Jain Sandhya, Varshney Khushboo, Vaid Neelam B, Guleria Kiran, Vaid Keya, Sharma Neha
Department of Obstetrics and Gynaecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.
Int J Gynaecol Obstet. 2017 Apr;137(1):8-13. doi: 10.1002/ijgo.12086. Epub 2017 Jan 10.
To determine the prevalence and types of intimate partner violence (IPV) during pregnancy, factors linked with IPV, and effects of IPV on maternal-fetal outcomes.
In a prospective observational study at a tertiary care hospital in Delhi, India, 400 women at 20-28 weeks of pregnancy were screened for IPV between December 2013 and April 2015. The women completed a detailed questionnaire and were followed up until delivery.
Overall, 49 (12.3%) women experienced IPV during pregnancy. The most prevalent type of IPV was emotional (43/400 [10.7%]), followed by physical (40/400 [10.0%]) and sexual (7/400 [1.8%]). The most prevalent factor triggering IPV was intimate partner's desire for a son (17/49 [34.7%]). Women and their intimate partners were older in the IPV group than in the control group, and duration of marriage was longer (P<0.05 for all). Multigravidity, lower socioeconomic status, low education level of intimate partner, and partners' addiction were more common in the IPV group (P<0.05 for all). Obstetric outcomes were similar in both groups. Depression was diagnosed in 19 (46.3%) women affected by IPV.
IPV was documented in approximately 12% of participants. Population-based surveys need to be done to investigate further.
确定孕期亲密伴侣暴力（IPV）的患病率及类型、与IPV相关的因素，以及IPV对母婴结局的影响。
在印度德里一家三级护理医院进行的一项前瞻性观察性研究中，于2013年12月至2015年4月期间，对400名怀孕20 - 28周的女性进行了IPV筛查。这些女性完成了一份详细问卷，并随访至分娩。
总体而言，49名（12.3%）女性在孕期经历了IPV。IPV最常见的类型是情感暴力（43/400 [10.7%]），其次是身体暴力（40/400 [10.0%]）和性暴力（7/400 [1.8%]）。引发IPV最常见的因素是亲密伴侣想要儿子（17/49 [34.7%]）。IPV组中的女性及其亲密伴侣比对照组年龄更大，婚姻持续时间更长（所有P<0.05）。多胎妊娠、社会经济地位较低、亲密伴侣教育水平低以及伴侣成瘾在IPV组中更常见（所有P<0.05）。两组的产科结局相似。在受IPV影响的19名（46.3%）女性中诊断出抑郁症。
约12%的参与者记录有IPV。需要进行基于人群的调查以进一步研究。
