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The Effects of Intimate Partner Violence Before, During, and After Pregnancy in Nurse Visited First Time Mothers

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Abstract

To determine the prevalence of intimate partner violence (IPV) before, during and after pregnancy in a national sample of women enrolled in the Nurse Family Partnership (NFP); and, to determine correlates of IPV exposure. Clients enrolled in the NFP between 2002 and 2005 were selected. Data were extracted from NFP client encounter forms including demographic, health habits, family and relationships, and maternal and infant health information. IPV was measured by self-report and assessed during three time periods: 12 months prior to enrollment into the NFP program; during pregnancy up to 36 weeks; and, 12 months since the infant’s birth. Multiple imputation methods were used to account for missing data; univariate, and multivariate analyses were conducted to determine characteristics of IPV exposure over time. IPV in the 12 months prior to pregnancy and at NFP enrollment was 8.1% (95% CI: 5.8–11.2%); 4.7% (4.3.0–5.1%) of women reported IPV during the first 36 weeks of their pregnancy; and, 12.4% (8.5–17.6%) of women reported IPV in the 12 months following delivery. Several IPV correlates were noted, including relationship status (having a partner before and after pregnancy, p < 0.001, p = 0.023, respectively), and maternal health and habits such as smoking (before, during and after pregnancy, p < 0.001, p < 0.001, p = 0.001, respectively). In longitudinal follow-up, reduced use of contraception following the birth of her infant, and rapid repeat pregnancy were significantly associated with IPV exposure. For NFP visited mothers, IPV prevalence is lowest during pregnancy, compared to periods before and after pregnancy. IPV had no demonstrable effect on perinatal outcomes such as gestational age, and birth weight; however, IPV was associated with lower rates of contraceptive use and higher rates of rapid repeat pregnancy in longitudinal follow-up.

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References

  1. Beydoun, H. A., Beydoun, M. A., & Tamim, H. (2010). Intimate partner violence as a risk factor for postpartum depression among Canadian women in the maternity experience survey. Annals of Epidemiology, 20(8), 575–583.

    Article  PubMed  Google Scholar 

  2. Brown, S. J., & Krastev, A. H. (2008). Fear of an intimate partner and women’s health in early pregnancy: Findings from the maternal health study. Birth, 35(4), 293–302.

    Article  PubMed  Google Scholar 

  3. Coker, A. L. (2007). Does physical intimate partner violence affect sexual health? A systematic review. Trauma Violence Abuse, 8(2), 149–177.

    Article  PubMed  Google Scholar 

  4. Hayes, D. K., Hurwitz, E. L., Mitchell-Box, K. M., & Fuddy, L. J. (2010). Disparities in self-reported postpartum depression among Asian, Hawaiian, and Pacific Islander women in Hawaii: Pregnancy risk assessment monitoring system (PRAMS), 2004–2007. Maternal Child Health Journal, 14(5), 765–773.

    Article  Google Scholar 

  5. Rose, L., Alhusen, J., Bhandari, S., Soeken, K., Marcantonio, K., Bullock, L., & Sharps, P. (2010). Impact of intimate partner violence on pregnant women’s health: mental distress and mental strength. Issues Mental Health Nursing, 31(2), 103–111.

    Google Scholar 

  6. Sarkarr, N. (2008). The impact of intimate partner violence on women’s reproductive health and pregnancy outcome. Journal Obstetrics Gynaecology, 28(3), 266–271.

    Article  Google Scholar 

  7. Silverman, J. G., Decker, M. R., Reed, E., & Raj, A. (2006). Intimate partner violence victimization prior to an during pregnancy among women residing in 25 U.S. states: Associations with maternal and infant health. American Journal Obstetrics Gynecology, 195, 140–148.

    Article  Google Scholar 

  8. Keily, M., El-Mohandes, A. A. E., & El-Khorazaty, M. N. (2010). An integrated intervention to reduce intimate partner violence in pregnancy. A randomized controlled trial. Obstetetrics Gynecology, 115, 273–283.

    Article  Google Scholar 

  9. Gunter, J. (2007). Intimate partner violence. Obstetrics Gynecology Clinics North America, 34, 367–388.

    Article  Google Scholar 

  10. Chu, S. Y., Goodwin, M. M., & D’Angelo, D. V. (2010). Physical violence against U.S. women around the time of pregnancy, 2004–2007. American Journal Preventive Medicine, 38, 317–322.

