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- W2020185184 abstract "To evaluate the association between intimate partner violence (IPV) by type experienced (sexual, physical, or stalking) and third trimester bleeding, preeclampsia, and preterm labor (PTL). This is a cross-sectional study of parous women in the Kentucky Women′s Health Registry who indicated a history of IPV (n=3331). Adverse pregnancy outcomes were identified from a self-report questionnaire. Multivariate analysis controlled for age, education, race, and gravidity. A history of any IPV was associated with increased risk of third trimester bleeding (aRR 1.8; 95% CI 1.3 – 2.4), preeclampsia (1.5; 1.2 – 1.8), and PTL (1.5; 1.2 – 1.8). Sexual IPV with or without other types of IPV (stalking or physical) was more strongly associated with third trimester bleeding (2.8; 1.8-4.3), preeclampsia (1.4; 1.1-1.9), and PTL (1.7; 1.3-2.2) than were other forms of IPV. Physical IPV yet no sexual IPV was associated with bleeding (1.8; 1.2-2.8) and PTL (1.4; 1.1-1.8) but not preeclampsia (1.2; 0.9-1.6). Stalking by an intimate partner without sexual or physical IPV was associated with preeclampsia (1.4; 1.1-2.0) but not bleeding (1.3; 0.7-2.5) or PTL (1.2; 0.9-1.8). These data suggest different mechanisms by which varying types of IPV influence maternal complications. The trauma and psychological stress from physical or sexual IPV may differentially affect risk of bleeding and PTL. Partner stalking may affect preeclampsia risk through psychosocial stress levels. IPV is known to be associated with adverse pregnancy outcomes such as perinatal death and low birth weight neonates. This cross-sectional study shows significant associations between a history of intimate partner violence with preeclampsia, PTL, and third trimester bleeding, yet we cannot comment on whether the abuse was antecedent to the pregnancy outcomes. Our data highlight the need to screen for IPV among pregnant women and, when found, provide surveillance for a spectrum of adverse outcomes." @default.
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- W2020185184 date "2008-12-01" @default.
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- W2020185184 title "378: Intimate partner violence and adverse pregnancy outcomes" @default.
- W2020185184 doi "https://doi.org/10.1016/j.ajog.2008.09.406" @default.
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