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Jackson KT, Marshall C, Yates J. Health-Related Maternal Decision-Making Among Perinatal Women in the Context of Intimate Partner Violence: A Scoping Review. TRAUMA, VIOLENCE & ABUSE 2024; 25:1899-1910. [PMID: 37728102 PMCID: PMC11155210 DOI: 10.1177/15248380231198876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/21/2023]
Abstract
Globally, it is estimated that 245 million women and girls aged 15 and over have experienced intimate partner violence (IPV) in the past 12 months. Moreover, research has highlighted the disproportionately high prevalence of IPV victimization among pregnant women. IPV can have serious health implications for women and their infants, yet little is known about maternal health-related decision-making by mothers exposed to IPV. To this end, the purpose of this scoping review was to examine what is known regarding health-related maternal decision-making among perinatal women in the context of IPV. Using Arksey and O'Malley's framework, five electronic databases were searched, resulting in 630 articles. Eligible articles were primary studies written in English, included participants who experienced IPV at any time in their life, and reported results focused on maternal health-related decision-making in the context of IPV. Thirty-six articles were screened by the review team, resulting in seven included articles. Three main themes emerged regarding health-related maternal decision-making by mothers experiencing IPV, including suboptimal breastfeeding practices, under-utilization of maternal and child health services, and poor adherence to medical recommendations/regimens that impact health-related outcomes for mother and child. The well-established risk of poorer health outcomes among women experiencing IPV, alongside the findings of this scoping review, calls for further research specifically addressing health-related decision-making among perinatal women who experience IPV.
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Affiliation(s)
- Kimberley T. Jackson
- Faculty of Health Sciences, Arthur Labatt Family School of Nursing, The University of Western Ontario, London, ON, Canada
| | - Cheryl Marshall
- Faculty of Health Sciences, Arthur Labatt Family School of Nursing, The University of Western Ontario, London, ON, Canada
| | - Julia Yates
- Faculty of Health Sciences, Health and Rehabilitation Sciences Program, The University of Western Ontario, London, ON, Canada
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Kanichy (Makah) M, Schmidt L, Anderson R, Njau G, Stiffarm (Aaniiih) A, Schmidt M, Stepanov A, Williams A. Examining the Role of Interpersonal Violence in Racial Disparities in Breastfeeding in North Dakota (ND PRAMS 2017-2019). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20085445. [PMID: 37107727 PMCID: PMC10138366 DOI: 10.3390/ijerph20085445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Revised: 04/01/2023] [Accepted: 04/07/2023] [Indexed: 05/11/2023]
Abstract
BACKGROUND The 2019 overall breastfeeding initiation rate in the US was 84.1%, yet only 76.6% of American Indian (AI) women initiated breastfeeding. In North Dakota (ND), AI women have greater exposure to interpersonal violence than other racial/ethnic groups. Stress associated with interpersonal violence may interfere with processes important to breastfeeding. We explored whether interpersonal violence partially explains racial/ethnic disparities in breastfeeding in ND. METHODS Data for 2161 women were drawn from the 2017-2019 ND Pregnancy Risk Assessment Monitoring System. Breastfeeding questions in PRAMS have been tested among diverse populations. Breastfeeding initiation was self-report to "Did you ever breastfeed or pump breast milk to feed your new baby, even for a short period?" (yes/no). Breastfeeding duration (2 months; 6 months) was self-reported how many weeks or months of breastmilk feeding. Interpersonal violence for both 12 months before and during pregnancy based on self-report (yes/no) of violence from a husband/partner, family member, someone else, or ex-husband/partner. An "Any violence" variable was created if participants reported "yes" to any violence. Logistic regression models estimated crude and adjusted odds ratios (OR) and 95% confidence intervals (95% CI) for breastfeeding outcomes among AI and Other Race women compared to White women. Sequential models were adjusted for interpersonal violence (husband/partner, family member, someone else, ex-husband/partner, or any). RESULTS AI women had 45% reduced odds of initiating breastfeeding (OR: 0.55, 95% CI: 0.36, 0.82) compared to white women. Including interpersonal violence during pregnancy did not change results. Similar patterns were observed for all breastfeeding outcomes and all interpersonal violence exposures. DISCUSSION Interpersonal violence does not explain the disparity in breastfeeding in ND. Considering cultural ties to the tradition of breastfeeding and the role of colonization may provide a better understanding of breastfeeding among AI populations.
