CHILDHOOD VICTIMIZATION - RELATIONSHIP TO ADOLESCENT PREGNANCY OUTCOME

Childhood sexual abuse is a common antecedents of adolescent pregnancy . We studied the pregnancies of 127 poor, black, 12- to 18-year-olds; 42 (33%) of whom reported that they had been physically or sexually ab used prior to conception. We hypothesized that during pregnancy: (a) P reviously abused adolescents report more stress and depression and les s adequate social support than do nonabused adolescents; and (b) Previ ously abused adolescents obtain less prenatal care, gain less weight, engage in more substance abuse, and give birth to smaller babies than do nonabused adolescents. Consistent with the first study hypothesis, we found that abused adolescents scored significantly higher on stress and depression scales and rated their families as less supportive tha n did nonabused adolescents. Although there were no group differences in the rate of weight gain or the quantity of prenatal care obtained d uring pregnancy, abused adolescents were more likely to report substan ce use during pregnancy and gave birth to significantly smaller, (2,90 4+/-676 vs. 3,198+/-443 grams; p = .01), less mature (38.0+/-3.4 vs. 3 9.1+/-1.7 weeks; p = .05) infants. Our findings demonstrate the import ance of asking pregnant adolescents about abuse.