    Article  Google Scholar 

  11. Saltzman, L. E., Johnson, C. H., Colley Gilbert, B., & Goodwin, M. M. (2003). Physical abuse around the time of pregnancy: An examination of prevalence and risk factors in 16 states. Maternal Child Health Journal, 7, 96–98.

    Article  Google Scholar 

  12. Martin, S. L., Mackle, L., Kupper, L. L., Buescher, P. A., & Moracco, K. E. (2001). Physical abuse of women before, during and after pregnancy. Journal American Medical Association, 285, 1581–1584.

    Article  CAS  Google Scholar 

  13. CDC National Center for Prevention and Control. (2010). Intimate Partner Violence: Fact sheet, 2006. Available at www.cdc.gov/violenceprevention/pdf/ipv-factsheet-a.pdf. Retrieved October 12, 2010.

  14. Gartland, D., Hemphill, S. A., Hegarty, K., & Brown, S. J. (2011). Intimate partner violence during pregnancy and the first year postpartum in an Australian pregnancy cohort study. Maternal Child Health, 15(5), 570–578.

    Google Scholar 

  15. Pave, J., Alvarez, J., Baum Rind, N., Indene, M., & Kimberling, R. (2007). Intimate partner violence and housing instability. American Journal Preventive Medicine, 32, 143–146.

    Article  Google Scholar 

  16. Raghavan, C., Rajah, V., Gentile, K., Collado, L., & Kavanagh, A. M. (2009). Community violence, social support networks, ethnic group differences, and male perpetration of intimate partner violence. Journal Interpersonal Violence, 24, 1615–1632.

    Article  Google Scholar 

  17. Stueve, A., & O’Donnell, L. (2008). Urban young women’s experiences of discrimination and community violence and intimate partner violence. Journal Urban Health, 85, 386–401.

    Article  Google Scholar 

  18. Rosen, D., Seng, J. S., Tolman, R. M., & Mallinger, G. (2007). Intimate partner violence, depression, and posttraumatic stress disorder as additional predictors of low birth weight infants among low-income mothers. Journal Interpersonal Violence, 22(10), 1305–1314.

    Article  Google Scholar 

  19. Ludermir, A. B., Lewis, G., Valongueiro, S. A., de Araujo, T. V., & Araya, R. (2010). Violence against women by their intimate partner during pregnancy and postnatal depression: A prospective cohort study. Lancet, 376, 903–910.

    Article  PubMed  Google Scholar 

  20. El-Mohandes, A. A., Kiely, M., Gantz, M. G., & El-Khorazaty, M. N. (2011). Very preterm birth is reduced in women receiving an integrated behavioral intervention: A randomized controlled trial. Maternal Child Health Journal, 15(1), 19–28.

    Article  Google Scholar 

  21. Moraes, C. L., Amorim, A. R., & Reichenheim, M. E. (2006). Gestational weight gain differentials in the presence of intimate partner violence. International Journal Gynaecology Obstetrics, 95(3), 254–260.

    Article  CAS  Google Scholar 

  22. Devries, K. M., Kishor, S., Johnson, H., Stöckl, H., Bacchus, L. J., Garcia-Moreno, C., et al. (2010). Intimate partner violence during pregnancy: Analysis of prevalence data from 19 countries. Reproductive Health Matters, 18(36), 158–170.

    Article  PubMed  Google Scholar 

  23. Macy, R. J., Martin, S. L., Kupper, L. L., Casanueva, C., & Guo, S. (2007). Partner violence among women before, during, and after pregnancy: Multiple opportunities for intervention. Women’s Health Issues, 17(5), 290–299.

    Article  PubMed  Google Scholar 

  24. Kan, M. L., & Feinberk, M. E. (2010). Measurement and correlates of intimate partner violence among expectant first time parents. Violence Victims, 25(3), 319–331.

    Article  Google Scholar 

  25. Kitzman, H., Olds, D. L., Henderson, C. R., Jr., Hanks, C., Cole, R., Tatelbaum, R., et al. (1997). Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing. A randomized controlled trial. Journal American Medical Association, 278(8), 644–652.

    Article  CAS  Google Scholar 

  26. Olds, D., Henderson, C. R., Jr., Cole, R., Eckenrode, J., Kitzman, H., Luckey, H., et al. (1998). Long-term effects of nurse home visitation on children’s criminal and antisocial behavior: 15-year follow-up of a randomized controlled trial. Journal American Medical Association, 280(14), 1238–1244.

