Violence before pregnancy and the risk of violence during pregnancy

Author:

Globevnik Velikonja Vislava1,Lučovnik Miha2,Premru Sršen Tanja2,Leskošek Vesna3,Krajnc Megie1,Pavše Lucija1,Verdenik Ivan2,Tul Natasa2,Blickstein Isaac4

Affiliation:

1. Department of Perinatology, Clinical Psychology Service, Division of Obstetrics and Gynecology , University Medical Centre , Ljubljana , Slovenia

2. Department of Perinatology, Division of Obstetrics and Gynecology , University Medical Centre , Ljubljana , Slovenia

3. Faculty of Social Sciences , University of Ljubljana , Ljubljana , Slovenia

4. Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot – 76100 , Israel affiliated with the Hadassah-Hebrew University school of Medicine , Jerusalem , Israel , Tel.: + 972-545-201789, Fax: + 972-89411944

Abstract

Abstract Objective: To investigate the relationships among different forms of violence before and during pregnancy. Material and methods: An anonymous questionnaire (adapted NorAQ) was given to 1269 women after childbirth. Results: The response rate was 80% (n=1018). Different forms of violence were experienced by 46.9% of the women; 9.2% reported violence in pregnancy. Suffering from the consequences of violence was reported by 43.8% of the women; sexual (76.6%) and psychological (54.1%) ranked the highest. Past experience of any form of violence increased the risk of violence in pregnancy, violences experienced in adulthood even more than that in childhood [odds ratio (OR) 4.2, 95% confidence interval (CI) 2.7–6.5 vs. OR 1.9, 95% CI 1.2–2.9]. The onset of violence during pregnancy is rare. Violence was most frequently exerted by the intimate partner. Conclusion: Healthcare systems have access to most women of reproductive age, thus they have the unique opportunity to identify and adequately manage violence against women and its consequences.

Publisher

Walter de Gruyter GmbH

Subject

Obstetrics and Gynaecology,Pediatrics, Perinatology, and Child Health

Reference16 articles.

1. Amaro H, Fried LE, Cabral H, Zuckerman B. Violence during pregnancy and substance use. Am J Public Health. 1990;80:575–9.

2. Mezey GC, Bewley S. Domestic violence and pregnancy. Risk is greatest after delivery. Br Med J.1997;314:1295.

3. Widding Hedin L, Janson PO. Domestic violence during pregnancy. The prevalence of physical injuries, substance use, abortions and miscarriages. Acta Obstet Gynecol Scand. 2000;79:625–630.

4. Bacchus L, Mezey G, Bewley S. Domestic violence: prevalence in pregnant women and associations with physical and psychological health. Eur J Obstet Gynecol Reprod Biol. 2004;113:6–11.

5. Intimate partner violence. Committee opinion No 518. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2012;119–412.

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