Almowafy Abeer A, Elkafrawy Mona Alsayed, Ahmed Doaa Sadek, Ismail Samar Samy, Alboghdady Mahmoud Abdelwahed, Keshta Nawal Hamdy Ahmed
International Islamic Institute for Population Studies and Research, Al-Azhar University, Cairo, Egypt.
Department of Obstetrics and Gynecology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
Sci Rep. 2025 Aug 29;15(1):31810. doi: 10.1038/s41598-025-16884-8.
Violence against women is a distressing issue, particularly when the victim is pregnant. However, the pregnancy outcomes of many pregnant women who were subjected to violence are complicated. The present research aimed to evaluate the prevalence of domestic violence against pregnant women and its consequences on the outcome of pregnancy. A prospective cohort study with an initial cross-sectional component was conducted among 500 pregnant women randomly selected from the Obstetrics and Gynecology outpatient clinics et al.-Zahraa University Hospital during antenatal visits. The study employed a structured questionnaire to collect socio-demographic data and information on the types and frequency of violence. These participants were evaluated till delivery to assess the consequences of violence on pregnancy outcomes. The mean age of the women was 30.4 ± 7.2 years, with an average duration of marriage of 6.1 ± 4.3 years. Violence was detected among 58.8% of the studied pregnant women, and psychological violence was the most frequent type (44.2%). Those who experienced violence were more likely to have a longer duration of marriage (mean = 6.14 ± 4.3 years vs. 5.12 ± 4.4; p = 0.001), lower educational levels (p = 0.04 for wives; p = 0.03 for husbands), be housewives (p = 0.004), and their husbands were more often unemployed (p = 0.04). and live in households with insufficient income (p = 0.02). A statistically significant increase in maternal complications was observed among women who experienced violence, including higher rates of hypertensive disorders of pregnancy, threatened abortion, vaginal bleeding, delayed prenatal care, preterm rupture of membranes, and cesarean delivery compared to those who did not experience violence (p < 0.05). Additionally, fetuses of women who experienced violence had significantly higher rates of preterm birth, fetal distress during labor, and low birth weight (p < 0.05) compared to those of non-exposed women. More than half of pregnant women experience domestic violence, predominantly psychological, negatively affecting maternal and fetal outcomes. These findings highlight the need for routine screening during antenatal visits and targeted interventions addressing socioeconomic vulnerabilities.
暴力侵害妇女行为是一个令人痛心的问题，尤其是当受害者为孕妇时。然而，许多遭受暴力的孕妇的妊娠结局都很复杂。本研究旨在评估针对孕妇的家庭暴力的发生率及其对妊娠结局的影响。在产前检查期间，从扎赫拉大学医院妇产科门诊等机构随机选取500名孕妇进行了一项包含初始横断面部分的前瞻性队列研究。该研究采用结构化问卷收集社会人口学数据以及暴力类型和频率的信息。对这些参与者进行随访直至分娩，以评估暴力对妊娠结局的影响。这些女性的平均年龄为30.4±7.2岁，平均婚姻时长为6.1±4.3年。在58.8%的研究孕妇中检测到了暴力行为，其中心理暴力最为常见（44.2%）。遭受暴力的女性婚姻持续时间更长（平均=6.14±4.3年对5.12±4.4年；p=0.001）、教育水平较低（妻子p=0.04；丈夫p=0.03）、为家庭主妇（p=0.004），且其丈夫更常失业（p=0.04），并生活在收入不足的家庭中（p=0.02）。与未遭受暴力的女性相比，遭受暴力的女性出现孕产妇并发症的情况在统计学上有显著增加，包括妊娠高血压疾病、先兆流产、阴道出血、产前检查延迟、胎膜早破和剖宫产的发生率更高（p<0.05）。此外，与未遭受暴力的女性相比，遭受暴力的女性的胎儿早产、分娩时胎儿窘迫和低出生体重的发生率显著更高（p<0.05）。超过一半的孕妇遭受家庭暴力，主要是心理暴力，这对母婴结局产生了负面影响。这些发现凸显了产前检查期间进行常规筛查以及针对社会经济脆弱性采取有针对性干预措施的必要性。
