Partner conflict during their index pregnancy and its correlates among a cohort of six weeks postpartum women in Ethiopia

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: Jan. 8, 2025

Current intimate partner violence (IPV) during pregnancy was found to be associated with adverse health outcomes including loss, preterm labor, complications, hypertension, delivering low birth weight baby, physical injuries and stress. IPV in Ethiopia is considerably high. This study aimed at determining the prevalence of index as measured six weeks postpartum among women their extended period identify its correlates. Documenting magnitude identifying factors affecting it could imperative generate actionable evidence. Generating such an evidence contributed share for Health Minister other relevant partners tracking progress towards achievement sustainable development goals (SDGs) 5.2.1 by 2030. used Performance Monitoring Action Ethiopian (PMA_ET) merged cohort one baseline data which had enrolled collected from currently pregnant women. Frequencies were computed describe participant's characteristics, chi-square statistics calculated assess cell sample size adequacy. Multilevel binary logistics regression statistical modeling employed correlates IPV. Results presented form percentages odds ratio 95% Confidence Intervals. Candidate variables selected using p-value 0.25. Statistical significance declared 0.05. The overall proportion 12.14% (95%CI: 10.66%, 13.79%). A slightly higher percentage reported that they have experienced least sexual 8.09% (95% CI: 6.91%, 9.44%) than experiencing 6.02% 4.94%, 7.31%). After controlling confounders, likelihood and/or 2.14 1.04, 4.38) times whose husband wives' compared those who did not have. Women residents Afar region only 0.14 0.03, 0.79) experience 12.14%. statistically non-significant Activities efforts are specific regions needed address problem polygamy hoped pregnancy. Such activities should tailored along maternal new born care continuum. Further implication this installing contraceptive related preconception packages system combat against any gender based violence. In addition, creating institutional capacity through strengthening expanding stop centers provide medical treatment, care, psychosocial support victims survivors can considered imperative. Moreover, finding gave insight rapid referral linkage legal key. Similarly, working on early marriage counseling childbirth; spaced pregnancies young couples implied on. Most importantly, serve indicators monitor SDG look strategy policy changes light observed progress.

Language: Английский

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Intimate partner violence during pregnancy and its association with pregnancy and childbirth complications: A prospective cohort study

PLOS Global Public Health, Journal Year: 2025, Volume and Issue: 5(4), P. e0004311 - e0004311

Published: April 11, 2025

Intimate partner violence (IPV) during pregnancy increases the risk of adverse outcomes for both woman and foetus. However, there is limited research on its scope impact in many sub-Saharan African countries. In this study, we investigated effects IPV childbirth complications Ethiopia. Prospective, longitudinal data from Performance Monitoring Action Ethiopia (PMA Ethiopia) Cohort 1 study covering a sample 2635 women followed up until one year postpartum was used analysis. Information obstetric were collected at six-week follow-up visits. Multivariable log-binomial regression estimated antepartum, intrapartum, associated with any type, physical sexual pregnancy. The prevalence type 13%, only 4.6%, 7.1%. Physical an increased worsening vision night (adjusted relative [aRR]=2.47, 95% Confidence Interval [95%CI]=1.46 - 4.77), intrapartum haemorrhage (aRR=1.65, 95%CI=1.11 2.46), convulsion (aRR=1.98, 95%CI=1.34 2.94). Sexual antepartum (aRR=1.93, 95%CI=1.07 3.48), leaked/ruptured membrane (aRR=2.86, 95%CI=1.59 5.14), malpresentation (aRR=2.37, 95%CI=1.17 4.80), convulsions (aRR=1.86, 95%CI=1.16 2.98), (aRR=1.68, 95%CI=1.18 2.40) fever foul discharge (aRR=2.03, 95%CI=1.40 2.93). Overall, experience above addition to migraine, convulsion, abnormal vaginal discharge. There need embed sensitisation campaigns maternal health policies interventions empower report cases timely intervention.

