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Violencia doméstica durante la gravidez, riesgo de bajo peso al nacer y complicaciones maternales: un estudio con una cohorte prospectiva en el Hospital de Mulago, en Uganda
Author(s) -
Kaye Dan K.,
Mirembe Florence M.,
Bantebya Grace,
Johansson Annika,
Ekstrom Anna Mia
Publication year - 2006
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2006.01711.x
Subject(s) - medicine , pregnancy , obstetrics , prospective cohort study , relative risk , cohort study , antepartum haemorrhage , antepartum hemorrhage , risk factor , low birth weight , premature rupture of membranes , cohort , logistic regression , gynecology , gestational age , gestation , confidence interval , surgery , genetics , biology
Summary Objectives To investigate whether domestic violence during pregnancy is a risk factor for antepartum hospitalization or low birthweight (LBW) delivery. Methods A prospective cohort study was conducted in Mulago hospital, Kampala, Uganda, among 612 women recruited in the second pregnancy trimester and followed up to delivery, from May 2004 through July 2005. The exposure (physical, sexual or psychological violence during pregnancy) was assessed using the Abuse Assessment Screen. The relative and attributable risks of LBW and antepartum hospitalization were estimated using multivariate logistic regression analysis. Results The 169 women [27.7% 95% CI (24.3–31.5%)] who reported domestic violence during pregnancy did not differ significantly from the unexposed regarding sociodemographic characteristics, but differed significantly ( P < 0.05) regarding domicile variables (had less household decision‐making power, more resided in extended families and more had unplanned pregnancy). They delivered babies with a mean birthweight 2647.5 ± 604 g, on average 186 g [(95% CI 76–296); P = 0.001] lower than those unexposed. After adjusting for age, parity, number of living children, pregnancy planning, domicile and number of years in marriage, the relative risk (RR) of LBW delivery among women exposed to domestic violence was 3.78 (95% CI 2.86–5.00). Such women had a 37% higher risk of obstetric complications (such as hypertension, premature rupture of membranes and anaemia) that necessitated antepartum hospitalization [RR 1.37 (95% CI 1.01–1.84)]. Conclusion In this pregnancy cohort, domestic violence during pregnancy was a risk factor for LBW delivery and antepartum hospitalization.