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Affiliation(s)
- MichaeLynn Kanichy (Makah)
- Public Health Program, Department of Population Health, School of Medicine & Health Sciences, The University of North Dakota, 1301 North Columbia Road Stop 9037, Grand Forks, ND 58202, USA
| | - Lexie Schmidt
- Public Health Program, Department of Population Health, School of Medicine & Health Sciences, The University of North Dakota, 1301 North Columbia Road Stop 9037, Grand Forks, ND 58202, USA
| | - RaeAnn Anderson
- Department of Psychology, University of North Dakota, 501 North Columbia Road Stop 8380, Grand Forks, ND 58202, USA
| | - Grace Njau
- North Dakota Department of Health & Human Services, 600 East Boulevard Ave, Department 325, Bismarck, ND 58505, USA
| | - Amy Stiffarm (Aaniiih)
- Department of Indigenous Health, School of Medicine & Health Sciences, University of North Dakota, 1301 North Columbia Road Stop 9037, Grand Forks, ND 58202, USA
| | - Matthew Schmidt
- North Dakota Department of Health & Human Services, 600 East Boulevard Ave, Department 325, Bismarck, ND 58505, USA
| | - Anastasia Stepanov
- North Dakota Department of Health & Human Services, 600 East Boulevard Ave, Department 325, Bismarck, ND 58505, USA
| | - Andrew Williams
- Public Health Program, Department of Population Health, School of Medicine & Health Sciences, The University of North Dakota, 1301 North Columbia Road Stop 9037, Grand Forks, ND 58202, USA
- Department of Indigenous Health, School of Medicine & Health Sciences, University of North Dakota, 1301 North Columbia Road Stop 9037, Grand Forks, ND 58202, USA
- Correspondence:
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An Exploratory Study of the Associations Between the Hospital Work Environment and Implementation of Baby-Friendly Hospital Policy. J Perinat Educ 2022; 31:142-150. [PMID: 36643392 PMCID: PMC9829113 DOI: 10.1891/jpe-2021-0004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
A descriptive, cross-sectional study design was used to explore the relationships between the hospital work environment and implementation of the Baby-Friendly USA Ten Steps Policy in an urban hospital. Nurses reported the degree to which the Ten Steps policy was implemented, perceptions of the unit work environment using the Practice Environment Scale of the Nursing Work Index (PES-NWI), and self-efficacy related to the implementation of the policy. Results suggest that the work environment and the implementation of breastfeeding policy have separate and independent effects on nurse self-efficacy. Robust nursing leadership focused on education and skill development for clinicians, and focused on post-hospital care for patients and families are important contributory factors to successful breastfeeding policy implementation.
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Aristizábal LYG, Theme Filha MM. Physical violence against women by their intimate partner during pregnancy and its relationship with breastfeeding. REVISTA BRASILEIRA DE SAÚDE MATERNO INFANTIL 2022. [DOI: 10.1590/1806-9304202200020004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Abstract Objectives: to estimate the association between physical violence against women by their intimate partner during pregnancy and breastfeeding. Methods: the data source is the 2010 National Demographic and Health Survey (DHS) conducted in Colombia, and 11,416 mother-child dyads were analysed. The relationship between physical violence against women by their partner during pregnancy and breastfeeding indicators was carried out using the weighted propensity score from the Inverse Probability of Treatment Weighting (IPTW). Variables for adjustment were selected through the Directed Acyclic Diagram (DAG) and performed a sensitivity analysis to identify the strength of hidden bias. Results: according to the data, 6.4% (730) of the women suffered physical violence by their partner during their pregnancy. The median time of exclusive breastfeeding was 1.0 month. No statistically significant relationship was observed with any of the breastfeeding indicators analysed: exclusive breastfeeding (OR=1.17; CI95%=0.82-1.67); breastfeeding at any time (OR=1.61; CI95%=0.58-2.60); and initiation of breastfeeding (OR=1.07; CI95%=0.74-1.2) Conclusion: although the association between violence against women committed during pregnancy and breastfeeding indicators was not found, the suboptimal breastfeeding practices and high prevalence of violence against women by the partner are two major public health issues in Colombia. Prenatal care professionals can change this scenario by identifying women exposed to intimate partner violence and offering tailored support for breastfeeding practices.
