Acta obstetricia et gynecologica Scandinavica · 2010
Childhood abuse and later worries about the baby's health in pregnancy.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Eide Jorid, Hovengen Ragnhild, Nordhagen Rannveig
Аннотация
OBJECTIVE: to explore the associations between sexual and/or physical abuse in childhood and worries about the baby's health in pregnancy.
DESIGN: cross-sectional questionnaire study. Setting. Norwegian prospective pregnancy cohort.
SAMPLE: an original sample of 58,139 pregnancies (1999-2006) covering about 43% of the pregnant population.
METHODS: two self-reported questionnaires in the 17th and 30th week of gestation were merged with data from the Medical Birth Registry of Norway. Associations between physical and/or sexual childhood abuse and worries about the baby's health were assessed with multiple logistic regression analyses.
MAIN OUTCOME MEASURES: strong worries about the baby's health in the 30th week of gestation among women with experience of childhood abuse.
RESULTS: women who reported being exposed to physical or sexual childhood abuse or a combination of the two were at increased risk of strong worries about the baby's health compared to women who had not been similarly exposed (adjusted odds ratio (OR) = 1.62, 95% confidence interval (CI) 1.26-2.08; adjusted OR = 1.30, 95% CI 1.03-1.64; adjusted OR = 2.10, 95% CI 1.68-2.62, respectively). Marital status, adult abuse, pelvic pain, quality of antenatal care, self-efficacy and previous birth experiences were also associated with concern about the baby's health.
CONCLUSIONS: there were significant associations between physical and/or sexual childhood abuse and strong concern about the baby's health. Worries about the baby's health are complex and associated with many elements of risk.
DESIGN: cross-sectional questionnaire study. Setting. Norwegian prospective pregnancy cohort.
SAMPLE: an original sample of 58,139 pregnancies (1999-2006) covering about 43% of the pregnant population.
METHODS: two self-reported questionnaires in the 17th and 30th week of gestation were merged with data from the Medical Birth Registry of Norway. Associations between physical and/or sexual childhood abuse and worries about the baby's health were assessed with multiple logistic regression analyses.
MAIN OUTCOME MEASURES: strong worries about the baby's health in the 30th week of gestation among women with experience of childhood abuse.
RESULTS: women who reported being exposed to physical or sexual childhood abuse or a combination of the two were at increased risk of strong worries about the baby's health compared to women who had not been similarly exposed (adjusted odds ratio (OR) = 1.62, 95% confidence interval (CI) 1.26-2.08; adjusted OR = 1.30, 95% CI 1.03-1.64; adjusted OR = 2.10, 95% CI 1.68-2.62, respectively). Marital status, adult abuse, pelvic pain, quality of antenatal care, self-efficacy and previous birth experiences were also associated with concern about the baby's health.
CONCLUSIONS: there were significant associations between physical and/or sexual childhood abuse and strong concern about the baby's health. Worries about the baby's health are complex and associated with many elements of risk.