    Article  CAS  Google Scholar 

  27. Kitzman, H., Olds, D. L., Sidora, K., Henderson, C. R., Hanks, C., et al. (2000). Enduring effects of nurse home visitation on maternal life course: A three year follow-up of a randomized trial. Journal American Medical Association, 283, 1983–1989.

    Article  CAS  Google Scholar 

  28. Olds, D. L. (2002). Prenatal and infancy home visiting by nurses: From randomized trials to community replication. Prevention Science, 3(3), 153–172.

    Article  PubMed  Google Scholar 

  29. Olds, D. L., Kitzman, H., Cole, R., Robinson, J., Sidora, K., et al. (2004). Effects of nurse home-visiting on maternal life course and child development: Age 6 follow-up results of a randomized trial. Pediatrics, 114(6), 1550–1559.

    Article  PubMed  Google Scholar 

  30. Chaffin, M. (2004). Is it time to rethink healthy start/healthy families? Child Abuse and Neglect, 28, 589–595.

    Article  PubMed  Google Scholar 

  31. Bilukha, O., Hahn, R. A., Crosby, A., Fullilove, M. T., Liberman, A., Moscicki, E., Snyder, S., Tuma, F., Corso, P., Schofield, A., Briss, P. A.; & Task Force on Community Preventive Services. (2005). The effectiveness of early childhood home visitation in preventing violence: A systematic review. American Journal Preventive Medicine, 28(2S1), 11–39.

    Google Scholar 

  32. Bair-Merritt, M. H., Jennings, J. M., Chen, R., Burrell, L., MacFarlane, E., Fuddy, L., & Duggan, A. K. (2010). Reducing maternal intimate partner violence after the birth of a child. A randomized controlled trial of the Hawaii healthy start home visitation program. Archives Pediatric Adolescent Medicine, 164, 16–23.

    Google Scholar 

  33. Eckenrode, J., Ganzel, B., Henderson, C. R., Smith, E., Olds, D. L., Powers, J., et al. (2000). Preventing child abuse and neglect with a program of nurse home visitation: The limiting effects of domestic violence. Journal American Medical Association, 284, 1385–1391.

    Article  CAS  Google Scholar 

  34. Olds, D., Henderson, C., Chamberlin, R., & Tatelbaum, R. (1986). Preventing child abuse and neglect: A randomized trial of nurse home visitation. Pediatrics, 78, 65–78.

    PubMed  CAS  Google Scholar 

  35. MacMillan, H. L., Thomas, B. H., Walsh, C. A., Boyle, M. H., Shannon, H. S., & Gafni, A. (2005). Effectiveness of home visitation by public health nurses in the prevention of the recurrence of child physical abuse and neglect: A randomised controlled trial. Lancet, 365, 1786–1793.

    Article  PubMed  Google Scholar 

  36. McFarlane, J., Parker, B., Soeken, K., & Bullock, L. (1992). Assessing for abuse during pregnancy. Journal American Medical Association, 267, 3176–3178.

    Article  CAS  Google Scholar 

  37. Rabin, R. F., Jennings, J. M., Campbell, J. C., & Bair-Merritt, M. H. (2009). Intimate partner violence screening tools: A systematic review. American Journal Preventive Medicine, 36, 439–445.

    Article  Google Scholar 

  38. Berwick, D. M., Murphy, J. M., Goldman, P. A., Ware, J. E., Barsky, A. J., & Weinstein, M. C. (1991). Performance of a five-item mental health screening test. Medical Care, 29(2), 169–176.

    Article  PubMed  CAS  Google Scholar 

  39. Fleishman, J. A. (1984). Personality characteristics and coping patterns. Journal Health Social Behavior, 25(2), 229–244.

    Article  Google Scholar 

  40. Devries, K. M., Kishor, S., Johnson, H., Stockl, H., Bacchus, L. J., Garcia-Moreno, C., et al. (2010). Intimate partner violence during pregnancy: Analysis of prevalence data from 19 countries. Reproductive Health Matters, 18(36), 158–170.