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Bagade T, Chojenta C, Harris M, Oldmeadow C, Loxton D. A Women's Rights-Based Approach to Reducing Child Mortality: Data from 193 Countries Show that Gender Equality does Affect Under-five Child Mortality. Matern Child Health J 2022; 26:1292-1304. [PMID: 34982333 DOI: 10.1007/s10995-021-03315-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/23/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Mother's health and wellbeing significantly affects child health. Women's autonomy can improve healthcare-seeking behaviour, utilisation of healthcare services, and planned pregnancy, thereby improving child health. The global under-five mortality rate (U5MR) has seen the fastest decline in the past two decades, but the influence of gender equality on child mortality remains unaddressed. A strategic approach addressing gender equality is needed to reduce the U5MR further. The study aimed to identify and investigate the association between indicators of gender equality and U5MR using a human rights-based approach. METHODS We analysed open-source secondary data from international agencies comprising 521 gender-sensitive variables for 193 countries. Nine variables were included for the final Structural Equation Model based on the theoretical model. Model 1 consisted of 193 countries, and Model 2 comprised a subgroup analysis of 11 variables for 158 countries. Gender equality was a latent variable, and the U5MR was the outcome variable. RESULTS Gender equality was significantly associated with U5MR (Z = - 7.47, 95% CI = - 754.67 to - 440.98, p < 0‧001, n = 193 for Model 1, and Z = - 7.71, 95% CI = - 808.26 to - 480.72, p < 0‧001, n = 158 for Model 2). Female education, women's waged and salaried employment, women as employers, and women's representation in leadership and parliament enhanced gender equality, whereas the prevalence of child marriage and intimate partner violence (IPV) negatively affected gender equality. Improvement in gender equality significantly reduced U5MR. CONCLUSIONS FOR PRACTICE: Improving women's economic, educational, and social position and increasing female representation in higher leadership and policymaking positions is the key to reducing child mortality. Notably, eliminating child marriage and IPV is the key to achieving gender equality and is needed at the forefront of national policies. Gender equality can significantly improve women's reproductive autonomy, a critical factor in improving healthcare utilisation for women and their children.
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Affiliation(s)
- Tanmay Bagade
- Centre For Women's Health Research, School of Medicine and Public Health, College of Health, Medicine and Wellbeing, The University of Newcastle (UON), University Drive, Callaghan, NSW, 2308, Australia.
| | - Catherine Chojenta
- Centre For Women's Health Research, School of Medicine and Public Health, College of Health, Medicine and Wellbeing, The University of Newcastle (UON), University Drive, Callaghan, NSW, 2308, Australia
| | - Melissa Harris
- Centre For Women's Health Research, School of Medicine and Public Health, College of Health, Medicine and Wellbeing, The University of Newcastle (UON), University Drive, Callaghan, NSW, 2308, Australia
| | - Christopher Oldmeadow
- Clinical Research Design, IT and Statistical Support (CReDITSS) Unit, Hunter Medical Research Institute, New Lambton Heights, Australia
| | - Deborah Loxton
- Centre For Women's Health Research, School of Medicine and Public Health, College of Health, Medicine and Wellbeing, The University of Newcastle (UON), University Drive, Callaghan, NSW, 2308, Australia
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Watson C, Wei J, Varnado N, Rios N, Flanagan T, Alabaster A, Staunton M, Sterling SA, Gunderson EP, Young-Wolff KC. Adverse Childhood Experiences and Early and Continued Breastfeeding: Findings from an Integrated Health Care Delivery System. J Womens Health (Larchmt) 2021; 30:367-376. [PMID: 33538640 DOI: 10.1089/jwh.2020.8697] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Purpose: To examine whether adverse childhood experiences (ACEs) are associated with breastfeeding behaviors. Methods: Women in three Kaiser Permanente Northern California medical centers were screened for ACEs during standard prenatal care (N = 926). Multivariable binary and multinomial logistic regression was used to test whether ACEs (count and type) were associated with early breastfeeding at the 2-week newborn pediatric visit and continued breastfeeding at the 2-month pediatric visit, adjusting for covariates. Results: Overall, 58.2% of women reported 0 ACEs, 19.2% reported 1 ACE, and 22.6% reported 2+ ACEs. Two weeks postpartum, 92.2% reported any breastfeeding (62.9% exclusive, 29.4% mixed breastfeeding/formula). Compared with women with 0 ACEs, those with 2+ ACEs had increased odds of any breastfeeding (odds ratio [OR] = 2.7, 95% confidence interval [CI] = 1.3-5.6) and exclusive breastfeeding 2 weeks postpartum (OR = 3.0, 95% CI = 1.4-6.3). Among those who breastfed 2 weeks postpartum, 86.4% reported continued breastfeeding (57.5% exclusive, 28.9% mixed breastfeeding/formula) 2 months postpartum. ACE count was not associated with continued breastfeeding 2 months postpartum. Individual ACEs were not related to breastfeeding outcomes, with the exception that living with someone who went to jail or prison was associated with lower odds of continued breastfeeding 2 months postpartum. Conclusions: ACE count was associated with greater early breastfeeding, but not continued breastfeeding, among women screened for ACEs as part of standard prenatal care. Results reiterate the need to educate and assist all women to meet their breastfeeding goals, regardless of ACE score.
