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2018 ; 18
(1
): 595
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Intimate partner violence, forced first sex and adverse pregnancy outcomes in a
sample of Zimbabwean women accessing maternal and child health care
#MMPMID29724216
Shamu S
; Munjanja S
; Zarowsky C
; Shamu P
; Temmerman M
; Abrahams N
BMC Public Health
2018[May]; 18
(1
): 595
PMID29724216
show ga
BACKGROUND: Intimate partner violence (IPV) remains a serious problem with a wide
range of health consequences including poor maternal and newborn health outcomes.
We assessed the relationship between IPV, forced first sex (FFS) and maternal and
newborn health outcomes. METHODS: A cross sectional study was conducted with 2042
women aged 15-49 years attending postnatal care at six clinics in Harare,
Zimbabwe, 2011. Women were interviewed on IPV while maternal and newborn health
data were abstracted from clinic records. We conducted logistic regression models
to assess the relationship between forced first sex (FFS), IPV (lifetime, in the
last 12 months and during pregnancy) and maternal and newborn health outcomes.
RESULTS: Of the recent pregnancies 27.6% were not planned, 50.9% booked
(registered for antenatal care) late and 5.6% never booked. A history of
miscarriage was reported by 11.5%, and newborn death by 9.4% of the 2042 women
while 8.6% of recent livebirths were low birth weight (LBW) babies. High
prevalence of emotional (63,9%, 40.3%, 43.8%), physical (37.3%, 21.3%, 15.8%) and
sexual (51.7%, 35.6%, 38.8%) IPV ever, 12 months before and during pregnancy were
reported respectively. 15.7% reported forced first sex (FFS). Each form of
lifetime IPV (emotional, physical, sexual, physical/sexual) was associated with a
history of miscarrying (aOR ranges: 1.26-1.38), newborn death (aOR ranges:
1.13-2.05), and any negative maternal and newborn health outcome in their
lifetime (aOR ranges: 1.32-1.55). FFS was associated with a history of a negative
outcome (newborn death, miscarriage, stillbirth) (aOR1.45 95%CI: 1.06-1.98). IPV
in the last 12 months before pregnancy was associated with unplanned pregnancy
(aOR ranges 1.31-2.02) and booking late for antenatal care. Sexual IPV (aOR 2.09
CI1.31-3.34) and sexual/physical IPV (aOR2.13, 95%CI: 1.32-3.42) were associated
with never booking for antenatal care. Only emotional IPV during pregnancy was
associated with low birth weight (aOR1.78 95%CI1.26-2.52) in the recent pregnancy
and any recent pregnancy negative outcomes including LBW, premature baby,
emergency caesarean section (aOR1.38,95%CI:1.03-1.83). CONCLUSIONS: Forced first
sex (FFS) and intimate partner violence (IPV) are associated with adverse
maternal and newborn health outcomes. Strengthening primary and secondary
violence prevention is required to improve pregnancy-related outcomes.
|Abortion, Spontaneous/epidemiology
[MESH]
|Adolescent
[MESH]
|Adult
[MESH]
|Cesarean Section/statistics & numerical data
[MESH]
|Cross-Sectional Studies
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Infant, Low Birth Weight
[MESH]
|Infant, Newborn
[MESH]
|Intimate Partner Violence/*statistics & numerical data
[MESH]
|Maternal-Child Health Services/statistics & numerical data
[MESH]
|Middle Aged
[MESH]
|Patient Acceptance of Health Care/statistics & numerical data
[MESH]