Guo Cancan, Wan Mengtong, Wang Yue, Wang Peijie, Tousey-Pfarrer Marissa, Liu Haoyang, Yu Liangming, Jian Lingqi, Zhang Mengting, Yang Ziqi, Ge Fenfen, Zhang Jun
West China School of Medicine, Sichuan University, Chengdu, China.
School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Front Med (Lausanne). 2023 May 17;10:1140787. doi: 10.3389/fmed.2023.1140787. eCollection 2023.
Intimate partner violence (IPV) has been associated with an elevated risk of multiple adverse birth outcomes, yet little is known about how specific IPV influences adverse birth outcomes. The aim of this study was to examine the association between IPV during pregnancy and adverse birth outcomes (i.e., preterm birth, low birth weight, and stillbirth).
Systematic searches were conducted using four databases: EMBASE, Web of Science, PubMed, and CINAHL for observational studies published from 1 January 2011 to 31 August 2021. Two reviewers independently carried out the literature search, study selection, data extraction, assessment of the study, and risk of bias assessment; disagreements were resolved by a third reviewer. A random-effect model was used to calculate the odds ratio (OR) with a 95% confidence interval (CI) for preterm birth, low birth weight, and stillbirth. statistic accompanied by chi-square -value was used to assess heterogeneity, and funnel plot and Peter's test were used to assess publication bias.
In total, 23 studies met the inclusion criterion. IPV was associated with preterm birth (OR = 1.84; 95% CI: 1.37-2.49; = 88%), low birth weight (OR = 2.73; 95% CI: 1.66-4.48; = 95%), and stillbirth (OR = 1.74; 95% CI: 0.86-3.54; = 64%). We attained comparable results among all specific IPV including physical, sexual, emotional, and mixed.
Intimate partner violence and specific IPV during pregnancy were significantly associated with adverse birth outcomes, especially for physical IPV. An urgent need for greater action to prevent or intervene in IPV during pregnancy is warranted.
CRD42021282936, https://www.crd.york.ac.uk/prospero/.
亲密伴侣暴力（IPV）与多种不良分娩结局风险升高相关，但对于特定的亲密伴侣暴力如何影响不良分娩结局知之甚少。本研究的目的是探讨孕期亲密伴侣暴力与不良分娩结局（即早产、低出生体重和死产）之间的关联。
使用四个数据库进行系统检索：EMBASE、科学网、PubMed和CINAHL，以查找2011年1月1日至2021年8月31日发表的观察性研究。两名评审员独立进行文献检索、研究选择、数据提取、研究评估和偏倚风险评估；分歧由第三名评审员解决。采用随机效应模型计算早产、低出生体重和死产的比值比（OR）及95%置信区间（CI）。使用伴有卡方值的统计量评估异质性，使用漏斗图和彼得检验评估发表偏倚。
共有23项研究符合纳入标准。亲密伴侣暴力与早产（OR = 1.84；95% CI：1.37 - 2.49； = 88%）、低出生体重（OR = 2.73；95% CI：1.66 - 4.48； = 95%）和死产（OR = 1.74；95% CI：0.86 - 3.54； = 64%）相关。在所有特定类型的亲密伴侣暴力中，包括身体暴力、性暴力、情感暴力和混合暴力，我们都获得了类似的结果。
孕期亲密伴侣暴力及特定类型的亲密伴侣暴力与不良分娩结局显著相关，尤其是身体暴力。迫切需要采取更多行动来预防或干预孕期亲密伴侣暴力。
CRD42021282936，https://www.crd.york.ac.uk/prospero/ 。
