{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T06:30:30Z","timestamp":1787725830376,"version":"build-2784847793"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Glob. Women\u2019s Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Gestational violence is incompletely captured in routine perinatal registries, limiting prevalence estimation and etiologic interpretation. We evaluated associations between registry-recorded gestational violence, maternal characteristics, and neonatal outcomes in a selected hospital-based population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study included 26,519 delivery records from the Perinatal Information System at a tertiary referral hospital in Quito, Ecuador, from January 2009 to June 2024. Eligibility was restricted to deliveries whose newborns required neonatal hospitalization. Associations were estimated using maximum-likelihood, Firth-penalized, and Bayesian logistic regression. Neonatal analyses examined 12 prespecified outcome\u2013trimester combinations, analyzed as exploratory. Sensitivity analyses addressed behavioral co-exposures, exposure misclassification, informative missingness, calendar time, prior specification, unmeasured confounding, and third-trimester ascertainment opportunity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Gestational violence was recorded in 1.19% of deliveries. The strongest maternal associations were observed for illicit drug use [Bayesian odds ratio [OR], 6.44; 95% credible interval [CrI], 3.78\u201310.74], passive smoking (OR, 3.56; 95% CrI, 2.62\u20134.79), and alcohol use (OR, 3.18; 95% CrI, 2.19\u20134.54). Third-trimester recorded violence showed the most consistent association with preterm birth (OR, 1.325; 95% CrI, 0.956\u20131.822; E-value, 1.57), corresponding to a risk difference of 6.5 percentage points (95% confidence interval, \u22120.8\u201314.2). The estimate weakened when restricted to births \u226534 weeks and when adjusted for calendar-related registry completeness, but increased modestly with adjustment for behavioral markers. These findings should not be interpreted as establishing causal associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Routine perinatal registry data may be useful for hypothesis generation and for guiding clinical and epidemiologic research until stronger evidence from prospective studies using validated violence-assessment instruments becomes available.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fgwh.2026.1920014","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T06:04:15Z","timestamp":1787724255000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Recorded gestational violence and neonatal outcomes in a cohort of deliveries requiring neonatal hospitalization: a 15-year hospital-based perinatal registry study"],"prefix":"10.3389","volume":"7","author":[{"given":"Santiago","family":"Vasco-Morales","sequence":"first","affiliation":[{"name":"Facultad de Ciencias M\u00e9dicas, Universidad Central del Ecuador","place":["Quito, Ecuador"]},{"name":"Servicio de Neonatolog\u00eda, Hospital Gineco-Obst\u00e9trico Isidro Ayora","place":["Quito, Ecuador"]},{"name":"Grupo de Investigaci\u00f3n en Salud Infantil y Perinatal (ISIP), Direcci\u00f3n de Investigaci\u00f3n, Universidad Central del Ecuador","place":["Quito, Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mercy","family":"Rosero-Quintana","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias M\u00e9dicas, Universidad Central del Ecuador","place":["Quito, Ecuador"]},{"name":"Grupo de Investigaci\u00f3n en Salud Infantil y Perinatal (ISIP), Direcci\u00f3n de Investigaci\u00f3n, Universidad Central del Ecuador","place":["Quito, Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Amaguaya-Guala","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias M\u00e9dicas, Universidad Central del Ecuador","place":["Quito, Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Tamayo-Saenz","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias M\u00e9dicas, Universidad Central del Ecuador","place":["Quito, Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Toapanta-Pinta","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias M\u00e9dicas, Universidad Central del Ecuador","place":["Quito, Ecuador"]},{"name":"Grupo de Investigaci\u00f3n en Salud Infantil y Perinatal (ISIP), Direcci\u00f3n de Investigaci\u00f3n, Universidad Central del Ecuador","place":["Quito, Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1007\/s10896-022-00356-y","article-title":"Prevalence of experiencing physical, emotional, and sexual violence by a current intimate partner during pregnancy: population-based estimates from the pregnancy risk assessment monitoring system","volume":"38","author":"D\u2019Angelo","year":"2023","journal-title":"J Fam Violence"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e0279469","DOI":"10.1371\/journal.pone.0279469","article-title":"Domestic violence against pregnant women is a potential risk factor for low birthweight in full-term neonates: a population-based retrospective cohort study","volume":"17","author":"Lin","year":"2022","journal-title":"PLoS One"},{"key":"B3","doi-asserted-by":"publisher","first-page":"707","DOI":"10.3390\/ijerph18020707","article-title":"Prevalence of intimate partner violence in pregnancy: an Umbrella review","volume":"18","author":"Rom\u00e1n-G\u00e1lvez","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"B4","doi-asserted-by":"publisher","first-page":"738459","DOI":"10.3389\/fpubh.2021.738459","article-title":"Worldwide prevalence of intimate partner violence in pregnancy. 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