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Association of intimate partner violence during pregnancy, prenatal depression, and adverse birth outcomes in Wuhan, China
Journal article   Open access   Peer reviewed

Association of intimate partner violence during pregnancy, prenatal depression, and adverse birth outcomes in Wuhan, China

Honghui Yu, Xueyan Jiang, Wei Bao, Guifeng Xu, Rong Yang and Min Shen
BMC pregnancy and childbirth, Vol.18(1), pp.469-469
12/03/2018
DOI: 10.1186/s12884-018-2113-6
PMCID: PMC6276257
PMID: 30509253
url
https://doi.org/10.1186/s12884-018-2113-6View
Published (Version of record) Open Access

Abstract

Intimate partner violence (IPV) among pregnant women constitutes a global public health problem and a potential risk factor for adverse maternal and fetal outcomes. The present study aimed to examine the associations among IPV during pregnancy, prenatal depression, and adverse birth outcomes in Wuhan, China. A cross-sectional study was performed from April 2013 to March 2014 in Wuhan, China. Sociodemographic characteristics, IPV during pregnancy, and depressive symptoms during pregnancy were assessed in the third trimester of pregnancy. Birth outcomes were collected after delivery using medical records. Chi-square tests and logistic regression analysis were used to examine the association between IPV and prenatal depression, as well as the association between IPV combined with prenatal depression and adverse birth outcomes. After adjustment for covariates, there was a statistically significant association between IPV during pregnancy and prenatal depression (adjusted odds ratio [aOR] = 2.50, 95% confidence interval [CI]: 1.60-3.90). IPV during pregnancy (aOR = 1.67, 95% CI: 1.08-2.56) and prenatal depression (aOR = 1.72, 95% CI: 1.11-2.68) were significantly associated with adverse birth outcomes. Women experiencing psychological abuse had a significantly higher odds of prenatal depression (aOR = 2.04, 95% CI: 1.19-3.49) and of adverse birth outcomes (aOR = 2.13, 95% CI: 1.08-2.58), compared with women who did not experience IPV and prenatal depression. IPV during pregnancy and prenatal depression were significantly associated with adverse birth outcomes, after adjustment for socio-demographic and behavior factors. The findings suggest that early recognition of IPV and prenatal depression during antenatal care may protect pregnant women and improve birth outcomes.
Infant, Low Birth Weight Congenital Abnormalities - epidemiology Depression - epidemiology Cross-Sectional Studies Humans Logistic Models Intimate Partner Violence - statistics & numerical data China - epidemiology Premature Birth - epidemiology Pregnancy Young Adult Stillbirth - epidemiology Adult Female Depressive Disorder - epidemiology Odds Ratio Asphyxia Neonatorum - epidemiology Infant, Newborn Pregnancy Complications - epidemiology

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