Journal of women's health and development最新文献

Background: Victims of intimate partner violence (IPV) during pregnancy experience significant physical and mental health consequences and adverse birth outcomes. Our objective was to describe the prevalence of IPV, and risk factors associated with IPV in pregnant, rural Guatemalan women.

Methods: This retrospective cohort study was completed using quality improvement data gathered during routine prenatal health visits to women of Trifinio, Guatemala, by the Madres Sanas maternal health program from 2018 through 2020. Chi-square and t-tests were used to determine if there were differences in characteristics between women who self-reported experiencing IPV and those who did not. If differences occurred (p < 0.2), those covariates were included in a multivariable logistic regression to determine sociodemographic risk associated with IPV.

Results: 583 women were enrolled with Madres Sanas between October 10, 2018, and October 1, 2020, and reported on IPV. Nineteen (3.26%) women reported experiencing IPV. The highest prevalence of IPV (7.6%) occurred in the sub-group of women who experienced food insecurity during the past year. The sole covariate of all sociodemographic and health characteristics which differed significantly between women who reported experiencing and not experiencing IPV was food insecurity. A regression model found that those who had worried about ability to buy food in the past year had a 3.19-fold increase in the odds that they experienced IPV (95% CI 1.072, 9.486, p-value 0.037).

Conclusion: Among this convenience sample of women, the prevalence of IPV was 3.26%. Food insecurity was associated with increased odds of experiencing IPV, highlighting an opportunity for interventions.

Introduction: The objective of this study was to observe characteristics and outcomes associated with cesarean birth as compared to vaginal birth.

Methods: This study was a prospective hospital-based cross-sectional analysis of a convenience sample of 1, 000 women. Data was collected on admission, delivery, and discharge by trained physician data collectors on paper forms through chart review and patient interview.

Results: Data on mode of delivery was available for 993/1000 women (0.7% missing data), 23.4% of whom underwent cesarean. These women were less likely to have labored (84.5% versus 87.4%), more likely to have been transferred (62.0% versus 45.2%), more likely to have been admitted in early labor (53.0% versus 48.6%), more likely to be in labor for longer than 24 hours (10.7% versus 3.3%) and were less likely to have multiple gestation (7.7% versus 3.9%), p < 0.05. In a Poisson model, history of cesarean (aRR 2.0, p < 0.001), transfer during labor (RR 1.5, p = 0.003), labor longer than 24 hours and larger birthweight (RR 2.7, p 0.001) were associated with an increased risk of cesarean.

Conclusion: Our analysis suggests cesarean birth is being used among women with a history of prior cesarean and in cases of labor complications (prolonged labor or transfer), but fresh stillbirth is still common in this setting.

During late adolescence, interpersonal acuity and decisiveness are facilitative of transitions to emerging adulthood. Disruptions in these capacities may be traceable to phenomena evoked by origin family coparental conflict - paralysis of initiative and hypersensitivity to conflict. Documenting such connections can lead to more beneficial interventions for adolescents transitioning into adulthood. The aims of this study were to examine relationships between college freshmen's reports of coparenting conflict in their origin families and (a) their immobility and indecision when faced with calls to action and (b) their hypersensitivity to signs of inter-adult conflict. Thirty-four freshmen (25 women and 9 men) rated their own coparents' conflict dynamics and completed (a) a timed perceptual-motor challenge in which quick and deft action was essential to avoid failure; (b) the Rorschach inkblot test; and (c) a judgement task requiring ratings of and predictions about the interpersonal dynamics between unfamiliar adults portrayed in videos coparenting small children. Even controlling for the effects of self-reported depressive symptoms, significant links emerged between greater recalled coparenting conflict in the origin family and longer delays in initiating action in the perceptual-motor challenge; lower active-to-passive responses on the Rorschach; and attributions of more dissonant coparenting behavior in the videotaped family interactions. Results suggest that origin family coparental conflict may show ties to hypersensitivity to conflict and to indecisiveness in the face of calls to action. Implications for theory, research and practice are discussed.