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Affiliation(s)
- Carey Watson
- Obstetrics and Gynecology, Kaiser Antioch Medical Center, Antioch, California, USA
| | - Julia Wei
- Division of Research, Kaiser Permanente Northern California, Oakland, California, USA
| | - Nicole Varnado
- Division of Research, Kaiser Permanente Northern California, Oakland, California, USA
| | - Normelena Rios
- Obstetrics and Gynecology, Kaiser Pleasanton Medical Center, Pleasanton, California, USA
| | - Tracy Flanagan
- The Permanente Medical Group, Regional Offices, Oakland, California, USA
| | - Amy Alabaster
- Division of Research, Kaiser Permanente Northern California, Oakland, California, USA
| | - Mary Staunton
- Psychiatry, Walnut Creek Medical Center, Walnut Creek, California, USA
| | - Stacy A Sterling
- Division of Research, Kaiser Permanente Northern California, Oakland, California, USA
| | - Erica P Gunderson
- Division of Research, Kaiser Permanente Northern California, Oakland, California, USA
| | - Kelly C Young-Wolff
- Division of Research, Kaiser Permanente Northern California, Oakland, California, USA
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Normann AK, Bakiewicz A, Kjerulff Madsen F, Khan KS, Rasch V, Linde DS. Intimate partner violence and breastfeeding: a systematic review. BMJ Open 2020; 10:e034153. [PMID: 33130559 PMCID: PMC7783610 DOI: 10.1136/bmjopen-2019-034153] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
OBJECTIVE The association between intimate partner violence (IPV) and breastfeeding is unclear. We conducted a systematic review to summarise the evidence of breastfeeding outcomes following exposure to IPV. DESIGN Systematic review. METHODS We searched for published studies without study design or language restrictions (up to July 2019) in the following databases: PubMed, Embase, SCOPUS and The Global Health Library. Studies assessing various breastfeeding outcomes (initiation, duration and exclusive breastfeeding) in women exposed to IPV in any form (physical, psychological or sexual) and at any stage (1 year pre-pregnancy, during or post-pregnancy) were included. Two authors independently selected the studies and conducted the quality appraisal by use of the Newcastle-Ottawa Scale. Results were summarised taking precision and quality into account. RESULTS A total of 16 studies (participants n=414 393) were included and they adjusted for a total of 48 different confounders. The majority of studies were cross-sectional (n=11) and most studies were judged to be fair/low quality. Four out of seven studies found that IPV exposure shortened breastfeeding duration (adjusted ORs/aORs=0.22 (95% CI: 0.05-0.85), 1.18 (95% CI: 1.01-1.37), 5.92 (95% CI: 1.72-27.98), 1.28 (95% CI: 1.18-1.39)). Further, 5/10 studies found that IPV led to early termination of exclusive breastfeeding (aORs=1.53 (95% CI: 1.01-23.1), 0.83 (95% CI: 0.71-0.96), 1.35 (95% CI: 1.07-1.71), 0.17 (95% CI: 0.07-0.4), 1839 (95% CI: 1.61-2911)) and 2/6 studies found that IPV significantly reduced breastfeeding initiation (aORs=2.00 (95% CI: 1.2-3.3), 0.81 (95% CI: 0.7-0.93)). CONCLUSION IPV exposure appears to associate negatively with some breastfeeding outcomes. Individual patient data meta-analysis is required to quantify the magnitude of the association for specific IPV-outcome combinations. More high-quality studies and definition of core confounders are warranted. PROSPERO REGISTRATION NUMBER CRD42019129353.
