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.
Abstract

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