Prevalence of Intimate Partner Violence in Pregnancy: An Umbrella Review

Román-Gálvez, Rosario M; Martín‐Peláez, Sandra; Martínez‐Galiano, Juan Miguel; Khan, Khalid S.; Bueno‐Cavanillas, Aurora

doi:10.3390/ijerph18020707

Cited by 42 publications

(36 citation statements)

References 35 publications

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“…A published systematic review and meta-analysis gave a low quality prevalence of IPV as 1.6-78% physical abuse and psychological type as 1.8-67.4%. These results were contradictory to the present results as verbal abuse was among the highest reported type of the violence [6].…”

Section: Discussioncontrasting

confidence: 99%

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A Descriptive Study on Types of Violence, It’s Effects on Ante Natal Patient’s Health and Pregnancy Outcomes

Malik¹,

Akhtar²,

Bibi³

et al. 2021

Act Scie Medic

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Section: Discussioncontrasting

confidence: 99%

“…Although these were recent reviews but of low quality with AMSTAR2 recommendations and without capturing the total global burden of the disease under discussion. These showed only one out of two and one of 50 females suffer physical and psychological violence [6].…”

Section: Intimate Partner Violence Has Been Researched In Pakistanmentioning

confidence: 98%

A Descriptive Study on Types of Violence, It’s Effects on Ante Natal Patient’s Health and Pregnancy Outcomes

Malik¹,

Akhtar²,

Bibi³

et al. 2021

Act Scie Medic

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“…An umbrella review of collated summaries of the published worldwide and country IPV prevalence data in pregnancy (13) showed that the existing evidence syntheses did not capture the totality of the disease burden, they did not always specify the gestational time point of IPV evaluation, and sometimes the IPV and domestic violence concepts were mixed up, leaving ambiguity. When assessed for quality, the existing reviews showed possible bias in study selection, general failure in addressing heterogeneity, and a narrow geographical coverage, focused on low-income countries (13). A robust updated systematic review of IPV prevalence in pregnancy is required to provide underpinning evidence for antenatal care policies.…”

Section: Introductionmentioning

confidence: 99%

Worldwide Prevalence of Intimate Partner Violence in Pregnancy. A Systematic Review and Meta-Analysis

Román-Gálvez

Martín‐Peláez

Zamora

et al. 2021

Front. Public Health

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Background: Intimate partner violence (IPV) affects outcomes of mothers and their offspring. This systematic review collated the worldwide literature on the prevalence rates of different types of IPV in pregnancy.Methods: Two reviewers independently identified cross sectional and cohort studies of IPV prevalence in pregnancy in online databases (PubMed, WOS and Scopus), selected and extracted data [participants' country, study quality, measurement tool (validation and purpose) and rates of IPV in pregnancy]. We considered a high quality study if it had a prospective design, an adequate sampling method, a sample size estimation, a response rate > 90%, a contemporary ascertainment of IPV in the index pregnancy, and a well-developed detailed IPV tool. We performed random effects meta-analysis and explored reasons for heterogeneity of rates.Results: One hundred fifty-five studies were included, of which 44 (28%) met two-thirds of the quality criteria. Worldwide prevalence of physical (126 studies, 220,462 participants), psychological (113 studies, 189,630 participants) and sexual (98 studies, 155,324 participants) IPV in pregnancy was 9.2% (95% CI 7.7–11.1%, I2 95.9%), 18.7% (15.1–22.9%, I2 98.2%), 5.5% (4.0–7.5%, I2 93.4%), respectively. Where several types of IPV were reported combined, the prevalence of any kind of IPV (118 studies, 124,838 participants) was 25.0% (20.3, 30.5%, I2 98.6%). IPV rates varied within and between continents, being the highest in Africa and the lowest in Europe (p < 0.001). Rates also varied according to measurement purpose, being higher for diagnosis than for screening, in physical (p = 0.022) and sexual (p = 0.014) IPV.Conclusions: IPV prevalence in pregnancy varies across countries, with one-quarter of mothers exposed on average globally. Routine systematic antenatal detection should be applied worldwide.Systematic Review Registration: identifier: CRD42020176131.

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“…The combination may have an inter-generational impact on her infant. Around 28% of pregnant women experience physical or sexual IPV during pregnancy [5] and a recent umbrella review of 12 studies found that emotional p-IPV can be wide ranging, with between 1.8 to 67.4% [6]. p-IPV is also associated with a range of adverse perinatal outcomes, such as miscarriages and pre-term births [7].…”

Section: Introductionmentioning

confidence: 99%

Intergenerational effects of violence on women’s perinatal wellbeing and infant health outcomes: evidence from a birth cohort study in Central Vietnam

Phuc

Baker

et al. 2021

BMC Pregnancy Childbirth

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Background Girls exposed to violence have a high risk of being victimized as adults and are more likely than non-abused women to have children who are treated violently. This intergenerational transmission may be especially serious when women suffer violence during pregnancy and early motherhood, as it impairs maternal wellbeing and infant health and development. This study examined the intergenerational effects of being exposed to childhood maltreatment (CM) and prenatal intimate partner violence (p-IPV) on perinatal mental distress and birth outcomes in central Vietnam. Methods A birth cohort study in Hue City, Vietnam was conducted with 150 women in the third trimester of pregnancy (Wave 1) and 3 months after childbirth (Wave 2). Using multivariable logistic regression models, augmented inverse-probability-weighted estimators and structural equation modelling (SEM), we analyzed a theoretical model by evaluating adjusted risk differences and pathways between CM, p-IPV and subsequent perinatal adversity and indicators of infant health problems. Results One in two pregnant women experienced at least one form of CM (55.03%) and one in ten pregnant women experienced both CM and p-IPV (10.67%). Mothers who experienced p-IPV or witnessed IPV as a child were approximately twice as likely to experience poor mental health during pregnancy [ARR 1.94, 95% CI (1.20–3.15)]. Infants had a two-fold higher risk of adverse birth outcomes (low birth weight, preterm birth, admission to neonatal intensive care) [ARR 2.45 95% CI (1.42, 4.25)] if their mothers experienced any form of p-IPV, with greater risk if their mothers were exposed to both CM and p-IPV [ARR 3.45 95% CI (1.40, 8.53)]. Notably, significant pathways to p-IPV were found via adverse childhood experience (ACE) events (β = 0.13), neighborhood disorder (β = 0.14) and partner support (β = − 1.3). Conclusion These results emphasize the detrimental and prolonged nature of the effect of violence during childhood and pregnancy. Exposure to childhood maltreatment and violence during pregnancy increases the risk of maternal mental health difficulties and adverse birth outcomes. Antenatal care systems need to be responsive to women’s previous experiences of violence and maternal mental health. The significant protective role of partner support and social support should also be considered when designing tailored interventions to address violence during pregnancy.

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Prevalence of Intimate Partner Violence in Pregnancy: An Umbrella Review

Cited by 42 publications

References 35 publications

A Descriptive Study on Types of Violence, It’s Effects on Ante Natal Patient’s Health and Pregnancy Outcomes

A Descriptive Study on Types of Violence, It’s Effects on Ante Natal Patient’s Health and Pregnancy Outcomes

Worldwide Prevalence of Intimate Partner Violence in Pregnancy. A Systematic Review and Meta-Analysis

Intergenerational effects of violence on women’s perinatal wellbeing and infant health outcomes: evidence from a birth cohort study in Central Vietnam

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