Articlehybrid2016

Intimate partner violence and the experience of early motherhood: A cross-sectional analysis of factors associated with a poor experience of motherhood

Leesa Hooker · Nayana Yasindu Samaraweera · Paul A. Agius · Angela Taft

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Intimate Partner and Family Violence Maternal and Perinatal Health Interventions Maternal Mental Health During Pregnancy and Postpartum

Abstract

OBJECTIVE: to examine the relationship between intimate partner violence and other factors associated with the experience of early motherhood. DESIGN: cross sectional secondary data analysis (n=1534) from MOVE: a cluster randomised controlled trial that evaluated a model of enhanced nurse screening and supportive care for abused women. SETTING: Victoria, Australia. PARTICIPANTS: postpartum women attending community based maternal and child health clinics. MEASUREMENTS: survey included the Experience of Motherhood Questionnaire; measures of partner abuse, depression, anxiety, stress and social support. Multivariable robust regression analysis used. FINDINGS: independent of other factors, abused women were more likely to have a poorer mothering experience (Adj b=2.01, 95% CI=0.78, 3.25). Poor mental health, abuse as a child and being born overseas were also associated with a poor experience. Busy mothers who had a multiple birth and those balancing work and study simultaneously had higher experience of motherhood scores, indicating a poorer experience. Social support was protective. KEY CONCLUSIONS AND IMPLICATIONS: exposure to partner violence is adversely associated with early motherhood, independent of other correlates of poor motherhood experience. Greater awareness of factors associated with intimate partner violence and mothering would enable health care professionals and policy makers to improve support for women and children experiencing violence.

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References

1995Manual for the Depression Anxiety Stress Scales. 2 1991The MOS social support survey 2000From Neurons to Neighborhoods 2012The Long-Term Health Consequences of Child Physical Abuse, Emotional Abuse, and Neglect: A Systematic Review and Meta-Analysis 2013Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence.2006Prevalence of intimate partner violence: findings from the WHO multi-country study on women's health and domestic violence 2008The impact of exposure to domestic violence on children and young people: A review of the literature 1996Prevalence of Violence Against Pregnant Women

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