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ORIGINAL RESEARCH |
From the Department of Epidemiology, School of Public Health and Community Medicine; Department of Obstetrics and Gynecology, School of Medicine; and HPV Research Group, University of Washington, Seattle, Washington.
Address reprint requests to: Sherry Lipsky, PhD, University of Texas Houston School of Public Health, Dallas Regional Campus, 5323 Harry Hines Boulevard, V8.112, Dallas, TX 75390-9128; E-mail: lipsky{at}u.washington.edu.
OBJECTIVE: To examine the relationship of police-reported intimate partner violence during pregnancy and adverse birth outcomes.
METHODS: We conducted a population-based, retrospective, cohort study in Seattle, Washington, using Seattle police data and Washington State birth certificate files from January 1995 through September 1999. Exposed subjects were women with an intimate partner violence incident reported to police during pregnancy and who subsequently had a singleton live birth or fetal death registered in the state of Washington. Unexposed subjects were randomly selected Seattle residents with a singleton live birth or fetal death in the same time period and who did not report an incident. The main outcome measures were low birth weight (LBW less than 2500 g), very LBW (VLBW less than 1500 g), preterm birth (20–36 weeks’ gestation), very preterm birth (20–31 weeks), and neonatal death (before discharge).
RESULTS: Women reporting any partner violence during pregnancy were significantly more likely to have a LBW infant (adjusted odds ratio [aOR] 1.70; 95% confidence interval [CI] 1.20, 2.40), a VLBW infant (aOR 2.54; 95% CI 1.32, 4.91), a preterm birth (aOR 1.61; 95% CI 1.14, 2.28), a very preterm birth (aOR 3.71; 95% CI 1.80, 7.63), and a neonatal death (aOR 3.49; 95% CI 1.43, 8.50).
CONCLUSION: Police-reported partner violence during pregnancy is significantly associated with an increased risk of adverse birth outcomes. There is a critical need to identify pregnancy among women with reported incidents and to provide women health and social service information and referrals, particularly referrals to high-risk pregnancy programs.
This article has been cited by other articles:
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  M. A. Rodriguez, M. V. Heilemann, E. Fielder, A. Ang, F. Nevarez, and C. M. Mangione Intimate Partner Violence, Depression, and PTSD Among Pregnant Latina Women Ann. Fam. Med, January 1, 2008; 6(1): 44 - 52. [Abstract] [Full Text] [PDF]
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 S. Ahmed, M. A. Koenig, and R. Stephenson Effects of Domestic Violence on Perinatal and Early-Childhood Mortality: Evidence From North India Am J Public Health, August 1, 2006; 96(8): 1423 - 1428. [Abstract] [Full Text] [PDF]
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 P. Janssen, H. Dascal-Weichhendler, and M. McGregor Assessment for intimate partner violence: where do we stand? J Am Board Fam Med, July 1, 2006; 19(4): 413 - 415. [Full Text] [PDF]
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L. J. Koenig, D. J. Whitaker, R. A. Royce, T. E. Wilson, K. Ethier, and M. I. Fernandez Physical and Sexual Violence During Pregnancy and After Delivery: A Prospective Multistate Study of Women With or at Risk for HIV Infection Am J Public Health, June 1, 2006; 96(6): 1052 - 1059. [Abstract] [Full Text] [PDF]
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 D. El Kady, W. M. Gilbert, G. Xing, and L. H. Smith Maternal and Neonatal Outcomes of Assaults During Pregnancy Obstet. Gynecol., February 1, 2005; 105(2): 357 - 363. [Abstract] [Full Text] [PDF]
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 Other articles noted: 25 Jul 03 to 7 Nov 03 Evid. Based Nurs., January 1, 2004; 7(1): e1 - 1. [Full Text] [PDF]
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