Faculty of Health Sciences, Arthur Labatt Family School of Nursing, The University of Western Ontario, London, ON, Canada.
Faculty of Health Sciences, Health and Rehabilitation Sciences Program, The University of Western Ontario, London, ON, Canada.
Trauma Violence Abuse. 2024 Jul;25(3):1899-1910. doi: 10.1177/15248380231198876. Epub 2023 Sep 20.
Globally, it is estimated that 245 million women and girls aged 15 and over have experienced intimate partner violence (IPV) in the past 12 months. Moreover, research has highlighted the disproportionately high prevalence of IPV victimization among pregnant women. IPV can have serious health implications for women and their infants, yet little is known about maternal health-related decision-making by mothers exposed to IPV. To this end, the purpose of this scoping review was to examine what is known regarding health-related maternal decision-making among perinatal women in the context of IPV. Using Arksey and O'Malley's framework, five electronic databases were searched, resulting in 630 articles. Eligible articles were primary studies written in English, included participants who experienced IPV at any time in their life, and reported results focused on maternal health-related decision-making in the context of IPV. Thirty-six articles were screened by the review team, resulting in seven included articles. Three main themes emerged regarding health-related maternal decision-making by mothers experiencing IPV, including suboptimal breastfeeding practices, under-utilization of maternal and child health services, and poor adherence to medical recommendations/regimens that impact health-related outcomes for mother and child. The well-established risk of poorer health outcomes among women experiencing IPV, alongside the findings of this scoping review, calls for further research specifically addressing health-related decision-making among perinatal women who experience IPV.
据全球估计，有 2.45 亿 15 岁及以上的女性在过去 12 个月中遭受过亲密伴侣暴力（IPV）。此外，研究强调了孕妇中 IPV 受害率过高。IPV 可能对女性及其婴儿的健康产生严重影响，但对于遭受 IPV 的母亲的母婴健康相关决策知之甚少。为此，本范围综述的目的是探讨在 IPV 背景下，遭受 IPV 的围产期妇女在健康相关方面的决策情况。使用 Arksey 和 O'Malley 的框架，我们在五个电子数据库中进行了搜索，共检索到 630 篇文章。合格的文章是用英文撰写的原始研究，包括在其生命中的任何时间都经历过 IPV 的参与者，并报告了与 IPV 背景下母婴健康相关决策相关的结果。审查团队对 36 篇文章进行了筛选，最终纳入了 7 篇文章。关于遭受 IPV 的母亲的健康相关决策，出现了三个主要主题，包括母乳喂养实践不佳、孕产妇和儿童健康服务利用不足，以及不遵守影响母婴健康相关结果的医疗建议/方案。遭受 IPV 的女性健康状况较差的风险已经确立，再加上本范围综述的结果，呼吁进一步研究专门针对遭受 IPV 的围产期妇女的母婴健康相关决策。
