Article2021

Adverse perinatal outcomes of intimate partner violence during pregnancy

Abdorrahim Afkhamzadeh · Khaled Rahmani · Rojin Yaghubi · Mahsa Ghadrdan · Obeidollah Faraji

14 citations0/0 files storedInternational Journal of Human Rights in Healthcare

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Intimate Partner and Family Violence Maternal and Perinatal Health Interventions Maternal Mental Health During Pregnancy and Postpartum

Abstract

Purpose This study aims to conduct to determine the adverse perinatal outcomes of intimate partner violence (IPV) during pregnancy in Kurdistan, Iran. Design/methodology/approach In a prospective cohort study, 1,080 pregnant women were categorized into 433 and 647 women, respectively, exposed and unexposed to IPV followed by 48 h post-delivery. The values of incidence rate, relative risk and corresponding 95% confidence interval were calculated for interesting outcomes. Findings There was a statistically significant association between IPV exposure during pregnancy and perinatal mortality, pre-term birth (PTB), intra uterine growth restriction (IUGR), premature rupture of membranes (PROM), placental abruption and low birth weight (LBW). Social implications Iran is a developing country with a mosaic of different ethnicities and cultures. It seems that the less developed regions of Iran, such as Kurdistan, are also culturally different from most other regions of Iran. Based on a systematic review study, the prevalence of domestic violence is estimated to be 66% (CI 95%: 55–77) in the general population of Iran. This value was 75% (CI 95%: 56–94) in western Iran, the geographic area of the study, and higher than other parts of the country. IPV during pregnancy can result in many adverse outcomes for mothers and children. Originality/value According to the results of this study, the occurrence of prenatal mortality, PTB, IUGR, PROM, placental abruption and LBW was significantly higher in pregnant women exposed to IPV during pregnancy compared with unexposed women. Strategies such as training the skills needed for health system staff to identify female victims of violence, counseling, treatment and referral to related specialized centers are suggested.

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References

2002Health consequences of intimate partner violence 2007Understanding the Impact of a Microfinance-Based Intervention on Women’s Empowerment and the Reduction of Intimate Partner Violence in South Africa 2010Intimate partner violence during pregnancy: analysis of prevalence data from 19 countries 2012Intimate partner violence, abortion, and unintended pregnancy: Results from the WHO Multi‐country Study on Women's Health and Domestic Violence 2006Intimate partner violence victimization prior to and during pregnancy among women residing in 26 U.S. states: Associations with maternal and neonatal health 2016A systematic review and meta‐analysis of intimate partner violence during pregnancy and selected birth outcomes 2003Social support reduces the impact of partner violence on health: application of structural equation models 2009Domestic violence against women in eastern India: a population-based study on prevalence and related issues

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