Language: Английский

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Experiences of intimate partner violence and antepartum depression among women seeking antenatal care in Addis Ababa, Ethiopia: findings from the MISPOD study

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: April 16, 2025

Language: Английский

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Prevalence of low birth weight and associated factors in Ethiopia: An umbrella review of systematic review and meta-analyses

PLOS Global Public Health, Journal Year: 2025, Volume and Issue: 5(5), P. e0004556 - e0004556

Published: May 8, 2025

Low birth weight (LBW) is one of the major causes neonatal mortality and morbidity in low middle-income countries (LMICs). Despite goal reducing newborn by 2030, low-income countries, including Ethiopia, still confront challenges. Although various systematic reviews meta-analyses (SRMA) have been conducted on LBW there notable variation among their findings. This umbrella review aimed to consolidate inconsistent findings into a single summary estimate, providing robust synthesis evidence from bolster health policy development planning Ethiopia.Articles were retrieved PubMed/Medline, Science Direct, Web Science, HINARI, Google Scholar. Assessments Multiple Systematic Reviews checklist scores used assess quality included SRMA studies. A random-effects model was estimate overall effect size.A total eleven studies (5 prevalence 6 predictors) involving 190,492 neonates with an outcome interest analysis. The for 16% (95% CI: 13, 18%). Being prematurity [POR: 7.86; 95% 5.79, 10.67], not attending antenatal care (ANC) 2.4, 1.49, 3.88], having pregnancy-induced hypertension (PIH) 4.2; 2.78, 6.36], being rural resident 2.14, 1.56, 2.94], pregnancy interval < 24 months 2.96; 1.79, 4.9], iron-folic acid supplementation (IFAS) 0.38; 0.29, 0.5], maternal age 20 2.02, 1.41, 2.9] significantly associated LBW. revealed more than three out twenty experienced Ethiopia. premature, care, hypertension, resident, months, significant predictors Therefore, timely diagnosis, proper treatment, follow-up women at risk might combat incidence

Language: Английский

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The association between intimate partner violence and breastfeeding practices in Cameroon: An analysis from demographic and health survey of 2018

Heliyon, Journal Year: 2024, Volume and Issue: 10(11), P. e32062 - e32062

Published: May 29, 2024

Intimate partner violence is a major public health concern around the world. While its degrading effects on maternal are well documented, it not clear establishing link with child outcomes, especially breastfeeding practices. Therefore, this paper aims to analyze association between and practices in Cameroon using data from 2018 demographic survey. apprehended three dimensions (physical, emotional sexual violence), two key considered: early initiation within an hour of delivery for children under 24 months age, exclusive during h preceding mother's interview 6 months. The results descriptive statistics suggest that 51.91 % (n = 1704) mothers whose infants 0 23 age who acquired 39.61 484) 5 practiced breastfeeding. estimated logistic regression model were significantly associated low chances (OR: 0.675; 95 CI: 0.528, 0.864; p < 0.05; OR: 0.741; 0.525, 1.046; 0.1), which case physical has no significant association. No dimension was breastfeeding, independently or control infant, household characteristics. We further performed robustness analysis, findings associations robust consider another measure duration maternity leave. Thus, improve practices, particular decision-makers should strengthen fight against domestic by emphasizing violence. This provides benchmark several future investigations could discuss other policy challenges towards length

Language: Английский

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Comparison of maternal-fetal attachment, anxiety, depression, and prevalence of intimate partner violence in Iranian women with intended and unintended pregnancy: a cross-sectional study

BMC Psychology, Journal Year: 2024, Volume and Issue: 12(1)

