Zareen Nabila, Majid Nasreen, Naqvi Sonia, Saboohi Sadia, Fatima Hassan
Department of Gynaecology and Obstetrics, Hamdard University Hospital, Karachi.
J Coll Physicians Surg Pak. 2009 May;19(5):291-6.
To determine the causes and type of domestic violence endured by pregnant women and their effect on pregnancy, in terms of maternal and neonatal outcome.
Cohort study.
The study was conducted in Sir Syed Trust Hospital, Karachi, from March 2007 to February 2008.
All the antenatal patients were screened for domestic violence, using a self-made questionnaire and abuse assessment screen. All the pregnant patients, who had language barrier or those who declined to be interviewed were excluded. All the pregnant patients with positive response, according to the abuse assessment screen were included in the group A, while every 4th patient with negative response was taken as control. SPSS 10 was used for statistical analysis. Logistic regression analysis was performed to determine the effect of domestic violence on delivery outcome. Relative risk was also calculated. Statistical significance was taken at p (2) 0.05.
Four hundred and ten (n=410) antenatal patients were interviewed. The factors associated with domestic violence included addiction in 32 (39%), allegedly aggressive nature of husband in 21 (25.6%) and unemployment of husband in 6 (7.31%) cases (p=0.001). Fifty two per cent women had been victims to more than one form of violence. Antenatal complications were not observed in a statistically significant number in either group. Depression was identified in 25.60% of group A and in 3.65% of group B (p=0.001; RR=2.01; 95%CI=1.58-2.56).
Various factors leading to domestic violence were identified among the husbands of women subjected to violence during pregnancy. The differences between the two groups, with regard to neonatal outcome (except depression), did not reach statistical significance. However, depression was significantly higher in the women enduring violence.
从孕产妇和新生儿结局方面，确定孕妇遭受家庭暴力的原因、类型及其对妊娠的影响。
队列研究。
2007年3月至2008年2月在卡拉奇的赛义德爵士信托医院进行该研究。
使用自制问卷和虐待评估筛查工具，对所有产前患者进行家庭暴力筛查。所有存在语言障碍或拒绝接受访谈的孕妇被排除。根据虐待评估筛查呈阳性反应的所有孕妇纳入A组，而每4名呈阴性反应的患者作为对照。使用SPSS 10进行统计分析。进行逻辑回归分析以确定家庭暴力对分娩结局的影响。还计算了相对风险。统计学显著性设定为p(2)0.05。
对410名产前患者进行了访谈。与家庭暴力相关的因素包括：32例（39%）丈夫有成瘾问题，21例（25.6%）据称丈夫性格暴躁，6例（7.31%）丈夫失业（p = 0.001）。52%的女性曾遭受不止一种形式的暴力。两组中产前并发症在统计学上均未观察到显著差异。A组中25.60%的女性被诊断为抑郁症，B组为3.65%（p = 0.001；RR = 2.01；95%CI = 1.58 - 2.56）。
在孕期遭受暴力的女性的丈夫中，确定了导致家庭暴力的各种因素。两组在新生儿结局方面（除抑郁症外）的差异未达到统计学显著性。然而，遭受暴力的女性中抑郁症的发生率显著更高。
