Impact of domestic violence and drug abuse in pregnancy on maternal attachment and infant temperament in teenage mothers in the setting of best clinical practice Original contribution First Online: 31 May 2005 Received: 02 May 2004 Accepted: 08 December 2004 DOI:
Cite this article as: Quinlivan, J. & Evans, S. Arch Womens Ment Health (2005) 8: 191. doi:10.1007/s00737-005-0079-7 Summary
We examined whether the prenatal detection of family violence and initiation of a comprehensive prenatal individualised care program could ameliorate the impact of family violence on maternal attachment to her infant at 6-months of age. An assessment of domestic violence was established for each subject at the 1
st antenatal visit and women were classified as being exposed to domestic violence in pregnancy (EDV) or as being not exposed to domestic violence. Outcomes were determined 6 months postpartum. Of 173 consecutive women who met the eligibility criteria, consent was obtained from 150 (87% response). Women who had been subjected to domestic violence showed reduced overall attachment scores to their infants. Following multivariate analysis, drug use in pregnancy and domestic violence showed a significant independent effect on maternal attachment. Drug abuse and domestic violence were also associated with an increase in the easy-difficult scale of infant temperament. Thus, despite excellence in prenatal care, drug abuse and domestic violence were associated with poorer maternal attachment and assessment of infant temperament, suggesting that additional interventions are still required. Keywords: Domestic violence; drug abuse; mother to child attachment; toddler temperament; prospective study; pregnancy. References Asling-Monemi, K, Pena, R, Ellsberg, MC, Persson, LA 2003 Violence against women increases the risk of infant and child mortality: a case-referent study in Nicaragua. Bull WHO 81 10 16 PubMed Google Scholar Bensley, L, Van Eenwyk, J, Wynkoop Simmons, K 2003 Childhood family violence history and women’s risk for intimate partner violence and poor health. Am J Preven Med 25 38 44 CrossRef Google Scholar
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