Factors Associated with Physical Aggression in Pregnant Women and Adverse Outcomes for the Newborn

Objective: To assess the socioeconomic, demographic, and reproductive factors associated with physical aggression during pregnancy, and the negative outcomes for the newborn in two groups of women: adolescents and young adults. Method: Cross-sectional study with a sample of 8,961 mothers who were ad...

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Main Authors: Elaine Fernandes Viellas, Silvana Granado Nogueira da Gama, Márcia Lazaro de Carvalho, Liana Wernersbach Pinto
Format: Article
Language:Portuguese
Published: Brazilian Society of Pediatrics 2013-01-01
Series:Jornal de Pediatria (Versão em Português)
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2255553613000141
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author Elaine Fernandes Viellas
Silvana Granado Nogueira da Gama
Márcia Lazaro de Carvalho
Liana Wernersbach Pinto
author_facet Elaine Fernandes Viellas
Silvana Granado Nogueira da Gama
Márcia Lazaro de Carvalho
Liana Wernersbach Pinto
author_sort Elaine Fernandes Viellas
collection DOAJ
description Objective: To assess the socioeconomic, demographic, and reproductive factors associated with physical aggression during pregnancy, and the negative outcomes for the newborn in two groups of women: adolescents and young adults. Method: Cross-sectional study with a sample of 8,961 mothers who were admitted to hospitals of the city of Rio de Janeiro during delivery. To test the hypothesis of homogeneity of proportions, the chi-squared test was used. Odds ratio and confidence intervals were estimated using logistic regression. Results: 5.0% of the adolescents and 2.5% of the young adult women suffered physical violence during pregnancy. In both groups, the variables associated with physical abuse were lower educational level, lower support from the child's father, and more attempts to interrupt the pregnancy. The increase in alcohol consumption was associated with physical abuse only in the group of adolescents; illicit drug use was only associated with physical abuse in young adults. The children of abused mothers had a two-fold increased chance of neonatal death, and a three-fold increased chance of post-neonatal death. Conversely, good quality prenatal care reduced the chance of physical aggression during pregnancy. Conclusions: The results emphasize the increased chance of neonatal and post-neonatal mortality among children of victims of physical abuse during pregnancy, and indicate the importance of prenatal care to identify women at higher risk of suffering aggression, the appropriate time to provide measures of protection and care for mother and baby.
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spelling doaj.art-4ef1ff4325b44e3cb47ef27f8b7feaaa2022-12-22T03:23:31ZporBrazilian Society of PediatricsJornal de Pediatria (Versão em Português)2255-55362013-01-01891839010.1016/j.jpedp.2012.08.009Factors Associated with Physical Aggression in Pregnant Women and Adverse Outcomes for the NewbornElaine Fernandes ViellasSilvana Granado Nogueira da GamaMárcia Lazaro de CarvalhoLiana Wernersbach PintoObjective: To assess the socioeconomic, demographic, and reproductive factors associated with physical aggression during pregnancy, and the negative outcomes for the newborn in two groups of women: adolescents and young adults. Method: Cross-sectional study with a sample of 8,961 mothers who were admitted to hospitals of the city of Rio de Janeiro during delivery. To test the hypothesis of homogeneity of proportions, the chi-squared test was used. Odds ratio and confidence intervals were estimated using logistic regression. Results: 5.0% of the adolescents and 2.5% of the young adult women suffered physical violence during pregnancy. In both groups, the variables associated with physical abuse were lower educational level, lower support from the child's father, and more attempts to interrupt the pregnancy. The increase in alcohol consumption was associated with physical abuse only in the group of adolescents; illicit drug use was only associated with physical abuse in young adults. The children of abused mothers had a two-fold increased chance of neonatal death, and a three-fold increased chance of post-neonatal death. Conversely, good quality prenatal care reduced the chance of physical aggression during pregnancy. Conclusions: The results emphasize the increased chance of neonatal and post-neonatal mortality among children of victims of physical abuse during pregnancy, and indicate the importance of prenatal care to identify women at higher risk of suffering aggression, the appropriate time to provide measures of protection and care for mother and baby.http://www.sciencedirect.com/science/article/pii/S2255553613000141Violence against pregnant womenTeenage pregnancyInfant mortalityPrenatal care
spellingShingle Elaine Fernandes Viellas
Silvana Granado Nogueira da Gama
Márcia Lazaro de Carvalho
Liana Wernersbach Pinto
Factors Associated with Physical Aggression in Pregnant Women and Adverse Outcomes for the Newborn
Jornal de Pediatria (Versão em Português)
Violence against pregnant women
Teenage pregnancy
Infant mortality
Prenatal care
title Factors Associated with Physical Aggression in Pregnant Women and Adverse Outcomes for the Newborn
title_full Factors Associated with Physical Aggression in Pregnant Women and Adverse Outcomes for the Newborn
title_fullStr Factors Associated with Physical Aggression in Pregnant Women and Adverse Outcomes for the Newborn
title_full_unstemmed Factors Associated with Physical Aggression in Pregnant Women and Adverse Outcomes for the Newborn
title_short Factors Associated with Physical Aggression in Pregnant Women and Adverse Outcomes for the Newborn
title_sort factors associated with physical aggression in pregnant women and adverse outcomes for the newborn
topic Violence against pregnant women
Teenage pregnancy
Infant mortality
Prenatal care
url http://www.sciencedirect.com/science/article/pii/S2255553613000141
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AT marcialazarodecarvalho factorsassociatedwithphysicalaggressioninpregnantwomenandadverseoutcomesforthenewborn
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