Centre for Public Health Research (Inequality Health Area), Valencia, Spain.
J Urban Health. 2012 Oct;89(5):861-71. doi: 10.1007/s11524-012-9714-6.
The aim of this study was to determine if the effects of intimate partner violence (IPV) in the previous 12 months (current IPV) on newborn's health, pregnancy outcomes and couple's reproductive behaviours were different for postpartum (PP) women as compared to women who had undergone an elective abortion (EA) in Trieste (Italy). This study is part of an unmatched case-control study. The major findings are that current IPV was positively associated with previous stillbirth among both groups of women, but the association was only marginally significant. Among EA women only, current IPV was significantly associated with previous miscarriages (adjusted odds ratio, 2.41; 95 %CI, 1.13-5.14). In both groups of women, current IPV was associated with a lack of joint couple decision making about contraception; however, the magnitude of this effect was higher among PP women. This study reveals that IPV was associated with poor obstetrical history among both groups of women. But the associations of current IPV with previous EA and couple reproductive behaviours were stronger among PP women.
本研究旨在确定与过去 12 个月（当前 IPV）中亲密伴侣暴力（IPV）相比，在意大利的里雅斯特进行选择性人工流产（EA）的女性与产后（PP）女性的新生儿健康、妊娠结局和夫妇生殖行为是否存在差异。本研究是一项不匹配的病例对照研究。主要发现是当前的 IPV 与两组女性的先前死产都呈正相关，但相关性仅略有显著。仅在 EA 女性中，当前的 IPV 与先前的流产显著相关（调整后的优势比，2.41；95%CI，1.13-5.14）。在两组女性中，当前的 IPV 与避孕的夫妻联合决策缺乏有关；然而，这种影响在 PP 女性中更为显著。本研究表明，两组女性的 IPV 都与不良的产科史有关。但当前 IPV 与之前的 EA 和夫妇生殖行为的关联在 PP 女性中更强。
