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Physical abuse in pregnancy

D E Stewart1, A Cecutti

  • 1Women's Mental Health Program, University of Toronto, Ont.

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|November 1, 1993
PubMed
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Physical abuse affects 6.6% of pregnant women, often increasing during pregnancy. Abused pregnant women experience more distress and feel less control over fetal health, highlighting the need for routine screening.

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Psychology

Background:

  • Physical abuse during pregnancy is a significant public health concern.
  • Understanding the prevalence and characteristics of abuse is crucial for intervention.
  • Late pregnancy abuse rates and associated factors require further investigation.

Purpose of the Study:

  • To determine the prevalence of physical abuse in late pregnancy.
  • To compare demographic, health, and psychologic differences between abused and non-abused pregnant women.
  • To explore attitudes towards fetal health among abused pregnant women.

Main Methods:

  • A survey of 548 pregnant women (≥20 weeks gestation) was conducted using self-report questionnaires.
  • Data were collected from diverse settings including prenatal clinics and hospitals.

Related Experiment Videos

  • The General Health Questionnaire (GHQ) and Fetal Health Locus of Control (FHLC) were utilized.

    • Main Results:

    • 6.6% of women reported abuse during current pregnancy; 10.9% reported prior abuse.
    • Abused pregnant women exhibited higher emotional distress (p < 0.001) and lower perceived control over fetal health (p < 0.001).
    • Key factors associated with abuse included social instability, unhealthy lifestyle, and physical health problems.

    Conclusions:

    • Abused pregnant patients represent a frequently undetected high-risk group.
    • Routine screening for domestic violence in prenatal care is recommended.
    • Identification of abused patients necessitates appropriate counseling and referral.