家庭和家庭暴力以及相关的孕产妇和产前期结果:基于人口的回顾性队列研究
Kathleen Marion Baird1,2,3, Hala Phipps1,3, Nasrin Javid2,3
1School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, Australia.
Birth (Berkeley, Calif.)
|August 20, 2024
概括
怀孕期间的家庭暴力 (DFV) 与不良结果有关,包括死产和早产. 识别和支持经历DFV的妇女对于改善母亲和婴儿健康至关重要.
科学领域:
- 公共卫生 公共卫生
- 产科和妇科 产科和妇科
- 围产儿医学 围产儿医学
背景情况:
- 家庭暴力 (DFV) 是一个影响妇女的全球健康问题,怀孕增加了脆弱性.
- 数以百万计的妇女和分娩人员在怀孕期间面临着较高的DFV风险.
研究的目的:
- 为了确定孕妇中DFV的患病率.
- 在这个人群中确定DFV的预测因素.
- 评估DFV作为不利的孕产妇和周产期结果的预测指标.
主要方法:
- 分析来自澳大利亚新南威尔士州 (2010-2019) 两个医院的例行收集数据.
- 人口统计和结果的比较,与没有报告的DFV历史的妇女之间的结果.
- 多变量后勤回归用于识别DFV预测因素及其与不良结果的关联.
主要成果:
- 百分之一的女性 (538/52,469) 在过去一年报告了DFV.
- 经历DFV的女性年轻,有更多的孩子,抑郁症得分更高.
- DFV与死产 (1.5%对0.6%),早产和心理健康问题有关.
结论:
- 在DFV和较差的母亲和婴儿健康结果之间存在显著的关系.
- 与没有DFV的女性相比,患有DFV的女性的死胎率明显高.
- 早期识别和干预DFV对于改善围产期健康至关重要.
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