Ellis Kathleen K, Chang Chiunghsin, Bhandari Shreya, Ball Katharine, Geden Elizabeth, Everett Kevin D, Bullock Linda
Sinclair School of Nursing, University of Missouri-Columbia, Columbia, MO 65211, USA.
J Midwifery Womens Health. 2008 Nov-Dec;53(6):556-62. doi: 10.1016/j.jmwh.2008.05.012.
Pregnancy and the postpartum period is a time of great physical, psychological, and emotional upheaval. Women who experience intimate partner violence experience more depression and anxiety and a higher risk of adverse pregnancy outcomes (such as those related to the abuse). While the literature supports the presence of increased health care utilization for abused women, there is little information on the way that these mothers seek medical care for their infants. This secondary analysis is part of a larger study on smoking cessation in low-income, rural pregnant women called Baby Behavioral Education Enhancement of Pregnancy (Baby BEEP). Women (N = 616) were classified as abused or not abused based on their answers to the Abuse Assessment Screen. At 6 weeks postdelivery, each woman was asked, "Has your baby had any problems that you talked to the doctor or nurse about?" The abused women (n = 211) sought health care advice significantly more often than the nonabused women (n = 405; Pearson chi(2) = 4.89; P = .027). Stress scores were elevated for all women in the study, but women categorized as abused experienced significantly more stress (P < .001).
怀孕和产后时期是身体、心理和情绪发生巨大动荡的时期。遭受亲密伴侣暴力的女性更容易出现抑郁和焦虑，且不良妊娠结局（如与虐待相关的结局）的风险更高。虽然文献表明受虐妇女的医疗保健利用率有所增加，但关于这些母亲为其婴儿寻求医疗护理的方式的信息却很少。这项二次分析是一项关于低收入农村孕妇戒烟的更大规模研究的一部分，该研究名为“孕期婴儿行为教育强化”（Baby BEEP）。根据她们对虐待评估筛查的回答，将女性（N = 616）分为受虐或未受虐两类。在产后6周时，每位女性被问到：“您的宝宝是否有任何您与医生或护士谈论过的问题？”受虐女性（n = 211）比未受虐女性（n = 405；Pearson卡方检验χ(2) = 4.89；P = .027）更频繁地寻求医疗保健建议。研究中所有女性的压力得分都有所升高，但被归类为受虐的女性经历的压力明显更大（P < .001）。
