Predictive factors for child abuse

Fifty-six children admitted to hospital with child abuse and neglect were reviewed one to three years after the initial presentation. The obstetric histories, experiences with the child during the perinatal period, the child-rearing practices, expectations for the child, and social circumstances were explored. Each family was compared with a control family. Significant differences were found between the two groups. Mothers in the abuse group frequently perceived pregnancy as displeasing, were poorly prepared, and saw the experience as difficult. This was confirmed by the higher incidence of prematurity, obstetric complications and neonatal health problems. They had high unrealistic expectations for their children, less social outlets, and less opportunity for breaks from the child. There were more worries about domestic friction finances. housing, and their own health.