a multi-centre cohort study shows no association between experienced violence and labour dystocia in nulliparous women at term的多中心队列研究显示之间没有联系有经验的暴力和劳动力难产未生育过的女性.pdfVIP

Finnbogadóttir et al. BMC Pregnancy and Childbirth 2011, 11:14 /1471-2393/11/14 RESEARCH ARTICLE Open Access A multi-centre cohort study shows no association between experienced violence and labour dystocia in nulliparous women at term Hafrún Finnbogadóttir1*†, Elisabeth Dejin-Karlsson1†, Anna-Karin Dykes1,2† Abstract Background: Although both labour dystocia and domestic violence during pregnancy are associated with adverse maternal and fetal outcome, evidence in support of a possible association between experiences of domestic violence and labour dystocia is sparse. The aim of this study was to investigate whether self-reported history of violence or experienced violence during pregnancy is associated with increased risk of labour dystocia in nulliparous women at term. Methods: A population-based multi-centre cohort study. A self-administrated questionnaire collected at 37 weeks of gestation from nine obstetric departments in Denmark. The total cohort comprised 2652 nulliparous women, among whom 985 (37.1%) met the protocol criteria for dystocia. Results: Among the total cohort, 940 (35.4%) women reported experience of violence, and among these, 66 (2.5%) women reported exposure to violence during their first pregnancy. Further, 39.5% (n = 26) of those had never been exposed to violence before. Univariate logistic regression analysis showed no association between history of violence or experienced violence during pregnancy and labour dystocia at term, crude OR 0.91, 95% CI (0.77-1.08), OR 0.90, 95% CI (0.54-1.50), respectively. However, violence exposed women consuming alcoholic beverages during late pregnancy had increased odds of labour dystocia, crude OR 1.45, 95% CI (1.07-1.96). Conclusions: Our findings indicate that nulliparous women who have a history of violence or experienced violence during pregnanc