Published: June 12, 2024

Unintended pregnancies and intimate partner violence can adversely affect women, infants, their psychological well-being. The study aimed to compare depression, anxiety, maternal-fetal attachment, the prevalence of between women with without unintended in Tabriz, Iran. sought address lack research on this topic Iranian context. This cross-sectional was conducted 486 pregnant attending health centers Tabriz City 2022 2023. A cluster sampling method utilized, data were gathered through administration socio-demographic, Maternal Fetal Attachment, Edinburgh Postnatal Depression, World Health Organization Domestic Violence, Pregnancy Anxiety instruments. general linear model (GLM), controlling for potential confounding variables, used attachment two groups. Multivariable logistic regression analysis, also employed domestic results adjusted GLM indicated that had significantly lower (Adjusted mean difference (AMD):-9.82, 95% CI:-12.4 -7.15 ; p < 0.001)), higher levels depression (AMD: 2.89; CI: 1.92 3.86 0.001), anxiety (MD: 5.65; 3.84 7.45; 0.001) compared intended pregnancies. During pregnancy, 40% 19.2% reported experiencing at least one form physical, sexual, or emotional violence. multivariable revealed a odds (adjusted ratio [aOR]: 2.94; 1.64 5.26; sexual violence, (aOR: 2.25; 1.32 3.85; = 0.004), physical 2.38; 1.50 3.77; found high including These emphasize importance implementing policies reducing

Language: Английский

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Intimate Partner Violence during the Index Pregnancy and its correlates among a panel of pregnant women in Ethiopia, evidence from performance, and monitoring for action (PMA) 2021 cohort two baseline survey

BMC Pregnancy and Childbirth, Journal Year: 2024, Volume and Issue: 24(1)

Published: Nov. 16, 2024

Current intimate partner violence (IPV) in Ethiopia is considerably high. This study aimed at determining the prevalence of IPV among a panel pregnant women during their index pregnancy and identify its correlates using Performance Monitoring for action (PMA) cohort 2 baseline data. Documenting magnitude thus far identifying factors affecting it contributes share ministry relevant developmental partners tracking progress towards eliminating all forms against girls by 2030. We conducted further analysis national level follow up secondary data sets from Ethiopian (E_PMA). used PMA two which enrolled recently postpartum collected real time on various sexual, reproductive, maternal new born nationwide priority indicators customized Open Data Kit Mobile application. These were standard pretested questionnaire prepared three local languages (Amharic, Afan Oromo Tigrigna) well experienced resident enumerators. was restricted to 1,796 enrollment. Frequency computed describe participant's characteristics, chi-square statistics assess cell sample size adequacy. Multilevel binary logistics regression model building process employed IPV. Results presented form percentages odds ratio with 95% Confidence Intervals. Candidate variables selected p-value 0.25. Statistical significance declared 0.05. One six; 16.7% (14.81%, 18.76%) have reported experiencing least one physical and/or sexual pregnancy. The encountering 12.53% (10.91%, 14.35%) while 7% (5.5%, 8.3%) them Women perceived risk about contraceptive use ((AOR: CI: 1.66 (1.10, 2.47)), higher birth order 1.88 (1.05, 3.34)), unhappy emotional fertility intention when learned 1.7 (1.02, 2.84)) family 4 5 1.87 (1.11. 3.14)) fixed effects found increase significantly positively. On contrary, being third trimester gestation enrollment another effect variable contributed 44% lower 0.56 (0.34, 0.92)) overall burden high; nearly double percentage compared More work needs be done achieve zero tolerance any general particular. Efforts targeted improving perception issue related use, counseling how prevent antenatal care (ANC) visit along advising inter contraception empowering control are hoped mitigate such women. Further programs intervention awareness creation misconception that held would contribute much. activities efforts need target younger implication findings calls key actors Federal Democratic Republic Health Minster design implement readiness over through diversified provision critical combating substantial experience Creating institutional capacity health system strengthening expanding stop centers provide medical treatment, care, psychosocial support victims survivors could play pivotal role. In addition, installing rapid referral linkage legal vital Moreover, working early marriage childbirth; spaced those young couples imperative. this preconception packages very combat gender based violence.