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Affiliation(s)
- Anne Katrine Normann
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Aleksandra Bakiewicz
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
| | | | - Khalid Saeed Khan
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain
| | - Vibeke Rasch
- Obstetrics and Gynaecology, Odense Universitetshospital, Odense, Denmark
- Institute of Clinical Research, Syddansk Universitet, Odense, Denmark
| | - Ditte Søndergaard Linde
- Obstetrics and Gynaecology, Odense Universitetshospital, Odense, Denmark
- Institute of Clinical Research, Syddansk Universitet, Odense, Denmark
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8
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Ribeiro MRC, Batista RFL, Schraiber LB, Pinheiro FS, Santos AMD, Simões VMF, Confortin SC, Aristizabal LYG, Yokokura AVCP, Silva AAMD. Recurrent Violence, Violence with Complications, and Intimate Partner Violence Against Pregnant Women and Breastfeeding Duration. J Womens Health (Larchmt) 2020; 30:979-989. [PMID: 32936043 DOI: 10.1089/jwh.2020.8378] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: Few studies have investigated the association between violence against pregnant women in terms of recurrence, complications, and perpetrators of violence, and breastfeeding duration. This study verifies whether recurrent violence, violence with pregnancy complications, and intimate partner violence (IPV) against pregnant women are associated with shorter exclusive breastfeeding up to the infant's 6th month and breastfeeding up to the 12th month of life. Materials and Methods: A cohort study with a convenience sample of 1,146 pregnant women was performed. Follow-up assessments were conducted at birth, and at 12-36 months. Survival analysis was used to verify whether recurrent violence, violence with pregnancy complications, and IPV were associated with reduced duration of exclusive breastfeeding and breastfeeding. Results: The adjusted Cox regression revealed no difference regarding exclusive breastfeeding duration among mothers exposed or not exposed to violence and according to who perpetrated the violence. The risk of an infant not being breastfed within the first 12 months of life increased in cases of violence before/during pregnancy (95% confidence interval [CI] = 1.03-1.88), recurrent psychological/physical/sexual violence during pregnancy (95% CI = 1.11-1.92), recurrent psychological violence (95% CI = 1.05-1.96), and recurrent physical/sexual violence (95% CI = 1.01-2.39). Violence with pregnancy complications (95% CI = 0.94-2.22) was not associated with breastfeeding interruption. Similar risks of breastfeeding interruption were observed for IPV (95% CI = 0.96-1.87) and violence perpetrated by other family members (95% CI = 0.83-1.89). Conclusions: We observed a shorter breastfeeding duration up to 12 months of life in cases of recurrent violence.
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Affiliation(s)
| | | | | | | | | | | | - Susana Cararo Confortin
- Postgraduation Program in Collective Health, Federal University of Maranhão, São Luís, Brazil
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Baraldi NG, Lettiere-Viana A, Carlos DM, Salim NR, Pimentel DTR, Stefanello J. The meaning of the social support network for women in situations of violence and breastfeeding. Rev Lat Am Enfermagem 2020; 28:e3316. [PMID: 32696921 PMCID: PMC7365605 DOI: 10.1590/1518-8345.3313.3316] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Accepted: 04/06/2020] [Indexed: 11/22/2022] Open
Abstract
Objective: to understand the meanings attributed to the social support network of women
breastfeeding and in situations of violence by an intimate partner. Method: a qualitative study, carried out with 21 women, through semi-structured
interviews and data analyzed by the Method of Interpretation of the Senses
in the light of the conceptual framework of Social Support Network. Results: all women suffered violence by the partner in the puerperium and only one of
them maintained exclusive breastfeeding until 180 days postpartum. In the
analysis, the category entitled “The action of the social support network in
the face of breastfeeding in the context of intimate partner violence”
emerged, with two subcategories: “Interpersonal support network” and
“Institutional support network”. In the interpersonal network, the partner
was little mentioned, on the other hand, there was a greater participation
of other women. In the institutional network, non-resolution and actions
centered on biological character were evident. Conclusions: the search for help in the interpersonal network stood out in comparison to
the institutional network, both with regard to the issue of violence and
breastfeeding and the actions related to it, mostly ineffective,
characterized by counseling and referrals.
