Startseite Medizin Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences
Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences

  • Brigitte Leeners EMAIL logo , Werner Rath , Emina Block , Gisela Görres und Sibil Tschudin
Veröffentlicht/Copyright: 14. Dezember 2013

Abstract

Aims: To explore the association between childhood sexual abuse (CSA), physical abuse, as well as other adverse childhood experiences (ACE), and different obstetrical risk factors/behaviors.

Methods: In this cohort study, obstetrical risk factors and perinatal outcome in 85 women exposed to CSA were compared to 170 matched unexposed women. CSA, physical abuse, and ACE were explored by face-to-face interviews and by questionnaire. Data on perinatal outcome were extracted from medical charts. Fisher’s exact, χ2-test, and multiple logistic regression were used for statistical analysis.

Results: During pregnancy women with CSA experiences were significantly more often smoking (31.7%/9.4%; P<0.0001), had partners abusing drugs (10.6%/1.2%; P<0.0005), experienced physical (16.5%/0; P<0.0001), sexual (12.9%/0; P<0.0001), and emotional abuse (44.7%/1.7%; P<0.0001), reported depression (24.7%/1.8%; P<0.0001), and suicidal ideation (10.6%/0; P<0.0001) than women without CSA experiences. Differences in risk factors were more often correlated with physical than with sexual abuse during childhood. The probability for premature delivery was associated with CSA, physical abuse and ACE as well as with several of the risk factors investigated.

Conclusion: Women with CSA, physical, and ACE present with a variety of abuse-associated obstetrical risk factors and an increased risk for premature delivery. Therefore, all types of abusive and other ACE should be considered in prenatal care.


Corresponding author: Brigitte Leeners, Clinic for Reproductive Endocrinology, University Hospital Zurich, Frauenklinikstr. 10, CH 8091 Zurich, Switzerland, Tel.: +41-44-255-50-09, Fax: +41-44-255-43-76, E-mail:

References

[1] Benedict MI, Paine LL, Paine LA, Brandt D, Stallings R. The association of childhood sexual abuse with depressive symptoms during pregnancy, and selected pregnancy outcomes. Child Abuse Negl. 1999;23:659–70.10.1016/S0145-2134(99)00040-XSuche in Google Scholar

[2] Boy A, Salihu HM. Intimate partner violence and birth outcomes: a systematic review. Int J Fertil Womens Med. 2004;49: 159–64.Suche in Google Scholar

[3] Briere J. Child abuse trauma. Theory and Treatment of the lasting effects. London: Sage Publications; 1993.Suche in Google Scholar

[4] Bublitz MH, Stroud LR. Childhood sexual abuse is associated with cortisol awakening response over pregnancy: preliminary findings. Psychoneuroendocrinology. 2012;37:1425–30.10.1016/j.psyneuen.2012.01.009Suche in Google Scholar

[5] Farber EW, Herbert SE, Reviere SL. Childhood abuse and suicidality in obstetrics patients in a hospital-based urban prenatal clinic. Gen Hosp Psychiatry. 1996;18:56–60.10.1016/0163-8343(95)00098-4Suche in Google Scholar

[6] Grimstad H, Backe B, Jacobsen G, Schei B. Abuse history and health risk behaviors in pregnancy. Acta Obstet Gynecol Scand. 1998;77:893–7.Suche in Google Scholar

[7] Grote NK, Bridge JA, Gavin AR, Melville JL, Iyengar S, Katon WJ. A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Arch Gen Psychiatry. 2010;67: 1012–24.10.1001/archgenpsychiatry.2010.111Suche in Google Scholar

[8] Harrison PA, Sidebottom AC. Alcohol and drug use before and during pregnancy: an examination of use patterns and predictors of cessation. Matern Child Health J. 2009;13: 386–94.10.1007/s10995-008-0355-zSuche in Google Scholar

[9] Horrigan TJ, Schroeder AV, Schaffer RM. The triad of substance abuse, violence, and depression are interrelated in pregnancy. J Subst Abuse Treat. 2000;18:55–8.10.1016/S0740-5472(99)00058-6Suche in Google Scholar

[10] Hutchins E, DiPietro J. Psychosocial risk factors associated with cocaine use during pregnancy: a case-control study. Obstet Gynecol. 1997;90:142–7.10.1016/S0029-7844(97)00181-6Suche in Google Scholar