    Article  PubMed  Google Scholar 

  41. Vatnar, S. K., & Bjorkly, S. (2010). Does it make any difference if she is a mother? An interactional perspective on intimate partner violence with a focus on motherhood and pregnancy. Journal of Interpersonal Violence, 25(1), 94–110.

    Article  PubMed  Google Scholar 

  42. Taylor, R., & Nabors, E. L. (2009). Pink or blue … black and blue? Examining pregnancy as a predictor of intimate partner violence and femicide. Violence Against Women, 15(11), 1273–1293.

    Article  PubMed  Google Scholar 

  43. O’Reilly, R., Beale, B., & Gilles, D. (2010). Screening and intervention for domestic violence during pregnancy care: A systematic review. Trauma, Violence & Abuse, 11(4), 190–201.

    Google Scholar 

  44. Chambliss, L. R. (2008). Intimate partner violence and its implications for pregnancy. Clinical Obstetrics and Gynecology, 51(2), 385–397.

    Article  PubMed  Google Scholar 

  45. Shah, P. S., & Shah, J. (2010). Maternal exposure to domestic violence and pregnancy and birth outcomes: A systematic review and meta-analyses. Journal of Women’s Health, 19(11), 2017–2031.

    Article  PubMed  Google Scholar 

  46. Williams, C. M., Larsen, U., & McCloskey, L. A. (2008). Intimate partner violence and women’s contraceptive use. Violence Against Women, 14(12), 1382–1396.

    Article  PubMed  Google Scholar 

  47. Stephenson, R., Koenig, M. A., Acharya, R., & Roy, T. K. (2008). Domestic violence, contraceptive use, and unwanted pregnancy in rural India. Studies in Family Planning, 39(3), 177–186.

    Article  PubMed  Google Scholar 

  48. Miller, E. (2010). Reproductive coercion: Connecting dots between partner violence and unintended pregnancy. Contraception, 81, 457–459.

    Article  PubMed  Google Scholar 

  49. Miller, E., Decker, M. R., McCauley, H. L., Tancredi, D. J., Levenson, R. R., Waldman, J., et al. (2010). Pregnancy coercion, intimate partner violence, and unintended pregnancy. Contraception, 81, 316–322.

    Article  PubMed  Google Scholar 

  50. Thiel de Bocanegra, H., Rostovtseva, D. P., Khera, S., & Godhwani, N. (2010). Birth control sabotage and forced sex: Experiences reported by women in domestic violence shelters. Violence Against Women, 16(5), 601–612.

    Google Scholar 

  51. Miller, E., Decker, M. R., McCauley, H. L., Tancredi, D. J., Levenson, R. R., Waldman, J., et al. (2011). A family planning clinic partner violence intervention to reduce risk associated with reproductive coercion. Contraception, 83, 274–280.

    Article  PubMed  Google Scholar 

  52. Ludemir, A. B., Lewis, G., Valongueiro, S. A., de Araujo, T. V., & Araya, R. (2010). Violence against women by their intimate partner during pregnancy and postnatal depression: A prospective cohort study. Lancet, 376(9744), 903–910.

    Article  Google Scholar 

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Acknowledgments

The NFP IPV Research Team includes the following additional individuals: Jeff Coben, West Virginia University; Pilar Baca, Francesca Pinto, Ruth O’Brien, Mariarosa Gasbarro, and David Olds, University of Colorado; Marilyn Ford-Gilboe and Nadine Wathen, University of Western Ontario, Harriet MacMillan, Susan Jack, McMaster University; and, Diane McNaughton, Rush University. This research was supported in part by a grant 5R49CE001170 from the National Center for Injury Prevention and Control, CDC. Contents are solely the responsibility of the authors and do not represent official views of the CDC. We thank Ellen Jameson for her assistance in the initial data management.

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Authors and Affiliations

  1. Department of Pediatrics, The Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA, USA

    Philip V. Scribano

  2. Department of Pediatrics, Nationwide Children’s Hospital, Columbus, OH, USA

    Jack Stevens

  3. The Ohio State University, Columbus, OH, USA

    Jack Stevens & Elly Kaizar

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  1. Philip V. Scribano
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Correspondence to Philip V. Scribano.

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Scribano, P.V., Stevens, J., Kaizar, E. et al. The Effects of Intimate Partner Violence Before, During, and After Pregnancy in Nurse Visited First Time Mothers. Matern Child Health J 17, 307–318 (2013). https://doi.org/10.1007/s10995-012-0986-y

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