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Affiliation(s)
- Nayara Girardi Baraldi
- Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Angelina Lettiere-Viana
- PAHO/WHO Collaborating Centre at the Nursing Research Development, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Diene Monique Carlos
- Departamento de Enfermagem, Universidade Federal de São Carlos, São Carlos, SP, Brazil
| | - Natália Rejane Salim
- Departamento de Enfermagem, Universidade Federal de São Carlos, São Carlos, SP, Brazil
| | - Daniela Taysa Rodrigues Pimentel
- PAHO/WHO Collaborating Centre at the Nursing Research Development, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Juliana Stefanello
- PAHO/WHO Collaborating Centre at the Nursing Research Development, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
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Pastor-Moreno G, Ruiz-Pérez I, Henares-Montiel J, Escribà-Agüir V, Higueras-Callejón C, Ricci-Cabello I. Intimate partner violence and perinatal health: a systematic review. BJOG 2020; 127:537-547. [PMID: 31912613 DOI: 10.1111/1471-0528.16084] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/19/2019] [Indexed: 12/18/2022]
Abstract
BACKGROUND Physical, psychological and sexual intimate partner violence (IPV) has been described in the literature as different types of IPV experienced by women during pregnancy all over the world. OBJECTIVES To review and summarise systematically the empirical evidence on the links between IPV during pregnancy and the perinatal health of mothers and fetuses/neonates. SEARCH STRATEGY MEDLINE (Ovid), CINAHL, Embase, Nursing@ovid (Ovid) and LILACS were searched (2008-2018). SELECTION CRITERIA Observational studies that examined perinatal health outcomes (i.e. pre-term birth, low birthweight, miscarriage, perinatal death and premature rupture of membranes) in pregnant women exposed to IPV. DATA COLLECTION AND ANALYSIS Information on study characteristics, type of IPV measured, study design, methodological quality and outcome variable extracted. RESULTS Fifty studies were included. Twenty-nine analysed undifferentiated IPV (n = 25 489), 34 included physical IPV (n = 7333), 22 analysed psychological IPV (n = 7833) and 18 examined sexual IPV (n = 2388). Fifteen studies were from Asia, 12 from North America and Oceania, and 12 from Central and South America. The studies examined the association between IPV and 39 different perinatal health outcomes. The most frequent outcomes reported were pre-term birth (50%), low birthweight (46%), miscarriage (30%), perinatal death (20%) and premature rupture of membranes (20%). A significant association with perinatal health outcomes was reported by 12 of the studies analysing undifferentiated IPV, 18 physical IPV, six psychological IPV and two sexual IPV. CONCLUSIONS The relation between IPV and perinatal health outcomes can be seen in different epidemiological designs and countries. In all, 39 different outcomes were identified and 29 were associated with IPV. TWEETABLE ABSTRACT A variety of poor perinatal health outcomes are associated with psychological, physical and sexual IPV.
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Affiliation(s)
- G Pastor-Moreno
- Consorcio de Investigación Biomédica y en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.,Escuela Andaluza de Salud Pública, Granada, Spain
| | - I Ruiz-Pérez
- Consorcio de Investigación Biomédica y en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.,Escuela Andaluza de Salud Pública, Granada, Spain.,Instituto de Investigación Biosanitaria de Granada (ibs. GRANADA), Granada, Spain
| | | | - V Escribà-Agüir
- Departamento de Enfermería, Universidad de Valencia, Valencia, Spain.,Fundación para el fomento de la Investigación Sanitaria y Biomédica de la Comunidad Valenciana (FISABIO), Valencia, Spain
| | | | - I Ricci-Cabello
- Consorcio de Investigación Biomédica y en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.,Institut d'Investigació Sanitaria Illes Balears (IdISBa), Palma, Spain.,Gerència d´Atenció Primària del Servei de Salut de les Illes Balears (IB-SALUT), Palma, Spain
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Powers DC. IBCLC Role Differences. CLINICAL LACTATION 2019. [DOI: 10.1891/2158-0782.10.2.74] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Lactation consultants working with mothers and babies in different settings — whether hospital, clinic, home or support group — may find themselves not understanding the challenges and dissimilarities that are part of a distinctive lactation setting. In an effort to even the playing field, allowing for a bird's-eye view of inpatient and outpatient work life issues, this is an article designed to hone in on the variances that confront LC's depending upon where they interface with the breastfeeding dyad.
