International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2013
Maternal and fetal outcomes of intimate partner violence associated with pregnancy in the Latin American and Caribbean region.
СтатьяПоддержка NIH: внешняя программаПоддержка исследования: вне правительства СШАСистематический обзорНазвание и аннотация: Перевод в очереди
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Han Alice, Stewart Donna E
Аннотация
BACKGROUND: Very high rates of intimate partner violence during pregnancy (IPV-P) are reported in Latin America and the Caribbean (LAC) but data on prevalence and obstetric-related outcomes are limited.
OBJECTIVES: To conduct a literature review on risk factors, prevalence, and adverse obstetric-related outcomes of IPV-P in LAC.
SEARCH STRATEGY: Systematic review of studies in MEDLINE (1946-2012) and LILACS (1982-2012), and hand searching of reference lists of included studies. Search terms were variations of partner abuse and pregnancy in LAC.
SELECTION CRITERIA: Studies were excluded if they did not include IPV-P prevalence or if the perpetrator was not an intimate partner.
DATA COLLECTION AND ANALYSIS: Study quality was assessed via US Preventive Services Task Force criteria.
MAIN RESULTS: In the 31 studies included, prevalence rates ranged from 3% to 44%. IPV-P was significantly associated with unintended pregnancies and adverse maternal (depression, pregnancy-related symptom distress, inadequate prenatal care, vaginal bleeding, spontaneous abortion, gestational weight gain, high maternal cortisol, hypertension, pre-eclampsia, STIs) and infant (prematurity, low birth weight, neonatal complications, stillbirth) outcomes (grade II-2 and 3 evidence).
CONCLUSIONS: IPV-P is highly prevalent in LAC, with poor obstetric-related outcomes. Clinicians must identify women experiencing IPV-P and institute appropriate interventions and referrals to avoid its deleterious consequences.
OBJECTIVES: To conduct a literature review on risk factors, prevalence, and adverse obstetric-related outcomes of IPV-P in LAC.
SEARCH STRATEGY: Systematic review of studies in MEDLINE (1946-2012) and LILACS (1982-2012), and hand searching of reference lists of included studies. Search terms were variations of partner abuse and pregnancy in LAC.
SELECTION CRITERIA: Studies were excluded if they did not include IPV-P prevalence or if the perpetrator was not an intimate partner.
DATA COLLECTION AND ANALYSIS: Study quality was assessed via US Preventive Services Task Force criteria.
MAIN RESULTS: In the 31 studies included, prevalence rates ranged from 3% to 44%. IPV-P was significantly associated with unintended pregnancies and adverse maternal (depression, pregnancy-related symptom distress, inadequate prenatal care, vaginal bleeding, spontaneous abortion, gestational weight gain, high maternal cortisol, hypertension, pre-eclampsia, STIs) and infant (prematurity, low birth weight, neonatal complications, stillbirth) outcomes (grade II-2 and 3 evidence).
CONCLUSIONS: IPV-P is highly prevalent in LAC, with poor obstetric-related outcomes. Clinicians must identify women experiencing IPV-P and institute appropriate interventions and referrals to avoid its deleterious consequences.