[11] Jacobs JL. Child sexual abuse victimization and later sequellae during pregnancy and childbirth. J Child Sex Abuse. 1992;1:103–112.10.1300/J070v01n01_07Suche in Google Scholar

[12] Kesmodel U, Olsen SF. Smoking habits among pregnant Danish women: reliability of information recorded after delivery. J Epidemiol Community Health. 1999;53:239–42.10.1136/jech.53.4.239Suche in Google Scholar PubMed PubMed Central

[13] La Merrill M, Stein CR, Landrigan P, Engel SM, Savitz DA. Prepregnancy body mass index, smoking during pregnancy, and infant birth weight. Ann Epidemiol. 2011;21: 413–20.10.1016/j.annepidem.2010.11.012Suche in Google Scholar PubMed PubMed Central

[14] Lang AJ, Rodgers CS, Lebeck MM. Associations between maternal childhood maltreatment and psychopathology and aggression during pregnancy and postpartum. Child Abuse Negl. 2006;30:17–25.10.1016/j.chiabu.2005.07.006Suche in Google Scholar

[15] Leeners B, Neumaier-Wagner P, Quarg AF, Rath W. Childhood sexual abuse (CSA) experiences: an underestimated factor in perinatal care. Acta Obstet Gynecol Scand. 2006;85:971–6.10.1080/00016340600626917Suche in Google Scholar

[16] Leeners B, Richter-Appelt H, Imthurn B, Rath W. Influence of childhood sexual abuse on pregnancy, delivery, and the early postpartum period in adult women. J Psychosom Res. 2006;61:139–51.10.1016/j.jpsychores.2005.11.006Suche in Google Scholar

[17] Leeners B, Stiller R, Block E, Gorres G, Rath W. Pregnancy complications in women with childhood sexual abuse experiences. J Psychosom Res. 2010;69:503–10.10.1016/j.jpsychores.2010.04.017Suche in Google Scholar

[18] Leeners B, Stiller R, Block E, Görres G, Rath W, Tschudin S. Prenatal care in adult women exposed to childhood sexual abuse. J Perinat Med. 2013;41:365–74.10.1515/jpm-2011-0086Suche in Google Scholar

[19] McCauley J, Kern DE, Kolodner K, Dill L, Schroeder AF, DeChant HK, et al. Clinical characteristics of women with a history of childhood abuse: unhealed wounds. J Am Med Assoc. 1997;277:1362–8.10.1001/jama.1997.03540410040028Suche in Google Scholar

[20] Mullen PE, Martin JL, Anderson JC, Romans SE, Herbison GP. The long-term impact of the physical, emotional, and sexual abuse of children: a community study. Child Abuse Negl. 1996;20:7–21.10.1016/0145-2134(95)00112-3Suche in Google Scholar

[21] Murphy CC, Schei B, Myhr TL, Du Mont J. Abuse: a risk factor for low birth weight? A systematic review and meta-analysis. CMAJ. 2001;164:1567–72.Suche in Google Scholar

[22] Noll JG, Schulkin J, Trickett PK, Susman EJ, Breech L, Putnam FW. Differential pathways to preterm delivery for sexually abused and comparison women. J Pediatr Psychol. 2007;32:1238–48.10.1093/jpepsy/jsm046Suche in Google Scholar PubMed

[23] Nordentoft M, Lou HC, Hansen D, Nim J, Pryds O, Rubin P, et al., Intrauterine growth retardation and premature delivery: the influence of maternal smoking and psychosocial factors. Am J Public Health. 1996;86:347–54.10.2105/AJPH.86.3.347Suche in Google Scholar PubMed PubMed Central

[24] Rich-Edwards JW, James-Todd T, Mohllajee A, Kleinman K, Burke A, Gillman MW, et al., Lifetime maternal experiences of abuse and risk of pre-natal depression in two demographically distinct populations in Boston. Int J Epidemiol. 2011;40: 375–84.10.1093/ije/dyq247Suche in Google Scholar PubMed PubMed Central

[25] Romano E, Zoccolillo M, Paquette D. Histories of child maltreatment and psychiatric disorder in pregnant adolescents. J Am Acad Child Adolesc Psychiatry. 2006;45:329–36.10.1097/01.chi.0000194563.40418.81Suche in Google Scholar

[26] Romans S, Belaise C, Martin J, Morris E, Raffi A. Childhood abuse and later medical disorders in women. An epidemiological study. Psychother Psychosom. 2002;71:141–50.10.1159/000056281Suche in Google Scholar

