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. 2019 Mar:31:26-31.
doi: 10.1016/j.annepidem.2018.12.003. Epub 2018 Dec 21.

Childhood abuse, intimate partner violence, and placental abruption among Peruvian women

Susanna D Mitro  1 , Sixto E Sanchez  2 , Henry Palomino  3 , Bizu Gelaye  4 , Michelle A Williams  4
Affiliations

Childhood abuse, intimate partner violence, and placental abruption among Peruvian women

Susanna D Mitro et al. Ann Epidemiol. 2019 Mar.

Abstract

Purpose: Experiencing childhood abuse (CA) or intimate partner violence (IPV) has been linked to adverse pregnancy outcomes. We examined whether CA history and current IPV are independently and jointly associated with placental abruption (PA).

Methods: We recruited 662 PA cases and 665 controls in Lima, Peru. We used multivariate logistic regression to calculate odds ratios (OR), adjusting for age, education, and parity.

Results: Approximately 42% of cases and controls reported CA; 50% of cases and 49% of controls reported IPV. History of any CA was not associated with PA, but history of severe CA was associated with 38% increased odds of PA (adjusted OR [aOR], 1.38; 95% confidence interval (CI), 1.07-1.80), adjusting for IPV. There was a statistically nonsignificant association between severe IPV and odds of PA (aOR, 1.22; 95% CI, 0.92-1.62), adjusting for CA. Women who experienced severe CA and severe IPV had 2.06-fold (95% CI, 1.25-3.40) increased odds of PA compared with women who did not experience severe abuse. The joint effect of CA and IPV was positive but statistically nonsignificant on the multiplicative (aOR, 1.48; 95% CI, 0.79-2.80) and additive scale (relative excess risk due to interaction, 0.70; 95% CI, -0.39 to 1.78).

Conclusions: Preventing exposure to violence may improve maternal outcomes.

Keywords: Abruptio placentae; Adult survivors of child abuse; Intimate partner violence; Peru.

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Conflict of interest statement

Competing interests: The authors declare that they have no actual or potential competing financial interests and that their freedom to design, conduct, interpret, and publish this research is not compromised by any controlling sponsor.

References

    1. Aliyu MH, Lynch O, Nana PN, Alio AP, Wilson RE, Marty PJ, et al. Alcohol consumption during pregnancy and risk of placental abruption and placenta previa. Matern Child Health J 2011;15:670–676. doi: 10.1007/s10995-010-0615-6. - DOI - PubMed
    1. Anath CV, Berkowitz GS, Savitz DA, Lapinski RH. Placental abruption and adverse perinatal outcomes. JAMA 1999;282:1646–1651. doi: 10.1001/jama.282.17.1646. - DOI - PubMed
    1. Bailey BA. Partner violence during pregnancy: prevalence, effects, screening, and management. Int J Women’s Health 2010;2:183–197. doi: 10.2147/IJWH.S8632. - DOI - PMC - PubMed
    1. Barrios YV, Gelaye B, Zhong Q, Nicolaidis C, Rondon MB, Garcia PJ, et al. Association of childhood physical and sexual abuse with intimate partner violence, poor general health and depressive symptoms among pregnant women. PLoS ONE 2015;10(1):e0116609. doi: 10.1371/journal.pone.0116609. - DOI - PMC - PubMed
    1. Cnattingius S The epidemiology of smoking during pregnancy: smoking prevalence, maternal characteristics, and pregnancy outcomes. Nicotine Tobacco Res 2004; 6 Suppl 2:S125–S140. doi: 10.1080/14622200410001669187. - DOI - PubMed

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