Premature Births Linked to Physical Abuse

New study published in the American Journal of Obestetrics & Gynecology

New York, February 21, 2008 – Premature birth can have serious effects on the development and growth of children. In many parts of the world, preterm deliveries are increasing in frequency. In a study published in the February 2008 issue of the American Journal of Obstetrics & Gynecology, researchers from the University of Porto Medical School and the Hospital S. João, Porto, Portugal, found that there was a strong link between physical abuse during pregnancy and premature births.

Using a well-validated questionnaire, the Abuse Assessment Screen, 2660 Caucasian women consecutively delivered of singleton births at the Hospital S. João were surveyed to assess their experiences during pregnancy. This survey captured demographic, behavioral and obstetric data, including the type and frequency of physical abuse, if any.

Twenty-four percent of mothers of preterm newborn infants had experienced physical abuse during pregnancy compared with 8% of mothers of term newborn infants. Violence was associated with preterm birth even after controlling for age, marital status, education, income, parity, planned pregnancy, antenatal care, smoking, alcohol, and illicit drugs use.

Writing in the article, Teresa Rodrigues, MD, states, “The main strengths of this study are its large sample size, the high participation rate; the inclusion of women from virtually all social and economic strata and a broad range of pregnancy and delivery risk profiles. Assessment of violence exposure took place with guaranteed privacy, through face-to-face interviews that used highly trained personnel.” She emphasizes that women are not generally evaluated during pregnancy for physical abuse and that this study suggests that physicians should recognize such abuse as a risk factor for preterm delivery and address this issue with patients.

The article is “Physical abuse during pregnancy and preterm delivery” by Teresa Rodrigues, MD, Lúcia Rocha, MPH, and Henrique Barros, MD, PhD. It will appear in the American Journal of Obstetrics & Gynecology, Volume 198, Issue 2 (February 2008) published by Elsevier.

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Full text of the article is available upon request. Contact Pamela Poppalardo, at (212) 633-3944 or ajogmedia@elsevier.com to obtain copies. It may also be accessed online at http://www.ajog.org/article/S0002-9378(07)00629-1/fulltext.

To schedule an interview with Dr. Rodrigues, please call +351 91 380 51 77 or email to tererod@med.up.pt

About the American Journal of Obstetrics & Gynecology
The American Journal of Obstetrics & Gynecology, known as “The Gray Journal,” presents coverage of the entire spectrum of the field, from the newest diagnostic procedures to leading-edge research. The Journal provides comprehensive coverage of the specialty, including maternal-fetal medicine, reproductive endocrinology/infertility, and gynecologic oncology. It also publishes the annual meeting papers of several of its more than 30 sponsoring societies, including the Society for Maternal-Fetal Medicine and the Society of Gynecologic Surgeons. The American Journal of Obstetrics & Gynecology has the highest ranking for citation frequency of any ob/gyn journal and ranks in the top 1.7% of the 5,684 journals listed in the most recent Science Citation Index.

About Elsevier
Elsevier is a global information analytics business that helps institutions and professionals progress science, advance healthcare and improve performance for the benefit of humanity. Elsevier provides digital solutions and tools in the areas of strategic research management, R&D performance, clinical decision support, and professional education; including ScienceDirect, Scopus, ClinicalKey and Sherpath. Elsevier publishes over 2,500 digitized journals, including The Lancet and Cell, more than 35,000 e-book titles and many iconic reference works, including Gray's Anatomy. Elsevier is part of RELX Group, a global provider of information and analytics for professionals and business customers across industries. www.elsevier.com