Related Experiment Video
Updated: Apr 25, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Intimate partner violence increases adverse outcomes at birth and in early infancy
Ashleigh R Pavey1, Gregory H Gorman2, Devon Kuehn3
1Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD.
Insights
Intimate partner violence (IPV) exposure increases infant risks for adverse birth outcomes and hospitalization. Early screening for IPV during prenatal and pediatric visits may help prevent these negative health impacts.
Area of Science:
- Public Health
- Pediatrics
- Sociology
Background:
- Intimate partner violence (IPV) is a significant public health concern with potential adverse effects on maternal and child health.
- Understanding the impact of IPV on infant health outcomes is crucial for developing targeted interventions.
Purpose of the Study:
- To investigate the association between intimate partner violence (IPV) and adverse birth outcomes and infant hospitalizations.
- To quantify the increased risk of adverse outcomes for infants exposed to IPV.
Main Methods:
- Linking hospitalization records of infants born in the Military Health System (2006-2007) with substantiated IPV cases.
- Utilizing logistic regression to calculate odds ratios (OR) for adverse outcomes in infants exposed to IPV.
Main Results:
- Infants exposed to IPV had a 31% increased odds of adverse outcomes.
- IPV exposure was significantly associated with prematurity, low birth weight, respiratory problems, and neonatal/postneonatal hospitalization.
- Even after controlling for prematurity and demographics, IPV remained linked to low birth weight and hospitalizations.
Conclusions:
- Infants born into families with IPV face a higher likelihood of adverse birth outcomes and subsequent hospitalizations.
- Routine screening for IPV during prenatal and pediatric care presents a potential strategy for mitigating these adverse infant health consequences.
Objective:
To determine the effect of intimate partner violence (IPV) on birth outcomes and infant hospitalization.
Study Design:
Hospitalization records for the first 4 months of life for infants born in the Military Health System in 2006-2007 were linked to Family Advocacy Program-substantiated cases of IPV among military parents. Adverse outcomes were identified using International Classification of Diseases, Ninth Revision codes. Logistic regression modeling calculated the OR of children exposed to IPV experiencing adverse outcomes.
Results:
A total of 204,546 infants were born during the study period. Among these, 173,026 infants (85%) were linked to active duty military parents. 31,603 infants (18%) experienced adverse outcomes, and 3059 infants (1.8%) were born into families with IPV. The infants exposed to IPV had a 31% increased odds of experiencing adverse outcomes compared with infants without known IPV exposure. IPV exposure increased the odds of the following outcomes: prematurity (OR, 1.45; 95% CI, 1.29-1.62), low birth weight (OR, 1.57; 95% CI, 1.25-1.97), respiratory problems (OR, 1.17; 95% CI, 1.04-1.32), neonatal hospitalization (OR, 1.39; 95% CI, 1.20-1.61), and postneonatal hospitalization (OR, 1.52; 95% CI, 1.29-1.81). After controlling for prematurity and demographic variables, IPV exposure was associated with low birth weight (OR, 1.52; 95% CI, 1.16-1.99), neonatal hospitalization (OR, 1.24; 95% CI, 1.02-1.49), and postneonatal hospitalization (OR, 1.27; 95% CI, 1.03-1.56).
Conclusion:
Infants exposed to IPV are more likely to experience adverse birth outcomes and infant hospitalization. Routinely addressing IPV during prenatal and early pediatric visits may potentially prevent these adverse outcomes.
More Related Videos
04:20Author Spotlight: Exploring Microglial Interactions with Stress-Response Circuitry Using the Limited Bedding and Nesting Model
Published on: July 12, 2024
07:36Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
Published on: November 20, 2015
Related Concept Videos
Socioemotional Development during Infancy
Primary Temperament Types
Relationship with Parents: Attachment
Teratogenicity
Attachment
Development of Immunocompetence
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
Relationship with Other Adult Family Members and Siblings