Department of Obstetrics and Gynecology, Federal Medical Centre, Abuja, Nigeria.
Niger J Clin Pract. 2023 Jul;26(7):889-895. doi: 10.4103/njcp.njcp_446_22.
Intimate partner violence (IPV) has been a source of increasing concern to the government of nations as well as their citizens despite measures taken to reduce it. This is supported by recent data published by the World Health Organization and other development partners. In health care facilities, intimate partner violence in pregnancy has not been screened routinely. Community-based findings have been the source of most data informing policies for decisions.
These were to determine the prevalence and patterns of IPV among antenatal clinic attendees at the Federal Medical Center (FMC), Abuja.
Following ethical clearance, a health facility-based cross-sectional study was conducted at the FMC, Abuja to determine the prevalence and correlates of IPV during pregnancy among attendees of antenatal clinics. It was conducted between 26 June and 17 September 2021. A total of 450 questionnaires were administered among consecutive consenting clients and 407 were returned filled giving a non-response rate of 9.6%. The questionnaire collected data on respondents' sociodemographics; experience of and types of IPV; and health problems arising from IPV. Results were presented in tables and charts and analysis was done using IBM SPSS (International Business Machines' Statistical product and service solutions) version 25 software.
The mean age was 29.37 ± standard deviation 4.43 years and the predominant ethnic group was Igbo (46.5%); 96.56% were married; 68.06% had tertiary education and 49.14% were in their third trimesters. The combined incidence of intimate partner violence among the participants was 17.69% with physical violence contributing 3.19%; the head region (40%) being the most affected body part. While 34% experienced intrauterine foetal death in the past following IPV. In Miller's landmark study, 27 of 1300 sexually active young women, one in five reported partner pregnancy non promoting behaviors, such as intimidation, threats to leave the relationship if the woman did not become pregnant or actual violence. The two most significant factors for IPV were age and marital status both at P values of P = 0.0001.
Medical doctors should feel more open discussing issues around IPV with their clients during antenatal visits.
尽管各国政府和公民采取了措施来减少亲密伴侣暴力（IPV），但这种暴力行为仍然是一个令人日益担忧的问题。世界卫生组织和其他发展伙伴最近公布的数据也证实了这一点。在医疗保健机构中，妊娠期间的亲密伴侣暴力行为并未常规筛查。以社区为基础的研究结果是为决策提供政策信息的主要数据来源。
本研究旨在确定阿布贾联邦医疗中心（FMC）产前诊所就诊者中 IPV 的流行率和模式。
在获得伦理批准后，于 2021 年 6 月 26 日至 9 月 17 日在阿布贾的 FMC 进行了一项基于卫生机构的横断面研究，以确定产前诊所就诊者中妊娠期间 IPV 的流行率和相关因素。共向连续同意的患者发放了 450 份问卷，其中 407 份返回填写，无应答率为 9.6%。问卷收集了受访者的社会人口统计学数据；经历过和类型的 IPV；以及因 IPV 而产生的健康问题。结果以表格和图表形式呈现，并使用 IBM SPSS（国际商业机器公司的统计产品和服务解决方案）版本 25 软件进行分析。
平均年龄为 29.37 ± 4.43 岁，主要族裔群体是伊博人（46.5%）；96.56%已婚；68.06%受过高等教育，49.14%处于孕晚期。参与者中亲密伴侣暴力的综合发生率为 17.69%，其中身体暴力占 3.19%；头部（40%）是受影响最严重的身体部位。而过去曾有 34%的人因 IPV 而导致宫内胎儿死亡。在 Miller 的里程碑式研究中，1300 名有性行为的年轻女性中有 27 人，五分之一的人报告称伴侣有怀孕不促进行为，如恐吓、威胁如果女性不怀孕就离开关系或实际暴力。亲密伴侣暴力的两个最重要因素是年龄和婚姻状况，两者的 P 值均为 P = 0.0001。
医生在产前检查期间应更加开放地与患者讨论 IPV 问题。
