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Associations Between Maternal Exposure to Child Abuse, Preterm Birth, and Very Preterm Birth in Young, Nulliparous Women

  • Alison L. CammackEmail author
  • Carol J. Hogue
  • Carolyn D. Drews-Botsch
  • Michael R. Kramer
  • Brad D. Pearce
Article
  • 34 Downloads

Abstract

Objectives Preterm birth (PTB) is a leading cause of infant morbidity and mortality. One goal of Healthy People 2020 is to understand the role of preconception lifecourse exposures in relation to pregnancy outcomes, including PTB. The objective of this study was to examine the relationship between maternal exposure to multiple forms of childhood abuse and PTB and very preterm birth (vPTB), utilizing a national, population-based sample. MethodsThis study utilized retrospective self-reported maternal exposure to parent/adult caregiver perpetrated emotional, physical, and sexual abuse; non-parental/adult caregiver perpetrated sexual abuse; and history of PTB and vPTB in the National Longitudinal Study of Adolescent to Adult Health. The cross-sectional analytic study population consisted of first deliveries to 4181 nulliparous women (mean age at time of delivery = 21.7 years). Results With one exception, we did not observe associations between experiences of child abuse and the likelihood of PTB or vPTB. Only sexual abuse, accompanied by physical force and perpetrated by a non-parent/adult caregiver, was associated with an increased odds of vPTB (aOR = 1.94 (95% CI 1.10, 3.44)), particularly in women for whom abuse began after age 9 (aOR = 2.32 (95% CI 1.25, 4.28)).Conclusions for Practice The relationship between maternal exposure to child abuse and PTB may be limited to specific abuse and PTB subtypes, namely non-parent/caregiver perpetrated sexual abuse by force and vPTB. Future studies should also examine possible effect modifiers, such as maternal age and resilience, which may have the potential to inform interventions that can mitigate effects of maternal early life adversity.

Keywords

Pregnancy Preterm birth Child abuse Child maltreatment Sexual abuse 

Notes

Acknowledgements

This study was supported by Grants T32HD052460 and T03MC07651. This research uses data from Add Health, a program project directed by Kathleen Mullan Harris and designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris at the University of North Carolina at Chapel Hill, and funded by Grant P01-HD31921 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, with cooperative funding from 23 other federal agencies and foundations. Special acknowledgment is due Ronald R. Rindfuss and Barbara Entwisle for assistance in the original design. Information on how to obtain the Add Health data files is available on the Add Health website (http://www.cpc.unc.edu/addhealth). No direct support was received from Grant P01-HD31921 for this analysis.

