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Childhood abuse and common complaints in pregnancy
Mirjam Lukasse1, Berit Schei, Siri Vangen
1University of Tromsø, Tromsø, Norway.
Insights
Childhood abuse, including emotional, physical, and sexual forms, is linked to more pregnancy complaints. Pregnant women with a history of abuse report a higher number of common pregnancy symptoms.
Area of Science:
- Public Health
- Reproductive Health
- Psychology
Background:
- Childhood abuse significantly impacts adult health outcomes.
- A large Norwegian cohort study investigated the prevalence of childhood abuse among pregnant women.
- The study focused on emotional, physical, and sexual abuse types.
Purpose of the Study:
- To determine the prevalence of childhood emotional, physical, and sexual abuse in a Norwegian pregnant population.
- To examine the association between childhood abuse and common pregnancy complaints.
Main Methods:
- Utilized data from the Norwegian Mother and Child Cohort Study (MoBa).
- Employed regression analyses to assess the relationship between childhood abuse and 16 common pregnancy complaints.
- Analyzed associations across different types and combinations of childhood abuse.
Main Results:
- 18% of pregnant women reported experiencing childhood abuse.
- All 16 common pregnancy complaints were associated with reported childhood abuse.
- A dose-response relationship was observed, with higher abuse types correlating with more complaints; odds ratios ranged from 1.7 to 3.5.
Conclusions:
- Childhood abuse is significantly associated with an increased reporting of common pregnancy complaints.
- Clinicians should consider childhood abuse history in pregnant women presenting with multiple common complaints.
- The findings highlight the long-term health implications of childhood abuse into pregnancy.
Background:
Childhood abuse affects adult health. The objective of this study was to examine the prevalence of emotional, physical, and sexual childhood abuse within a large Norwegian cohort of pregnant women and its association with common complaints in pregnancy.
Methods:
This study is based on the Norwegian Mother and Child Cohort Study (MoBa) conducted by the Norwegian Institute of Public Health. Regression analyses were used to examine associations of childhood abuse and 16 common complaints in pregnancy.
Results:
Eighteen percent (10,363/55,776) of the women reported some type of childhood abuse. Of all women, 3,870 (6.9%) reported sexual abuse, 3,075 (5.5%) physical abuse, and 7,619 (13.6%) emotional abuse as a child. Of those reporting childhood abuse, 31 percent reported two or more types of abuse. All 16 common complaints in pregnancy were associated with reported childhood abuse. Women reporting three types of childhood abuse reported 5.4 common complaints in pregnancy (mean) compared with 3.7 for women without childhood abuse (p < 0.001). Women reporting childhood abuse are more likely to report seven or more common complaints in pregnancy: adjusted odds ratio (AOR) 1.7 (95% CI 1.6-1.9) for emotional abuse; AOR 2.5 (95% CI 2.0-3.1) for combined physical and sexual abuse; and AOR 3.5 (95% CI 3.0-4.0) for all three kinds of abuse. Sociodemographic characteristics and other risk factors did not explain this graded association.
Conclusions:
Abuse in childhood is associated with increased reporting of common complaints of pregnancy. Clinicians should consider the possible role of childhood abuse when treating women with many common complaints in pregnancy.
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