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Breastfeeding continuation at 6 weeks postpartum remediates the negative effects of prenatal intimate partner violence on infant temperament. Dev Psychopathol 2019; 32:503-510. [PMID: 30880656 DOI: 10.1017/s0954579419000245] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Very little work has examined potential moderating effects in the link between prenatal intimate partner violence (IPV) and infant adjustment, especially in the first critical weeks following delivery. The current study evaluated the protective role of breastfeeding in the relationship between prenatal IPV and infant temperament at 4 months. Pregnant women (n = 82) were interviewed during pregnancy and at 6 weeks and 4 months postpartum. It was hypothesized that (a) prenatal IPV would predict infant temperament outcomes at the 4-month postpartum visit, and (b) breastfeeding continuation at 6 weeks acts as a protective factor such that breastfed infants will be less affected by the risk posed by prenatal IPV. Results indicated direct and negative effects of prenatal IPV on positive affectivity/surgency and orienting/regulatory capacity at 4 months. A significant moderating effect of breastfeeding at 6 weeks postpartum was identified. Mothers who were not breastfeeding at 6 weeks postpartum demonstrated the expected negative relationship between prenatal IPV exposure and infant adjustment, but if mothers were breastfeeding at 6 weeks postpartum, the relationship between IPV exposure and infant positive affectivity/surgency and orienting/regulatory capacity was not significantly different from zero. Results indicate a significant protective effect of breastfeeding in the intergenerational transmission of risk for infants born to mothers exposed to IPV.
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Wallenborn JT, Chambers GJ, Scialli A, Orekoya O, Masho SW. Interracial couples and breastfeeding initiation in the United States. Prev Med 2019; 120:140-143. [PMID: 30685317 DOI: 10.1016/j.ypmed.2019.01.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Revised: 01/10/2019] [Accepted: 01/23/2019] [Indexed: 10/27/2022]
Abstract
In the past decade, the prevalence of interracial couples has steadily increased. Recent reports state that nearly one in five marriages are between spouses of different races. Interracial couples receive less social support and are more likely to separate. As a result, children born to these couples may be at an increased risk of poor health outcomes. This study aims to investigate the relationship between interracial couples and breastfeeding initiation. Data from the 2014 Vital Statistics Natality Birth database were analyzed. Data were restricted to singleton births and infants with no congenital malformations. Racial composition of parents was categorized as non-Hispanic (NH) white, NH black; Hispanic; NH white/NH black; NH white/Hispanic; and NH black/Hispanic. Breastfeeding initiation (yes; no) was categorized according to information from the child's birth certificate file. Multiple logistic regression was used to generate crude and adjusted odds ratios and 99% confidence intervals. After adjusting for confounders, all interracial couples with at least one Hispanic parent had increased odds of breastfeeding initiation. Interracial white and black parents had 18% lower odds of breastfeeding initiation. The lowest odds of breastfeeding initiation were observed among intraracial black parents, who had 43% lower odds of breastfeeding initiation compared to intraracial white parents. Breastfeeding non-initiation continues to pose the greatest risk for infants with at least one black parent. Nurses, midwives, physicians, and other medical staff should discuss potential barriers that may be unique to interracial couples and provide additional breastfeeding education and support.
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Affiliation(s)
- Jordyn T Wallenborn
- Virginia Commonwealth University, School of Medicine, Division of Epidemiology, Department of Family Medicine and Population Health, 830 East Main Street, Suite 821, P.O. Box 980212, Richmond, VA, United States.
| | - Gregory J Chambers
- Virginia Commonwealth University, School of Medicine, Division of Epidemiology, Department of Family Medicine and Population Health, 830 East Main Street, Suite 821, P.O. Box 980212, Richmond, VA, United States.
| | - Anna Scialli
- Virginia Commonwealth University, School of Medicine, Division of Epidemiology, Department of Family Medicine and Population Health, 830 East Main Street, Suite 821, P.O. Box 980212, Richmond, VA, United States.
| | - Olubunmi Orekoya
- Virginia Commonwealth University, School of Medicine, Division of Epidemiology, Department of Family Medicine and Population Health, 830 East Main Street, Suite 821, P.O. Box 980212, Richmond, VA, United States.
| | - Saba W Masho
- Virginia Commonwealth University, School of Medicine, Division of Epidemiology, Department of Family Medicine and Population Health, 830 East Main Street, Suite 821, P.O. Box 980212, Richmond, VA, United States.
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