A Critical Review of Maternal Abuse and Infant Outcomes: Implications for Newborn Nurses

Mothering in the context of intimate partner violence: A feminist intersectional critique of the nursing literature

AIMS

To describe how mothers and mothering in the context of IPV are conceptualized in the nursing research and practice literature with attention to underlying ideologies, biases and potential harms.

DESIGN

Feminist intersectionality was used as a theoretical and analytic lens.

DATA SOURCES

Articles published between 2000 and 2021 in the nursing literature, identified by searching Google Scholar, CINAHL, PubMed and Scopus databases, and conducting bibliographic reviews of published articles.

REVIEW METHODS

Search terms included: intimate partner violence, domestic violence, parenting, mother and nursing. Initial screening resulted in inclusion of 98 papers for analysis.

RESULTS

Four dominant ways of conceptualizing mothering in the context of IPV were identified: (1) IPV is conceptualized as a discrete acute event and/or crisis, (2) mothering is treated as a practice, (3) mothers are valued as vehicles for child health and well-being and (4) mothers are seen as vulnerable and 'at risk'. These narrow constructions are rooted in ideologies such as normative motherhood, deficit and grit/resilience and neoliberalism. Emerging shifts in the literature are providing an important counter-balance.

CONCLUSION

Biases in nursing knowledge about mothering in the context of IPV may limit nursing's capacity to support the health of these women and their children. The integration of emerging perspectives that emphasize strengths and equity is critical in strengthening nursing knowledge and practice and in beginning to redress existing limitations and potential harms.

IMPACT

This critique focused on higher-income countries of the Global North but raises fundamental questions that should be considered in other contexts. Applying broader conceptualizations of mothers, mothering and IPV to research and practice can help improve the quality of care available.

Lifetime physical and sexual abuse and the risk for depression symptoms in the first 8 months after birth

Despite the growing body of evidence on the significance of postpartum depression, little research has explored the contribution of lifetime or current abuse to postpartum depression. One hundred-thirty-nine women were assessed during their third trimester of pregnancy and followed for 2, 4, 6, and 8 months postpartum for abuse status and depression symptoms. Predictors of postpartum depression were also assessed. Few women reported current abuse experiences, although 37% reported having lifetime physical or sexual abuse or both. Women with a lifetime history of abuse were 3.6-8.4 times more likely to experience postpartum depression than their nonabused peers at each measurement time. This effect steadily increases during the first 6 months after birth and decreases at the 8th month. These findings extend recent reports of the chronicity of abuse and have implications for care providers. The standard of care for abuse assessments may need to be expanded to include consideration of lifetime physical and sexual abuse experiences of pregnant and postpartum women.