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孕期家庭暴力对皮质醇激素释放、母乳喂养和新生儿的影响。

The Effect of Domestic Violence During Pregnancy on Cortisol Hormone Release, Breastfeeding, and Newborn.

机构信息

Faculty of Health Sciences, Nursing Department, 187436Hasan Kalyoncu University, Gaziantep, Turkey.

Faculty of Health Sciences, 256756Istanbul Gedik University, Istanbul, Turkey.

出版信息

J Interpers Violence. 2023 Jan;38(1-2):NP905-NP930. doi: 10.1177/08862605221087690. Epub 2022 Apr 26.

Abstract

This study was conducted to determine the effect of domestic violence during pregnancy on the cortisol hormone release, preterm birth, low birth weight, and breastfeeding status. The cross-sectional study was conducted with 255 pregnant women in a Family Health Centre in the Southeastern Anatolia Region of Turkey between October 2017 and August 2018. The questionnaire, DVWDS (Domestic Violence to Women Determination Scale) and Breastfeeding Self-Efficacy Scale were used to collect the data. In the present study, the pregnant women were followed up three times. The first follow-up was applied to the pregnant women in the second trimester, the second follow-up was applied to those in the third trimester, and the third follow-up was applied to the postpartum women. At each follow-up from newborn, cortisol hormone level was taken with saliva and evaluated. It was determined that 9.8% of the pregnant women participating in the study were exposed to violence by their partners. An important result was found that those who were exposed to domestic violence during their pregnancy gave birth in the 37th week ( < 0.05). It was seen that the babies of those exposed to domestic violence during pregnancy had a higher mean cortisol hormone level ( < 0.05). It was found that the mean score of the Breastfeeding Self-Efficacy Scale in the third follow-up was lower for those who were exposed to domestic violence during pregnancy than those who were not ( < 0.05). It was observed during the pregnancy that domestic violence affected cortisol hormone secretion, breastfeeding after birth and newborn health.

摘要

本研究旨在探讨孕期家庭暴力对皮质醇激素释放、早产、低出生体重和母乳喂养状况的影响。该横断面研究于 2017 年 10 月至 2018 年 8 月在土耳其东南部安纳托利亚地区的一个家庭健康中心对 255 名孕妇进行。采用问卷、DVWDS(女性家庭暴力确定量表)和母乳喂养自我效能量表收集数据。在本研究中,对孕妇进行了三次随访。第一次随访在妊娠中期进行,第二次在妊娠晚期进行,第三次在产后进行。每次随访都从新生儿开始采集唾液并评估皮质醇激素水平。研究结果显示,9.8%的研究参与者曾遭受伴侣的暴力行为。一个重要的结果是,那些在孕期遭受家庭暴力的孕妇在第 37 周分娩(<0.05)。此外,还发现那些在孕期遭受家庭暴力的孕妇的婴儿皮质醇激素水平更高(<0.05)。在第三次随访中,那些在孕期遭受家庭暴力的孕妇的母乳喂养自我效能量表评分低于未遭受家庭暴力的孕妇(<0.05)。研究发现,孕期家庭暴力会影响皮质醇激素分泌、产后母乳喂养和新生儿健康。

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