Garcia Garcia Jordi, Campistol Mas Elena, López-Vilchez María Ángeles, Morcillo Buscato María José, Mur Sierra Antonio
Servicio de Pediatría, Hospital del Mar, España; Universitat Autònoma de Barcelona, Hospital del Mar, Barcelona, España.
Universitat Autònoma de Barcelona, Hospital del Mar, Barcelona, España.
An Pediatr (Engl Ed). 2018 Mar;88(3):150-159. doi: 10.1016/j.anpedi.2017.04.011. Epub 2017 Jun 28.
Foetal abuse is that intentional or negligent act that causes a harmful effect to the foetus. It is a type of abuse difficult to diagnose and handle. Some indicators of suspicion are the absence of gestational control, the maternal consumption of toxic substances, or the problematic maternal social environment.
To analyse the cases of foetal abuse registered in Catalonia between 2011 and 2014 to identify the risk profile.
A cross-sectional descriptive study was conducted on a sample of 222 cases of prenatal abuse registered in Catalonia between 2011 and 2014.
The mean maternal age was 28.11 years, with 63% of Spanish nationality, 76% were unemployed, 60% had not followed correct gestational control, 76% had previous pregnancy interruptions, 20% reported to have been mistreated by the partner, had history of social problems (76% social intervention, 30.5% previous child retention, 13% custody of the mother by the administration, 7% deprivation of liberty), with high rates of mother-to-child transmission of infection (HIV 4.95%, HCV 9%, HIV+HCV co-infection 1.8%), and 73% reported toxic use (in order of frequency, cannabis, cocaine and heroin). In newborns, the rate of prematurity (26.3%) is highlighted, as well as the diagnosis of withdrawal syndrome in 34 cases. Just over half (51.6%) of the infants are currently with their mother.
In our reference population with a diagnosis of prenatal abuse, there are high rates of maternal toxic consumption, HIV-HCV infection, unemployment, history of previous social intervention, and poor gestational control.
胎儿虐待是指对胎儿造成有害影响的故意或疏忽行为。这是一种难以诊断和处理的虐待类型。一些可疑指标包括缺乏孕期管理、母亲有毒物质的摄入或母亲所处的不良社会环境。
分析2011年至2014年在加泰罗尼亚登记的胎儿虐待病例，以确定风险特征。
对2011年至2014年在加泰罗尼亚登记的222例产前虐待病例样本进行横断面描述性研究。
母亲的平均年龄为28.11岁，63%为西班牙国籍，76%失业，60%未进行正确的孕期管理，76%有过终止妊娠史，20%报告曾遭受伴侣虐待，有社会问题史（76%接受过社会干预，30.5%曾有过儿童监护问题，13%母亲被政府监护，7%被剥夺自由），母婴感染传播率高（艾滋病毒4.95%，丙型肝炎病毒9%，艾滋病毒和丙型肝炎病毒合并感染1.8%），73%报告有毒物使用情况（按频率依次为大麻、可卡因和海洛因）。在新生儿中，早产率（26.3%）较高，34例被诊断为戒断综合征。略多于一半（51.6%）的婴儿目前与母亲在一起。
在我们诊断为产前虐待的参考人群中，母亲有毒物消费、艾滋病毒-丙型肝炎病毒感染、失业、既往社会干预史和孕期管理不善的发生率较高。
