Garg Suneela, Rustagi Ruchir, Singh M Meghachandra, Engtipi Kajok
Department of Community Medicine, Maulana Azad Medical College, New Delhi, India.
Indian J Community Med. 2020 Oct-Dec;45(4):501-505. doi: 10.4103/ijcm.IJCM_538_19. Epub 2020 Oct 28.
Violence against women is a major public health problem and a violation of their human rights. Intimate partner violence (IPV) during pregnancy has been linked to various adverse maternal health outcomes and birth outcomes.
The aim of this study is to assess the magnitude of maternal complications and adverse birth outcomes in relation to IPV.
Prospective observational study was conducted from April 2015 to May 2018 in the antenatal clinic of a Tertiary Care Hospital in Delhi.
Sample of 1500 pregnant women (≤20 weeks gestation) were recruited and followed up at regular intervals, up to the birth outcome.
Data were analyzed using the Statistical Package for the Social Sciences version 25. Value of < 0.05 was considered statistically significant.
Prevalence of IPV at baseline was 29.7%. Significantly higher proportion of IPV victims (47.2%) had poor weight gain during the pregnancy. Subjects reporting violence at any of the study contacts had a higher incidence of preterm delivery (12.7%), and a significantly higher incidence of low birth weight in the newborns (32.1% vs 22.3%) ( < 0.05).
The findings reveal that IPV during pregnancy is common and significantly associated with adverse maternal and birth outcomes. The findings stress need for research and development of a screening tool to identify violence early in pregnancy and thus prevent its consequences.
针对妇女的暴力是一个重大的公共卫生问题，也是对妇女人权的侵犯。孕期亲密伴侣暴力（IPV）与各种不良孕产妇健康结局和分娩结局有关。
本研究的目的是评估与IPV相关的孕产妇并发症和不良分娩结局的严重程度。
2015年4月至2018年5月在德里一家三级护理医院的产前诊所进行了前瞻性观察研究。
招募了1500名孕周≤20周的孕妇作为样本，并定期随访直至分娩结局。
使用社会科学统计软件包第25版对数据进行分析。P<0.05的值被认为具有统计学意义。
基线时IPV的患病率为29.7%。IPV受害者中体重增加不佳的比例（47.2%）显著更高。在任何一次研究接触中报告遭受暴力的受试者早产发生率较高（12.7%），新生儿低出生体重发生率显著更高（32.1%对22.3%）（P<0.05）。
研究结果表明，孕期IPV很常见，且与不良孕产妇和分娩结局显著相关。研究结果强调需要研发一种筛查工具，以便在孕期早期识别暴力行为，从而预防其后果。
