Complications during pregnancy, peri- and postnatal period in a sample of women with a history of child abuse

J Psychosom Obstet Gynaecol. 2008 Sep;29(3):193-8. doi: 10.1080/01674820801934252.

Abstract

Background: As a proposed risk factor for infant and child development, maternal history of abuse has been a frequent target of investigation. However, there have been no controlled studies about the impact of maternal history of abuse on the medical course of pregnancy, the peri- and postnatal period.

Method: All women with a newborn child were contacted by mail and presented with the Childhood Trauma Questionnaire (CTQ). The index group (n = 58) was formed by women who scored above the cutoff for moderate or severe abuse and compared to a control group (n = 60) with regard to pre,- peri-, and postnatal complications as documented in the patient charts.

Results: The results show that women with a history of abuse have significantly more prenatal medical complications and infant medical complications in the post- but not perinatal period.

Conclusions: Maternal history of abuse significantly impacts the medical course of delivery and the puerperium. Given the prevalence of abusive experiences, this finding is highly relevant from a preventive point of view.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Child Abuse, Sexual / psychology
  • Child Abuse, Sexual / statistics & numerical data*
  • Female
  • Humans
  • Infant
  • Infant Behavior / psychology
  • Mother-Child Relations
  • Perinatology
  • Pregnancy
  • Pregnancy Complications / epidemiology*
  • Puerperal Disorders / diagnosis
  • Puerperal Disorders / epidemiology*
  • Puerperal Disorders / psychology*