怀孕期间亲密伴侣暴力及其与怀孕和分娩并发症的关联:一个前性队列研究
Shamsudeen Mohammed1, Paul Lokubal2, Josephine Akua Ackah Baafi3
1Department of Non-communicable Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
PLOS global public health
|April 11, 2025
概括
怀孕期间的亲密伴侣暴力 (IPV) 在埃塞俄比亚显著增加了母亲和胎儿并发症的风险. 通过产妇健康政策解决IPV对于及时干预和改善结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
背景情况:
- 怀孕期间的亲密伴侣暴力 (IPV) 是一个与不利的孕产妇和胎儿结果相关的全球性问题.
- 在包括埃塞俄比亚在内的撒哈拉以南非洲国家,IPV对怀孕和分娩并发症的范围和影响的研究有限.
研究的目的:
- 调查怀孕期间亲密伴侣暴力 (IPV) 对埃塞俄比亚怀孕和分娩并发症的影响.
- 分析不同类型的IPV (任何,身体,性) 和特定的产科并发症之间的关联.
主要方法:
- 分析了PMA埃塞俄比亚队列1研究中的2635名女性的前性纵向数据.
- 关于IPV和产科并发症的数据是在六周的产后随访中收集的.
- 使用多变量日志双项回归来估计与IPV相关的并发症风险.
主要成果:
- 任何IPV的患病率为13%,身体IPV为4.6%,性IPV为7.1%.
- 物理IPV与视力问题,产妇内出血和的风险增加有关.
- 性性IPV与产前,膜破裂,表现不良,产后,产后出血和发烧与不良分泌的风险更高.
结论:
- 在埃塞俄比亚,怀孕期间的IPV与广泛的产前,产后和产后并发症有显著的关联.
- 迫切需要将IPV宣传活动纳入孕产妇健康政策,并赋予妇女报告IPV的权力,以进行有效的干预.
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