a narrative review of the literature. Data were collected in the category: "Intimate partner violence and the repercussions on the practice of breastfeeding". Results: repercussions of this violence are observed in the beginning and in the maintenance of breastfeeding. Emphasis is placed on the fragility of women's psychological and physical conditions, and early weaning is also seen in order to protect the child from violence. It is added, however, that there is no special attention paid to this event by health. Conclusion: it was observed that intimate partner violence is present in the pregnancy-puerperal cycle with repercussions on maternal and child health, including breastfeeding. However, the low visibility of the problem in the academic and care areas is highlighted. It is hoped that this study will contribute to reflections on the theme and impel new questions, researches and transformations in the model of care and reception. Descriptors: Intimate Partner Violence; Violence Against Women; Breastfeeding; Weaning; Maternal and Child Health; Nursing care.RESUMEN Objetivo: reflexionar sobre la práctica de la lactancia materna en un contexto de violencia por compañero íntimo y su importancia en la práctica profesional. Método: se trata de un estudio cualitativo, descriptivo, del tipo análisis reflexivo, desarrollado por medio de una revisión narrativa de la literatura. Se reunieron los datos en la categoría: "La violencia por compañero íntimo y las repercusiones en la práctica de la lactancia materna". Resultados: se observan repercusiones de esta violencia al inicio y en el mantenimiento de la lactancia. Se destaca la fragilidad de las condiciones psicológicas y físicas de la mujer y se visualizan, incluso, cuadros de destete precoz a fin de proteger al niño de la violencia. Se añade, sin embargo, que no se nota, por parte de la salud, una atención especial ante ese evento. Conclusión: se constató que la violencia por compañero íntimo está presente en el ciclo embarazo-puerperio con repercusiones en la salud materno-infantil, inclusive, en la lactancia materna. Se destaca, sin embargo, la baja visibilidad de la problemática en las áreas académica y asistencial. Se espera que este estudio contribuya a reflexiones sobre la temática e impulse nuevos cuestionamientos, investigaciones y transformaciones en el modelo de acogida y cuidado. Descriptores: Violencia de Pareja; Violencia Contra la Mujer; Lactancia Materna; Destete; Salud Materno-Infantil; Atención de Enfermaría.


2020 ◽  
pp. bmjsrh-2020-200761
Author(s):  
Vithya Murugan ◽  
Katherine J Holzer ◽  
Mirvat Termos ◽  
Michael Vaughn

ObjectiveIntimate partner violence (IPV) describes physical violence, sexual violence, stalking, or psychological harm by a current or former partner or spouse. During pregnancy, IPV has substantial negative implications for maternal and child health. The aim of the present study was to better understand the prevalence and sociodemographic and psychiatric correlates of IPV among pregnant females in the emergency department (ED).MethodsUsing the 2016 Nationwide Emergency Department Sample (NEDS), logistic regression was employed to examine the relationship between IPV during pregnancy, sociodemographic factors, substance abuse and mental health disorders.ResultsBivariate analyses indicated that approximately 0.06% of pregnant women who visited EDs in 2016 were coded as experiencing abuse by a spouse or partner. Pregnant women abused by a spouse or partner were more likely to have a diagnosis of each of the disorders coded as complicating pregnancy, childbirth and the puerperium examined in this study, including alcohol use (0.77%, aOR 8.38, 95% CI 2.80 to 29.50), drug use (2.26%, aOR 3.49, 95% CI 1.60 to 6.15), tobacco use (11.05%, aOR 1.90, 95% CI 1.34 to 2.54) and general mental disorders (4.13%, aOR 2.64, 95% CI 1.60 to 4.79).ConclusionScreening for IPV in EDs, especially among at-risk women identified in this study, may lead to referrals and coordination of care that could reduce the violence and improve maternal and child health outcomes.


2020 ◽  
Vol 35 (Supplement_1) ◽  
pp. i19-i29
Author(s):  
Lan Mai Tran ◽  
Phuong Hong Nguyen ◽  
Ruchira Tabassum Naved ◽  
Purnima Menon

Abstract Exposure to intimate partner violence (IPV) can have profound adverse consequences on maternal and child health. This study aimed to: (1) identify factors associated with IPV during pregnancy and postpartum in Bangladesh; and (2) assess the associations between IPV and maternal mental health and breastfeeding practices. We used data from a cross-sectional survey of 2000 mothers with children <6 months in four districts in Bangladesh. We applied multivariable logistic regression models to examine factors associated with IPV and structural equation modelling to assess the inter-relationships between IPV, maternal common mental disorders (CMD, measured by Self-reporting Questionnaire ≥7) and breastfeeding practices. Overall, 49.7% of mothers experienced violence during the last 12 months and 28% of mothers had high levels of CMD. Only 54% of women reported early initiation of breastfeeding and 64% reported exclusive breastfeeding. Women were more likely to experience IPV if living in food-insecure households, being of low socio-economic status, having low autonomy or experiencing inequality in education compared with husbands (OR ranged from 1.6 to 2.8). Women exposed to IPV were 2–2.3 times more likely to suffer from high levels of CMD and 28–34% less likely to breastfeed their babies exclusively. The indirect path (the indirect effects of IPV on breastfeeding through CMD) through maternal CMD accounted for 14% of the relationship between IPV on breastfeeding practice. In conclusion, IPV is pervasive in Bangladesh and is linked to increased risks of CMD and poor breastfeeding practices. Integrating effective interventions to mitigate IPV, along with routine maternal and child health services and involving men in counselling services, could help both to reduce exposure to IPV among women and to contribute to better health outcomes for women and children.


2018 ◽  
Vol 24 (5) ◽  
pp. 422 ◽  
Author(s):  
Esther M. Bauleni ◽  
Leesa Hooker ◽  
Hassan P. Vally ◽  
Angela Taft

The reproductive years are a critical period where women experience greater risk of intimate-partner violence (IPV). Most studies investigating the association between IPV and reproductive health have been completed in low- and middle-income countries. This study aimed to examine the relationship between IPV and women’s reproductive decision-making in Victoria, Australia. We analysed secondary data from a cluster-randomised trial of IPV screening that surveyed new mothers attending Maternal- and Child-Health centres in Melbourne. Survey measures included the experience of partner abuse in the past 12 months using the Composite Abuse Scale and four reproductive decision-making indicators. Results showed that IPV affects reproductive decision-making among postpartum women. Women who reported abuse were less likely to plan for a baby (adjusted Odds Ratio 0.48, 95% CI: 0.31–0.75) than were non-abused women, significantly more likely to have partners make decisions for them about contraception (Risk ratio (RR) 4.09, 95% CI: 1.31–12.75), and whether and when to have a baby (RR 12.35, 95% CI: 4.46–34.16), than they were to make decisions jointly. Pregnant and postpartum women need to be screened for partner violence that compromises women’s decision-making power regarding their reproductive rights.


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