References

  1. Afifi, T. O., MacMillan, H. L., Taillieu, T., Turner, S., Cheung, K., Sareen, J., & Boyle, M. H. (2016). Individual- and relationship-level factors related to better mental health outcomes following child abuse: Results from a nationally representative Canadian sample. Canadian Journal of Psychiatry.  https://doi.org/10.1177/0706743716651832.Google Scholar
  2. Benedict, M. I., Paine, L. L., Paine, L. A., Brandt, D., & Stallings, R. (1999). The association of childhood sexual abuse with depressive symptoms during pregnancy, and selected pregnancy outcomes. Child Abuse and Neglect, 23(7), 659–670.CrossRefGoogle Scholar
  3. Blencowe, H., Cousens, S., Chou, D., Oestergaard, M., Say, L., Moller, A. B., … Lawn, J. (2013). Born too soon: The global epidemiology of 15 million preterm births. Reproductive Health, 10(Suppl 1), S2.  https://doi.org/10.1186/1742-4755-10-s1-s2.CrossRefGoogle Scholar
  4. Brown, A. L., Testa, M., & Messman-Moore, T. L. (2009). Psychological consequences of sexual victimization resulting from force, incapacitation, or verbal coercion. Violence Against Women, 15(8), 898–919.  https://doi.org/10.1177/1077801209335491.CrossRefGoogle Scholar
  5. Bublitz, M. H., Rodriguez, D., Polly Gobin, A., Waldemore, M., Magee, S., & Stroud, L. R. (2014). Maternal history of adoption or foster care placement in childhood: A risk factor for preterm birth. American Journal of Obstetrics and Gynecology, 211(4), 397.e391–397.e396.  https://doi.org/10.1016/j.ajog.2014.04.001.CrossRefGoogle Scholar
  6. Cammack, A. L., Buss, C., Entringer, S., Hogue, C. J., Hobel, C. J., & Wadhwa, P. D. (2011). The association between early life adversity and bacterial vaginosis during pregnancy. American Journal of Obstetrics and Gynecology, 204(5), 431.e431–431.e438.  https://doi.org/10.1016/j.ajog.2011.01.054.CrossRefGoogle Scholar
  7. Cammack, A. L., Hogue, C. J., Drews-Botsch, C. D., Kramer, M. R., Pearce, B. D., Knight, B., … Newport, D. J. (2018). An exploratory study of whether pregnancy outcomes influence maternal self-reported history of child maltreatment. Child Abuse and Neglect.  https://doi.org/10.1016/j.chiabu.2018.01.022.Google Scholar
  8. Cammack, A. L., Hogue, C. J., Drews-Botsch, C. D., Kramer, M. R., Pearce, B. D., Knight, B. T., … Newport, D. J. (2016). Test-retest reliability of retrospective self-reported maternal exposure to childhood abuse and neglect. Archives of Women’s Mental Health, 19(2), 415–421.  https://doi.org/10.1007/s00737-015-0536-x.CrossRefGoogle Scholar
  9. Centers for Disease Control and Prevention. (2010). Adverse childhood experiences reported by adults: Five states, 2009. MMWR, 59(49), 1609–1613.Google Scholar
  10. Centers for Disease Control and Prevention. (2017). Centers for Disease Control and Prevention. (2017). FastStats- births and natality. Retrieved from https://www.cdc.gov/nchs/fastats/births.htm.
  11. Christiaens, I., Hegadoren, K., & Olson, D. M. (2015). Adverse childhood experiences are associated with spontaneous preterm birth: A case–control study. BMC Medicine, 13, 124.  https://doi.org/10.1186/s12916-015-0353-0.CrossRefGoogle Scholar
  12. Cnattingius, S., Villamor, E., Johansson, S., Edstedt Bonamy, A. K., Persson, M., Wikström, A. K., & Granath, F. (2013). Maternal obesity and risk of preterm delivery. JAMA, 309(22), 2362–2370.  https://doi.org/10.1001/jama.2013.6295.CrossRefGoogle Scholar
  13. Esplin, M. S. (2014). Overview of spontaneous preterm birth: A complex and multifactorial phenotype. Clinical Obstetrics and Gynecology, 57(3), 518–530.  https://doi.org/10.1097/grf.0000000000000037.CrossRefGoogle Scholar
  14. Geronimus, A. T. (1992). The weathering hypothesis and the health of African-American women and infants: Evidence and speculations. Ethnicity and Disease, 2(3), 207–221.Google Scholar
  15. Grimstad, H., & Schei, B. (1999). Pregnancy and delivery for women with a history of child sexual abuse. Child Abuse and Neglect, 23(1), 81–90.CrossRefGoogle Scholar
  16. Harris, K. M., Halpern, C. T., Whitsel, E., Hussey, J., Tabor, J., Entzel, P., & Udry, J. R. (2009). The national longitudinal study of adolescent to adult health: Research design. Retrieved from http://www.cpc.unc.edu/projects/addhealth/design.
