Department of Obstetrics and Gynaecology, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria; Adolescent Friendly Research Initiative and Care, Ado-Ekiti, Nigeria.
Department of Obstetrics and Gynaecology, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria.
Eur J Obstet Gynecol Reprod Biol. 2021 Dec;267:186-191. doi: 10.1016/j.ejogrb.2021.11.017. Epub 2021 Nov 14.
Studies on birth outcomes associated with intimate partner violence in pregnancy in Nigeria are scarce. We aimed to evaluate adverse birth outcomes among women exposed to intimate partner violence in pregnancy in a Nigerian population.
We performed a prospective cohort study involving 363 women with singleton pregnancies presenting for antenatal care between March 2019 and September 2019. Intimate partner violence was assessed with a validated self-administered questionnaire- ongoing abuse screen. We compared adverse birth outcomes between women that experienced intimate partner violence in pregnancy and those that did not. Multivariate logistic regression was used to adjust for confounders.
Of the 363 pregnant women that completed the study, 56(15.4%) experienced intimate partner violence in pregnancy. Women who experienced intimate partner violence in pregnancy were significantly more likely to experience composite adverse birth outcome (53.6% compared with 20.2%,adjusted OR 4.72, 95% CI: 2.43-9.19, p < 0.001) preterm delivery (26.8% compared with 13.4%,adjusted OR 2.96, 95% CI: 1.34-6.50, p = 0.007), stillbirths(17.9% compared with 3.3%,adjusted OR 9.52, 95% CI: 3.96-22.90, p < 0.001) and neonatal intensive care unit admission (32.1% compared with 19.9%, adjusted OR 1.93, 95% CI: 1.19-10.60, p = 0.03). Mode of delivery and low birth weight did not differ significantly between the two groups.
Intimate partner violence is associated with increased risk of preterm delivery, stillbirth and neonatal intensive care unit admission. There is a need to evaluate the effect of interventions on these adverse birth outcomes.
在尼日利亚，有关妊娠期间亲密伴侣暴力与出生结局的研究很少。我们旨在评估尼日利亚人群中妊娠期间遭受亲密伴侣暴力的女性的不良出生结局。
我们进行了一项前瞻性队列研究，纳入了 2019 年 3 月至 2019 年 9 月期间进行产前护理的 363 名单胎妊娠女性。使用经过验证的自我管理问卷-持续虐待筛查来评估亲密伴侣暴力。我们比较了妊娠期间遭受亲密伴侣暴力的女性与未遭受亲密伴侣暴力的女性的不良出生结局。使用多变量逻辑回归来调整混杂因素。
在完成研究的 363 名孕妇中，有 56 名（15.4%）在妊娠期间遭受亲密伴侣暴力。妊娠期间遭受亲密伴侣暴力的女性发生复合不良出生结局的可能性显著更高（53.6%比 20.2%，调整后的 OR 4.72，95%CI：2.43-9.19，p<0.001）、早产（26.8%比 13.4%，调整后的 OR 2.96，95%CI：1.34-6.50，p=0.007）、死产（17.9%比 3.3%，调整后的 OR 9.52，95%CI：3.96-22.90，p<0.001）和新生儿重症监护病房入院（32.1%比 19.9%，调整后的 OR 1.93，95%CI：1.19-10.60，p=0.03）。两组之间的分娩方式和低出生体重没有显著差异。
妊娠期间亲密伴侣暴力与早产、死产和新生儿重症监护病房入院的风险增加相关。需要评估干预措施对这些不良出生结局的影响。
