Child maltreatment (CM) poses significant risks to victims, resulting in enduring physical, psychological, and developmental consequences. Adult survivors of CM seem especially vulnerable to perinatal complications. However, existing research on perinatal outcomes presents mixed results and relies heavily on self-reported data, which may not align with official medical data. Hence, a systematic review using official health data may provide clarity on this association; it may orient future research and the provision of perinatal services. This scoping review aimed to synthesize and evaluate the quality of the literature that utilizes official health data to explore associations between CM and perinatal complications. Following Arksey and O’Malley’s model, searches across four databases (PsycINFO, MEDLINE, Scopus, and ProQuest Dissertations/Thesis) produced 8,870 articles. After screening, 23 articles met the inclusion criteria (e.g., recorded perinatal complications using official health data, and peer-reviewed studies or dissertation). Evidence indicates CM survivors have less prenatal care visits, more fetal loss and preterm births, lower gestational age, and increases in emergency cesarean sections. Adults had more cervical insufficiency, lower episiotomies and sphincter ruptures, and overall pregnancy and postpartum complications while adolescents had lower Apgar scores. No associations were observed on other outcomes (e.g., vaginal bleeding, group B streptococcus, and fetal distress). Mixed findings emerged for other perinatal and maternal health concerns such as birth weight and blood pressure. CM survivors may face an increased risk of experiencing perinatal complications. Findings point to the relevance of leveraging health data for CM research and adopting trauma-informed practices in perinatal services.

中文翻译：

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儿童期虐待和围产期并发症：官方健康数据的范围审查


虐待儿童 （CM） 对受害者构成重大风险，导致持久的身体、心理和发育后果。CM 的成年幸存者似乎特别容易受到围产期并发症的影响。然而，现有的围产期结局研究结果喜忧参半，并且严重依赖自我报告的数据，这可能与官方医学数据不一致。因此，使用官方健康数据进行系统评价可能会明确这种关联;它可能会为未来的研究和围产期服务的提供方向。本范围综述旨在综合和评估利用官方健康数据探讨 CM 与围产期并发症之间关联的文献质量。按照 Arksey 和 O'Malley 的模型，在四个数据库（PsycINFO、MEDLINE、Scopus 和 ProQuest Dissertations/Thesis）中进行搜索，产生了 8,870 篇文章。筛选后，23 篇文章符合纳入标准（例如，使用官方健康数据记录围产期并发症，以及同行评审的研究或论文）。有证据表明，中医幸存者的产前检查次数较少，胎儿流产和早产率较高，胎龄较低，紧急剖宫产率增加。成人的宫颈功能不全、会阴切开术和括约肌破裂以及总体妊娠和产后并发症较高，而青少年的 Apgar 评分较低。未观察到与其他结局 （例如阴道出血、B 组链球菌和胎儿窘迫） 的关联。其他围产期和孕产妇健康问题（如出生体重和血压）的结果喜忧参半。中医幸存者可能面临围产期并发症风险增加。 研究结果表明，利用健康数据进行 CM 研究和在围产期服务中采用创伤知情实践具有相关性。