  17. Hedderson, M. M., Ferrara, A., & Sacks, D. A. (2003). Gestational diabetes mellitus and lesser degrees of pregnancy hyperglycemia: Association with increased risk of spontaneous preterm birth. Obstetrics and Gynecology, 102(4), 850–856.Google Scholar
  18. Heim, C., Newport, D. J., Miller, A. H., & Nemeroff, C. B. (2000). Long-term neuroendocrine effects of childhood maltreatment. Journal of the American Medical Association, 284(18), 2321.CrossRefGoogle Scholar
  19. Hill, A., Pallitto, C., McCleary-Sills, J., & Garcia-Moreno, C. (2016). A systematic review and meta-analysis of intimate partner violence during pregnancy and selected birth outcomes. International Journal of Gynaecology and Obstetrics, 133(3), 269–276.  https://doi.org/10.1016/j.ijgo.2015.10.02.CrossRefGoogle Scholar
  20. Hollingsworth, K., Callaway, L., Duhig, M., Matheson, S., & Scott, J. (2012). The association between maltreatment in childhood and pre-pregnancy obesity in women attending an antenatal clinic in Australia. PLoS ONE, 7(12), e51868.  https://doi.org/10.1371/journal.pone.0051868.CrossRefGoogle Scholar
  21. Holzman, C., Eyster, J., Kleyn, M., Messer, L. C., Kaufman, J. S., Laraia, B. A., … Elo, I. T. (2009). Maternal weathering and risk of preterm delivery. American Journal of Public Health, 99(10), 1864–1871.  https://doi.org/10.2105/ajph.2008.151589.CrossRefGoogle Scholar
  22. Jennings, W. G., Richards, T. N., Tomsich, E., & Gover, A. R. (2015). Investigating the role of child sexual abuse in intimate partner violence victimization and perpetration in young adulthood from a propensity score matching approach. Journal of Child Sexual Abuse, 24(6), 659–681.  https://doi.org/10.1080/10538712.2015.1057665.CrossRefGoogle Scholar
  23. Juster, R. P., McEwen, B. S., & Lupien, S. J. (2010). Allostatic load biomarkers of chronic stress and impact on health and cognition. Neuroscience Biobehavioral Reviews, 35(1), 2–16.  https://doi.org/10.1016/j.neubiorev.2009.10.002.CrossRefGoogle Scholar
  24. Kaye-Tzadok, A., & Davidson-Arad, B. (2016). Posttraumatic growth among women survivors of childhood sexual abuse: Its relation to cognitive strategies, posttraumatic symptoms, and resilience. Psychological Trauma, 8(5), 550–558.  https://doi.org/10.1037/tra0000103.CrossRefGoogle Scholar
  25. Kazemier, B. M., Buijs, P. E., Mignini, L., Limpens, J., de Groot, C. J., & Mol, B. W. (2014). Impact of obstetric history on the risk of spontaneous preterm birth in singleton and multiple pregnancies: A systematic review. BJOG, 121(10), 1197–1208.  https://doi.org/10.1111/1471-0528.12896. discussion 1209.CrossRefGoogle Scholar
  26. Kramer, M. R., Hogue, C. J., Dunlop, A. L., & Menon, R. (2011). Preconceptional stress and racial disparities in preterm birth: An overview. Acta Obstetrics et Gynecology Scandinavica, 90(12), 1307–1316.  https://doi.org/10.1111/j.1600-0412.2011.01136.x.CrossRefGoogle Scholar
  27. Leeners, B., Stiller, R., Block, E., Gorres, G., & Rath, W. (2010). Pregnancy complications in women with childhood sexual abuse experiences. Journal of Psychosomatic Research, 69(5), 503–510.  https://doi.org/10.1016/j.jpsychores.2010.04.017.CrossRefGoogle Scholar
  28. Madkour, A. S., Xie, Y., & Harville, E. W. (2014). Pre-pregnancy dating violence and birth outcomes among adolescent mothers in a national sample. Journal of Interpersonal Violence, 29(10), 1894–1913.  https://doi.org/10.1177/0886260513511699.CrossRefGoogle Scholar
  29. Margerison-Zilko, C. E., Strutz, K. L., Li, Y., & Holzman, C. (2016). Stressors across the life-course and preterm delivery: Evidence from a pregnancy cohort. Maternal and Child Health Journal.  https://doi.org/10.1007/s10995-016-2151-5.Google Scholar
  30. Masten, A. S., & Obradovic, J. (2006). Competence and resilience in development. Annals of the New York Academy of Sciences, 1094, 13–27.  https://doi.org/10.1196/annals.1376.003.CrossRefGoogle Scholar
  31. Moog, N. K., Buss, C., Entringer, S., Shahbaba, B., Gillen, D. L., Hobel, C. J., & Wadhwa, P. D. (2016). Maternal exposure to childhood trauma is associated during pregnancy with placental-fetal stress physiology. Biological Psychiatry, 79(10), 831–839.  https://doi.org/10.1016/j.biopsych.2015.08.032.CrossRefGoogle Scholar
  32. National Center for Education Statistics. (2015). Public High School Graduation Rates. Retrieved from https://nces.ed.gov/programs/coe/pdf/Indicator_COI/COE_COI_2013_05.pdf.
