Domestic Violence During Pregnancy and Risk of Obstetrical Complications

Djam Chefor Alain *

Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon.

Tchinda Allende Nidelle

Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon.

Kepgang Nanseu Evrard

Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon.

Keumoe Fetchouang Franck

Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon.

Nguemnang Nguemnang Willy Armand

Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon.

Amadou Sadrack

Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon.

Kouanfack Charles

Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon.

*Author to whom correspondence should be addressed.


Abstract

Context: Intimate partner violence is a phenomenon that affects a significant number of women and has an important impact on society. This conjugal violence against women can have important consequences on their health as well as on the health of the unborn child during pregnancy.

Objectives and Methods: In order to assess the risk of obstetrical complications in women who are victims of domestic violence, we conducted a descriptive cross-sectional study with an analytical component to determine the association between domestic violence and obstetrical complications on the one hand, and to determine the factors associated with domestic violence on the other. The descriptive part consisted of determining the prevalence of domestic violence and neonatal complications, and describing the different types of violence. A questionnaire was self-administered to pregnant women who came for prenatal consultations at the Dschang District Hospital.

Results: Amongst 320 women approached, 300 agreed to participate in the study. The overall prevalence of spousal violence was 37.33%, and the prevalence of spousal violence during pregnancy was 13.33%; the prevalence of neonatal complications was 20.7%, premature deliveries accounted for 7.7%, miscarriages 7%, stillbirths 6.7%, while the prevalence of low birth weight babies was 1.7%. Domestic violence was significantly associated with neonatal complications (OR=4.1 p value=0.000). Regarding the types of violence, verbal and psychological violence had a frequency of (108)36%, physical violence which represented (40) 13.3%, control and financial violence represented (23) 7.7% and (30) 10% respectively; sexual violence was the least represented with (20) 6.7%. Regarding the factors associated with domestic violence, the 25-34 age group of the woman (p value 0.02, OR: 4.2), consumption of alcohol by the partner (p value 0.02, OR: 4.14) and the history of violence before pregnancy (p value 0.001, OR: 92.91) were significantly associated with domestic violence.

Conclusion: Early identification of abuse in pregnant women and taking steps to prevent it may reduce the occurrence of these adverse outcomes.

Keywords: Domestic violence, obstetrical complications, preterm delivery, stillbirth, miscarriage


How to Cite

Alain, D. C., Nidelle , T. A., Evrard , K. N., Franck , K. F., Armand , N. N. W., Sadrack, A., & Charles , K. (2024). Domestic Violence During Pregnancy and Risk of Obstetrical Complications. Archives of Current Research International, 24(4), 142–155. https://doi.org/10.9734/acri/2024/v24i4670

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References

Séguin L, Pimont M, Rinfret-Raynor M, et al. Domestic violence during pregnancy: Review of the literature. Mental Health In Quebec. 2000;25:288–312.

Organisation des nations unies. Déclaration sur l’élimination de la violence à l’égard des femmes. Résolution 48/104 de l'Assemblée générale du 20 décembre 1993. New York: ONU; 1993 https://www.ohchr.org/fr/professionalinterest/pages/viol enceagainstwomen.aspx

World Health Organization. Global report on violence and health. Geneva: WHO; 2002 Available:https://www.who.int/violence_injury_prevention/violence/world_report/en/full_fr.pdf.

Un Tsunami Pour la Sexualité du couple assises françaises de sexologie et sante SEXUELLE : lille pdf free download Available:https://docplayer.fr/24173064-Un-tsunami-pour-la-sexualite-du-couple-assises-francaises-de-sexologie-et-sante-sexuelle-lille-2009.html.

Salmona DM. Pregnancy and domestic violence: A human and public health emergency ; 2013.

Aide-mémoire - Perinatal psychiatry and psychopathology Available:https://www.dunod.com/sciences-humaine-et-sociales/aide-memoire-psychiatrie-e psychopathologie-perinatales-en-51-notions

08_r_grossesse.pdf Available:http://www.medecine.unige.ch/enseignement/apprentissage/module4/immersion/archives/2007_2008/travaux/08_r_grossesse.pdf (accessed 24 June 2022).

Hospital care for women victims of violence: elements for modeling - IGAS. ORS Auvergne-Rhône-Alpes ; May 2017 Available:https://www.ors-auvergne.org/veille-sante-social/prise-charge-a-lhopital-femmes-victimes-de-violence-elements-vue-dune-modelisation-igas -may-2017/

Alio AP, Nana PN, Salihu HM. Spousal violence and potentially preventable single and recurrent spontaneous fetal loss in an African setting: cross-sectional study. Lancet Lond Engl 2009;373:318–324.

Demographic and health survey; 2021.pdf Available:https://dhsprogram.com/pubs/pdf/fr260/fr260.pdf.

Effect of intimate partner violence on birth outcomes – PubMed ; 2022 Available:https://pubmed.ncbi.nlm.nih.gov/29085395/ (accessed 24 June 2022).

Hoang TN, Van TN, Gammeltoft T, et al. Association between intimate partner violence during pregnancy and adverse pregnancy outcomes in vietnam: A prospective cohort study. PLOS ONE. 2016;11:e0162844.

Boufettal H, Majdi F, Belhouss A, et al. Violence conjugale chez les femmes enceintes. Rev Médecine Légale. 2012;3:72–78.

Gebreslasie KZ, Weldemariam S, Gebre G, et al. Intimate partner violence during pregnancy and risk of still birth in hospitals of Tigray region Ethiopia. Ital J Pediatr. 2020;46:107.

Séguin L, Pimont M, Rinfret-Raynor M, et al. Domestic violence during pregnancy: Review of the literature. Santé Ment Au Qué. 2000;25:288–312.

Torres S, Campbell J, Campbell DW, et al. Abuse during and before pregnancy: prevalence and cultural correlates. Violence Vict. 2000;15:303–321.

Development of the woman abuse screening tool for use in family practice – PubMed ; 2022 Available:https://pubmed.ncbi.nlm.nih.gov/8791071/ (accessed 24 June 2022).

Saltzman LE, Johnson CH, Gilbert BC, et al. Physical abuse around the time of pregnancy: An examination of prevalence and risk factors in 16 states. Matern Child Health J. 2003;7:31–43.

Goodman LA, Koss MP, Russo NF. Violence against women: Physical and mental health effects: II. Research findings. Appl Prev Psychol. 1993;2:79–89.

Violences familiales pendant la grossesse – ScienceDirect ; 2022 Available:https://www.sciencedirect.com/science/article/abs/pii/S0368231505826870 (accessed 24 June 2022).

Weiss EL, Longhurst JG, Mazure CM. Childhood sexual abuse as a risk factor for depression in women: Psychosocial and neurobiological correlates. Am J Psychiatry. 1999;156:816–828.

Hill A, Pallitto C, McCleary-Sills J, et al. A systematic review and meta-analysis of intimate partner violence during pregnancy and selected birth outcomes. Int J Gynaecol Obstet Off Organ Int Fed Gynaecol Obstet. 2016;133:269–276.

Parcesepe AM, Cordoba E, Gallis JA, et al. Common mental disorders and intimate partner violence against pregnant women living with HIV in Cameroon: a cross-sectional analysis. BMC Pregnancy Childbirth. 2021;21:178.

Demographic and health survey ; 2011.pd Available:https://dhsprogram.com/pubs/pdf/fr260/fr260.pdf.

Violence during pregnancy and substance use. – PMC ; 2022 Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1404633/ (accessed 24 June 2022).