[27] Rosen D, Seng JS, Tolman RM, Mallinger G. Intimate partner violence, depression, and posttraumatic stress disorder as additional predictors of low birth weight infants among low-income mothers. J Interpers Violence. 2007;22:1305–14.10.1177/0886260507304551Suche in Google Scholar

[28] Seng JS, Low LK, Sperlich M, Ronis DL, Liberzon I. Post-traumatic stress disorder, child abuse history, birthweight and gestational age: a prospective cohort study. Br J Obstet Gynecol. 2011;118:1329–39.10.1111/j.1471-0528.2011.03071.xSuche in Google Scholar

[29] Simkin P. Women’s long-term perceptions of their first birth experience. Part II. Nature and consistency of women’s long-term memories of their first birth experiences. Birth. 1992;19:64–81.10.1111/j.1523-536X.1992.tb00382.xSuche in Google Scholar

[30] Stevens-Simon C, Kaplan DW, McAnarney ER. Factors associated with preterm delivery among pregnant adolescents. J Adolesc Health. 1993;14:340–2.10.1016/1054-139X(93)90185-RSuche in Google Scholar

[31] Stewart DE, Robinson GE. A review of domestic violence and women’s mental health. Arch Women Ment Health. 1998;1:83–9.10.1007/s007370050010Suche in Google Scholar

[32] Van Der Leder ME, Raskin VD. Psychological sequelae of childhood sexual abuse: relevant in subsequent pregnancy. Am J Obstet Gynecol. 1993;168:1336–7.10.1016/0002-9378(93)90401-4Suche in Google Scholar

[33] Wyatt GE. The sexual abuse of Afro-American and white-American women in childhood. Child Abuse Negl. 1985;9:507–19.10.1016/0145-2134(85)90060-2Suche in Google Scholar

The authors stated that there are no conflicts of interest regarding the publication of this article.

Received: 2013-3-14
Accepted: 2013-10-14
Published Online: 2013-12-14
Published in Print: 2014-3-1

©2014 by Walter de Gruyter Berlin Boston

Artikel in diesem Heft

  1. frontmatter
  2. Review articles
  3. Evaluation of the role of first-trimester obstetric ultrasound in the detection of major anomalies: a systematic review
  4. Austrian Newborn Screening Program: a perspective of five decades
  5. Original articles – Obstetrics
  6. Cervical strain determined by ultrasound elastography and its association with spontaneous preterm delivery
  7. Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences
  8. Peroxisome proliferator-activated receptor-gamma (PPARγ) is down regulated in trophoblast cells of gestational diabetes mellitus (GDM) and in trophoblast tumour cells BeWo in vitro after stimulation with PPARγ agonists
  9. Premature rupture of membranes at term in low risk women: how long should we wait in the “latent phase”?
  10. Ferrous bisglycinate 25 mg iron is as effective as ferrous sulfate 50 mg iron in the prophylaxis of iron deficiency and anemia during pregnancy in a randomized trial
  11. Neonatal serum magnesium concentrations are determined by total maternal dose of magnesium sulfate administered for neuroprotection
  12. Labor induction in nulliparous women with an unfavorable cervix: double balloon catheter versus dinoprostone
  13. Peripartum thromboprophylaxis before and after implementation of a uniform heparin protocol
  14. Original articles – Fetus
  15. Impact of sex on perinatal mortality and morbidity in twins
  16. Opinion paper
  17. Preeclampsia is caused by continuous sympathetic center excitation due to an enlarged pregnant uterus
  18. Original articles – Newborn
  19. Practical application of kangaroo mother care in preterm infants: clinical characteristics and safety of kangaroo mother care
  20. Survival and neonatal morbidity among extremely preterm born infants in relation to gestational age based on the last menstrual period or ultrasonographic examination
  21. Short communication
  22. Reference values of nuchal translucency thickness in a Brazilian population sample: experience from a single center
  23. Letters to the Editor
  24. Hepatic rupture: a rare but serious complication of HELLP syndrome
  25. Reply
  26. Reply to: hepatic rupture – a rare but serious complication of HELLP syndrome
  27. Congress Calendar
  28. Congress Calendar
Heruntergeladen am 14.12.2025 von https://www.degruyterbrill.com/document/doi/10.1515/jpm-2013-0003/html
Button zum nach oben scrollen