Intimate partner violence during pregnancy and the risk for adverse infant outcomes: a systematic review and meta-analysis

B M Donovan; C N Spracklen; M L Schweizer; K K Ryckman; A F Saftlas

doi:10.1111/1471-0528.13928

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Intimate partner violence during pregnancy and the risk for adverse infant outcomes: a systematic review and meta-analysis

Journal article

Open access

Peer reviewed

Intimate partner violence during pregnancy and the risk for adverse infant outcomes: a systematic review and meta-analysis

B M Donovan, C N Spracklen, M L Schweizer, K K Ryckman and A F Saftlas

BJOG : an international journal of obstetrics and gynaecology, Vol.123(8), pp.1289-1299

07/2016

DOI: 10.1111/1471-0528.13928

PMID: 26956568

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Abstract

Intimate partner violence (IPV) is of particular concern during pregnancy when not one, but two lives are at risk. Previous meta-analyses have suggested an association between IPV and adverse birth outcomes; however, many large studies have since been published, illustrating the need for updated pooled effect estimates. To evaluate the relationship between IPV during pregnancy and the risk of preterm birth (PTB), low-birthweight (LBW), and small-for-gestational-age (SGA) infants. We searched PubMed and SCOPUS (from inception until May 2015), and the reference lists of the relevant studies. Observational studies comparing the rates of at least one adverse birth outcome (SGA, LBW, or PTB) in women who experienced IPV during pregnancy and those who did not. Data extracted from 50 studies were pooled and pooled odds ratios were calculated using random-effects models. Intimate partner violence (IPV) was significantly associated with PTB (OR 1.91, 95% CI 1.60-2.29) and LBW (OR 2.11, 95% CI 1.68-2.65), although a large level of heterogeneity was present for both (I(2) = 84 and 91%, respectively). The association with SGA was less pronounced and marginally significant (OR 1.37, 95% CI 1.02-1.84), although fewer studies were available for meta-analysis (n = 7). Our meta-analysis indicates that women who experienced IPV during pregnancy are at increased risk of having a PTB, and an LBW or an SGA infant. More studies examining the association between IPV and SGA are needed. Meta-analysis of IPV during pregnancy finds increased risk for preterm birth, LBW and SGA infants.

Pregnancy

Infant, Low Birth Weight

Humans

Female

Infant, Small for Gestational Age

Intimate Partner Violence - statistics & numerical data

Odds Ratio

Premature Birth - epidemiology

Infant, Newborn

Details

Title: Subtitle: Intimate partner violence during pregnancy and the risk for adverse infant outcomes: a systematic review and meta-analysis
Creators: B M Donovan - Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA
C N Spracklen - Department of Genetics, University of North Carolina, Chapel Hill, NC, USA
M L Schweizer - Iowa City VA Health Care System, Iowa City, IA, USA
K K Ryckman - Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, IA, USA
A F Saftlas - Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: BJOG : an international journal of obstetrics and gynaecology, Vol.123(8), pp.1289-1299
DOI: 10.1111/1471-0528.13928
PMID: 26956568
NLM abbreviation: BJOG
ISSN: 1471-0528
eISSN: 1471-0528
Publisher: England
Language: English
Date published: 07/2016
Academic Unit: Stead Family Department of Pediatrics; Epidemiology; General Internal Medicine; Internal Medicine
Record Identifier: 9983995057902771

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