OBJECTIVE: Our purpose was to determine what role interpersonal violence as intentional injury plays in the pregnant trauma victim. STUDY DESIGN: We performed a retrospective review of medical records. RESULTS: During a 9-year period in a single university medical and trauma center, 203 pregnant women were treated for a physically traumatic event. Sixty-four women (31.5%) were victims of intentional injury, in most cases by the husband or boyfriend. Although the mean Injury Severity Score was higher in women with fetal death than in women with successful pregnancy outcomes (7.25 vs 1.74, respectively; p < 0.01), 5 of the 8 women with fetal losses incurred these despite an apparent absence of physical injury (maternal Injury Severity Score = 0). CONCLUSIONS: Interpersonal violence during pregnancy is a frequent and increasingly common cause of maternal injury. The inconsistent relationship between Injury Severity Score and serious fetal injury or death is underscored by the loss of 5 fetuses despite an Injury Severity Score of 0.
OBJECTIVE: Our purpose was to determine what role interpersonal violence as intentional injury plays in the pregnant trauma victim. STUDY DESIGN: We performed a retrospective review of medical records. RESULTS: During a 9-year period in a single university medical and trauma center, 203 pregnant women were treated for a physically traumatic event. Sixty-four women (31.5%) were victims of intentional injury, in most cases by the husband or boyfriend. Although the mean Injury Severity Score was higher in women with fetal death than in women with successful pregnancy outcomes (7.25 vs 1.74, respectively; p < 0.01), 5 of the 8 women with fetal losses incurred these despite an apparent absence of physical injury (maternal Injury Severity Score = 0). CONCLUSIONS: Interpersonal violence during pregnancy is a frequent and increasingly common cause of maternal injury. The inconsistent relationship between Injury Severity Score and serious fetal injury or death is underscored by the loss of 5 fetuses despite an Injury Severity Score of 0.
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Keywords:
Americas; Behavior; Crime; Demographic Factors; Developed Countries; Domestic Violence--women; Interpersonal Relations; Mississippi; North America; Northern America; Population; Population Characteristics; Pregnancy; Pregnant Women; Reproduction; Research Report; Social Problems; United States; Violence--women; Women
Authors: Angela Nannini; Jane Lazar; Cynthia Berg; Mary Barger; Kay Tomashek; Howard Cabral; Wanda Barfield; Milton Kotelchuck Journal: Public Health Rep Date: 2011 Sep-Oct Impact factor: 2.792
Authors: Linda J Koenig; Daniel J Whitaker; Rachel A Royce; Tracey E Wilson; Michelle R Callahan; M Isabel Fernandez Journal: Am J Public Health Date: 2002-03 Impact factor: 9.308
Authors: Linda J Koenig; Daniel J Whitaker; Rachel A Royce; Tracey E Wilson; Kathleen Ethier; M Isabel Fernandez Journal: Am J Public Health Date: 2006-05-02 Impact factor: 9.308