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16/03/2016

Domestic Violence During Pregnancy 'Increases Risk Of Preterm Birth'

Domestic violence during pregnancy can increase the risk of preterm birth, low birth weight and small-for-gestational-age babies, according to new research.

The study, which has been published in BJOG: An International Journal of Obstetrics and Gynaecology (BJOG), involved a team from the University of Iowa looking at 50 studies into the effects domestic violence by a partner, or ex-partner, has on the risk of preterm birth, low birth weight and small-for-gestational-age babies.

The studies looked at more than five million women from 17 countries, 15,000 of whom had experienced domestic violence.

It was found that domestic violence doubled the risk of preterm birth and low birth weight, but the risk was even higher for women who experienced two – or more – types of domestic violence during their pregnancy.

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In addition, while there were fewer studies looking into the effect of domestic violence by a partner or ex-partner on the baby being small-for-gestational-age, the results also indicated a small, but increased risk.

Audrey Saftlas, lead author and Professor in Epidemiology at the University of Iowa, commented: "Domestic violence by a partner or ex-partner is of particular concern during pregnancy when not one, but two lives are at risk.

"Although rates of domestic violence differ across the world, the detrimental effects of abuse on pregnant women are very clear and we must continue to establish effective interventions globally in order to prevent violence and to support women who report abuse."

Professor John Thorp, Deputy Editor-in-chief of BJOG, added: "This is a strong study bringing together data from around the world.

"While it provides robust evidence about the association between domestic violence by a partner or ex-partner, violence during pregnancy and adverse infant outcomes, further research is needed to understand the biological mechanism behind this link, as well as addressing the effectiveness of interventions to prevent domestic violence during pregnancy."

Domestic violence by a partner or ex-partner is one of the most common forms of violence against women and includes physical, sexual, financial, psychological or emotional abuse. During pregnancy, domestic violence can directly affect the growing fetus, whether through physical or sexual trauma, or indirectly due to increased maternal stress, inadequate nutrition and poor prenatal care.

(JP/MH)

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"Domestic violence during pregnancy can increase the risk of preterm birth, low birth weight and small-for-gestational-age babies, according to new research."