This study was conducted to determine the effect of domestic violence during pregnancy on the cortisol hormone release, preterm birth, low birth weight, and breastfeeding status. The cross-sectional study was conducted with 255 pregnant women in a Family Health Centre in the Southeastern Anatolia Region of Turkey between October 2017 and August 2018. The questionnaire, DVWDS (Domestic Violence to Women Determination Scale) and Breastfeeding Self-Efficacy Scale were used to collect the data. In the present study, the pregnant women were followed up three times. The first follow-up was applied to the pregnant women in the second trimester, the second follow-up was applied to those in the third trimester, and the third follow-up was applied to the postpartum women. At each follow-up from newborn, cortisol hormone level was taken with saliva and evaluated. It was determined that 9.8% of the pregnant women participating in the study were exposed to violence by their partners. An important result was found that those who were exposed to domestic violence during their pregnancy gave birth in the 37th week (p < 0.05). It was seen that the babies of those exposed to domestic violence during pregnancy had a higher mean cortisol hormone level (p < 0.05). It was found that the mean score of the Breastfeeding Self-Efficacy Scale in the third follow-up was lower for those who were exposed to domestic violence during pregnancy than those who were not (p < 0.05). It was observed during the pregnancy that domestic violence affected cortisol hormone secretion, breastfeeding after birth and newborn health.

中文翻译：

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怀孕期间家庭暴力对皮质醇激素释放、母乳喂养和新生儿的影响

本研究旨在确定怀孕期间家庭暴力对皮质醇激素释放、早产、低出生体重和母乳喂养状态的影响。该横断面研究于 2017 年 10 月至 2018 年 8 月期间在土耳其东南部安纳托利亚地区的一个家庭健康中心对 255 名孕妇进行。使用问卷、DVWDS（对妇女的家庭暴力确定量表）和母乳喂养自我效能量表收集数据。在本研究中，对孕妇进行了 3 次随访。第一次随访适用于孕中期的孕妇，第二次随访适用于妊娠晚期的孕妇，第三次随访适用于产后妇女。在新生儿的每次随访中，用唾液测量皮质醇激素水平并进行评估。经确定，参与研究的孕妇中有 9.8% 遭受过伴侣的暴力。一个重要的结果发现，那些在怀孕期间遭受家庭暴力的人在第 37 周分娩（p < 0.05)。可以看出，怀孕期间遭受家庭暴力的婴儿的平均皮质醇激素水平较高（p <0.05）。结果发现，怀孕期间遭受家庭暴力的妇女在第三次随访中母乳喂养自我效能量表的平均得分低于未遭受家庭暴力的妇女（p < 0.05）。在怀孕期间观察到，家庭暴力影响皮质醇激素分泌、产后母乳喂养和新生儿健康。