  33. Noll, J. G., Schulkin, J., Trickett, P. K., Susman, E. J., Breech, L., & Putnam, F. W. (2007). Differential pathways to preterm delivery for sexually abused and comparison women. Journal of Pediatric Psychology, 32(10), 1238–1248.  https://doi.org/10.1093/jpepsy/jsm046.CrossRefGoogle Scholar
  34. Orr, S. T., James, S. A., & Blackmore Prince, C. (2002). Maternal prenatal depressive symptoms and spontaneous preterm births among African-American women in Baltimore, Maryland. American Journal of Epidemiology, 156(9), 797–802.CrossRefGoogle Scholar
  35. Porche, M. V., Fortuna, L. R., Lin, J., & Alegria, M. (2011). Childhood trauma and psychiatric disorders as correlates of school dropout in a national sample of young adults. Child Development, 82(3), 982–998.  https://doi.org/10.1111/j.1467-8624.2010.01534.x.CrossRefGoogle Scholar
  36. Raphael, K. G., Widom, C. S., & Lange, G. (2001). Childhood victimization and pain in adulthood: A prospective investigation. Pain, 92(1–2), 283–293.CrossRefGoogle Scholar
  37. Rooks, C., Veledar, E., Goldberg, J., Bremner, J. D., & Vaccarino, V. (2012). Early trauma and inflammation: Role of familial factors in a study of twins. Psychosomatic Medicine, 74(2), 146–152.  https://doi.org/10.1097/PSY.0b013e318240a7d8.CrossRefGoogle Scholar
  38. Ruiz, M., Goldblatt, P., Morrison, J., Kukla, L., Svancara, J., Riitta-Jarvelin, M., … Pikhart, H. (2015). Mother’s education and the risk of preterm and small for gestational age birth: A DRIVERS meta-analysis of 12 European cohorts. Journal of Epidemiology Community Health, 69(9), 826–833.  https://doi.org/10.1136/jech-2014-205387.CrossRefGoogle Scholar
  39. Selk, S. C., Rich-Edwards, J. W., Koenen, K., & Kubzansky, L. D. (2016). An observational study of type, timing, and severity of childhood maltreatment and preterm birth. Journal of Epidemiology Community Health, 70(6), 589–595.  https://doi.org/10.1136/jech-2015-206304.CrossRefGoogle Scholar
  40. Sinha, R., & Jastreboff, A. M. (2013). Stress as a common risk factor for obesity and addiction. Biological Psychiatry, 73(9), 827–835.  https://doi.org/10.1016/j.biopsych.2013.01.032.CrossRefGoogle Scholar
  41. Stevens-Simon, C., Kaplan, D. W., & McAnarney, E. R. (1993). Factors associated with preterm delivery among pregnant adolescents. Journal of Adolescent Health, 14(4), 340–342.CrossRefGoogle Scholar
  42. Suglia, S. F., Clark, C. J., Boynton-Jarrett, R., Kressin, N. R., & Koenen, K. C. (2014). Child maltreatment and hypertension in young adulthood. BMC Public Health, 14, 1149.  https://doi.org/10.1186/1471-2458-14-1149.CrossRefGoogle Scholar
  43. Tanaka, M., Georgiades, K., Boyle, M. H., & MacMillan, H. L. (2015). Child maltreatment and educational attainment in young adulthood: Results from the Ontario Child Health Study. Journal of Interpersonal Violence, 30(2), 195–214.  https://doi.org/10.1177/0886260514533153.CrossRefGoogle Scholar
  44. Tomeo, C. A., Rich-Edwards, J. W., Michels, K. B., Berkey, C. S., Hunter, D. J., Frazier, A. L., … Buka, S. L. (1999). Reproducibility and validity of maternal recall of pregnancy-related events. Epidemiology, 10(6), 774–777.CrossRefGoogle Scholar
  45. Wadhwa, P. D., Culhane, J. F., Rauh, V., & Barve, S. S. (2001). Stress and preterm birth: Neuroendocrine, immune/inflammatory, and vascular mechanisms. Maternal and Child Health Journal, 5(2), 119–125.CrossRefGoogle Scholar
  46. Werner, K. B., McCutcheon, V. V., Challa, M., Agrawal, A., Lynskey, M. T., Conroy, E.,.. . Nelson, E. C. (2016). The association between childhood maltreatment, psychopathology, and adult sexual victimization in men and women: Results from three independent samples. Psychological Medicine, 46(3), 563–573.  https://doi.org/10.1017/s0033291715002056.CrossRefGoogle Scholar
  47. Wosu, A. C., Gelaye, B., & Williams, M. A. (2015). History of childhood sexual abuse and risk of prenatal and postpartum depression or depressive symptoms: An epidemiologic review. Archives of Women’s Mental Health, 18(5), 659–671.  https://doi.org/10.1007/s00737-015-0533-0.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Alison L. Cammack
    • 1
    Email author
  • Carol J. Hogue
    • 1
  • Carolyn D. Drews-Botsch
    • 1
  • Michael R. Kramer
    • 1
  • Brad D. Pearce
    • 1
  1. 1.Department of Epidemiology, Rollins School of Public HealthEmory UniversityAtlantaUSA

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