Language: Английский

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The Association Between Domestic Violence and Adverse Pregnancy Outcomes in Pregnant Women Seeking Antenatal Care at Public Hospitals in Gedeo Zone: A Prospective Cohort Study

Journal of Multidisciplinary Healthcare, Journal Year: 2023, Volume and Issue: Volume 16, P. 1833 - 1843

Published: June 1, 2023

Domestic violence is any harmful behavior by an intimate partner, such as physical, sexual, or psychological abuse. In Ethiopia, domestic a serious and widespread problem. It affects two-thirds (64.6%) of pregnant women increases the risk maternal perinatal morbidity mortality. during pregnancy growing public health problem that may contribute to mortality, especially in low- middle-income countries. This study aims assess association between adverse outcomes Gedeo Zone Public Hospitals, Southern Ethiopia.We conducted prospective cohort on 142 their third trimester who attended institutions for antenatal care. We compared 47 were exposed with 95 not followed them until 24 hours after delivery drop-out. used SPSS version-24 analyze data logistic regression examine outcomes. reported results using adjusted odds ratio 95% confidence interval P-value.Out women, completed follow-up, not. found strong link preterm birth. Women had four-fold higher birth (AOR= 4.392, CI: 1.117, 6.588) than those They also 2.5-fold death 2.562, 1.041, 6.308).Domestic many southern Ethiopia harms babies. leads death, which can be prevented. The Ethiopian government other stakeholders need protect from partner urgently.

Language: Английский

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Is intimate partner violence and obstetrics characteristics of pregnant women associated with preterm birth in Ethiopia? Umbrella review on preterm birth

Reproductive Health, Journal Year: 2023, Volume and Issue: 20(1)

Published: Nov. 17, 2023

Abstract Background Preterm birth is a significant contributor to newborns morbidity and mortality. Despite the availability of highly effective powerful interventions, burden preterm has not decreased. Given relevance topic clinical decision-making, strong conclusive supporting evidence emanating from umbrella review required. To this end, study sought determine association between intimate partner violence obstetrics characteristics women with in Ethiopia. Methods Six systematic meta-analysis studies searched across multiple databases were included review. The quality was evaluated using Assessment Multiple Systematic Reviews (AMSTAR-2) checklist. STATA version 18 used for statistical analysis. A random-effects model calculate overall effect measurement. Results total 114 observational six involving 75,624 pregnant comprehensive rate among mothers Ethiopia 11% (95% CI 10–13%; I2 = 98.08). significantly associated (POR: 2.32; 95% 1.74–2.90), pregnancies 3.36; 2.41–4.32), pregnancy-induced hypertension 4.13; 3.17–5.10), anemia 2.76; 1.97–3.56), premature rupture pregnancy 5.1; 3.45–6.75). Conclusions More than one out ten experienced Intimate birth. Furthermore, pregnancies, hypertension, anemia, membrane predictors Therefore, policymakers should consider further instigations implementations policies strategies closely related reductions violence. It also crucial early identification treatment high-risk pregnancies.

Language: Английский

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Intimate Partner Violence during Index pregnancy and its correlates in Ethiopia, Evidence from Performance, and Monitoring for Action (PMA) 2021 Cohort Two Baseline Survey

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: March 18, 2024

Introduction: Current intimate partner violence (IPV) in Ethiopia is considerably high. This study aimed at determining the prevalence of IPV among pregnant women during their index pregnancy and identify its correlates using Performance Monitoring for action (PMA) cohort 2 baseline data. Documenting magnitude identifying factors affecting it contributes share ministry other relevant partners tracking progress towards eliminating all forms against girls by 2030. Methods: This used PMA data which enrolled collected from currently women. Frequency was computed to describe participant’s characteristics, chi-square statistics assess cell sample size adequacy. Multilevel binary logistics regression employed IPV. Results were presented form percentages odds ratio with 95% Confidence Intervals. Candidate variables selected p-value 0.25. Statistical significance declared 0.05. Results: One six 16.7% (14.81%, 18.76%) reported experiencing least one physical and/or sexual pregnancy. The encountering 12.53% (10.91%, 14.35%) while 7% (5.5%, 8.3%) them experienced After controlling confounders, perceived risk about contraceptive use, increased parity family fixed effects found increase being third trimester gestation enrollment another effect variable contributed lower experiencing Conclusions recommendations: The overall burden reported high, nearly double percentage compared More work needs be done achieve zero tolerance any general particular. Efforts targeted improving perception on issue related counseling how prevent antenatal care (ANC) visit along advising use inter contraception empowering decide fertility desire are hoped mitigate such high

Language: Английский

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