出生体重与埃塞俄比亚南部孕妇在怀孕期间遭受亲密伴侣暴力有关：一项前瞻性队列研究。
Birth weight was associated with maternal exposure to intimate partner violence during pregnancy in southern Ethiopia: A prospective cohort study.
机构信息
School of Public Health, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
Centre for International Health, University of Bergen, Bergen, Norway.
出版信息
Front Public Health. 2022 Nov 2;10:960443. doi: 10.3389/fpubh.2022.960443. eCollection 2022.
INTRODUCTION
Birth weight is defined as the first weight of the newborn, ideally measured soon after birth. A recent Ethiopian survey estimated that 48% of births took place in health facilities. Data for women exposed to intimate partner violence (IPV) may be lacking in official statistics because these women may prefer to deliver at home, where data from non-institutional births, including reporting of birth weights, are not routinely recorded.
OBJECTIVE
The aim of this study was to investigate the association between maternal exposure to IPV during pregnancy and birth weight in a community in the Wondo Genet district of southern Ethiopia.
METHODS
We carried out a community-based prospective cohort study from February to December 2017. We followed up with 505 pregnant women and their newborns until after delivery. An interview about partner violence was done during pregnancy at home when enrolled. Field assistants who visited the homes measured the birth weight of each baby in grams. Twins and late birth weight measurements were excluded. Factors associated with birth weight were assessed by multiple linear regression.
RESULTS
Birth weight was assessed within 48 h for 477 (94.5%) newborns and between 48 and 72 h for an additional 28 (5.5%). There were 365 (72.3%) institutional deliveries. In an adjusted regression analysis (IPV adjusted for socio-economic status), birth weight was 203 g lower (B -203 95% CI -320 to -87) among newborns of women exposed to IPV than among the unexposed. Birth weight was also lower in girls than in boys, in newborns delivered at home rather than in a health facility, and in babies with a younger gestational age.
CONCLUSION
Maternal exposure to IPV during pregnancy was associated with lower baby birth weights. Antenatal clinics should consider routinely identifying IPV-exposed women, and identifying babies with lower birth weights at home is an important indicator.
简介
出生体重是指新生儿的首次体重，最好在出生后不久进行测量。最近的一项埃塞俄比亚调查估计，有 48%的分娩是在医疗机构进行的。由于这些妇女可能更愿意在家中分娩，而在家中分娩的数据，包括出生体重的报告，通常没有记录，因此在官方统计数据中可能缺乏遭受亲密伴侣暴力（IPV）的妇女的数据。
目的
本研究旨在调查埃塞俄比亚南部 Wondo Genet 区一个社区中孕妇怀孕期间遭受 IPV 暴露与出生体重之间的关系。
方法
我们进行了一项基于社区的前瞻性队列研究，时间从 2017 年 2 月至 12 月。我们对 505 名孕妇及其新生儿进行了随访，直到分娩后。在登记时，在家中进行了关于伴侣暴力的访谈。家访的现场助理以克为单位测量了每个婴儿的出生体重。排除了双胞胎和晚期出生体重测量。通过多元线性回归评估与出生体重相关的因素。
结果
在 477 名（94.5%）新生儿中，在 48 小时内评估了出生体重，在另外 28 名（5.5%）新生儿中在 48-72 小时内评估了出生体重。有 365 名（72.3%）产妇在医疗机构分娩。在调整后的回归分析中（将 IPV 按社会经济地位调整），与未暴露于 IPV 的妇女相比，遭受 IPV 暴露的妇女的新生儿出生体重低 203 克（B-203 95%CI-320 至-87）。在女孩中，在新生儿在家中分娩而不是在医疗机构分娩中，以及在婴儿胎龄较小的情况下，出生体重也较低。
结论
孕妇怀孕期间遭受 IPV 与婴儿出生体重较低有关。产前诊所应考虑常规识别遭受 IPV 暴露的妇女，在家中识别出生体重较低的婴儿是一个重要指标。
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