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Federación Mexicana de Ginecología y Obstetricia, A.C.

2022, Number 07

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Ginecol Obstet Mex 2022; 90 (07)

Occurrence and associated factors with physical and psychological violence on pregnant women users of a motherhood and children hospital

González-Terrazas FL, Paredes-Juárez S, Rios-Rivera CE, Saldaña-Almazán J, Paredes-Solís S, Andersson N

Language: Spanish
References: 34
Page: 569-578
PDF size: 214.40 Kb.


ABSTRACT

Objective: To estimate the occurrence and factors associated with physical and psychological violence exerted on pregnant women by their partners.
Materials and Methods: Cohort, retrospective and cross-sectional study carried out in patients attended from June to November 2019 at the Hospital de la Madre y el Niño Guerrerense, Mexico. An electronic questionnaire (Abuse Assessment Screen), self-administered, was used to inquire about sociodemographic data, physical and psychological violence and gynecological and obstetric history. The associated factors were estimated by odds ratio and multivariate analysis.
Results: We collected 463 records useful for analysis; 125 (27%) reported psychological violence and 7% (n = 32) physical violence. Factors associated with psychological violence were history of such violence in childhood (adjusted odds ratio [aOR] 2.5; 95%CI: 1.3-4.8) and before pregnancy (aOR: 33.9; 95%CI: 18.9-60.6). The factors associated with physical violence were history of this type of violence before pregnancy (aRI: 24.6; 95%CI: 10.4-58.6) and in childhood (aRI: 3.6; 95%CI: 1.5-8.5) and alcohol consumption during pregnancy (aRI: 5.5; 95%CI: 1.3-24.4). Being married or in union was a protective factor against psychological (RMa: 0.33; 95%CI: 0.11-0.97) and physical violence (RMa: 0.29; 95%CI: 0.08-0.99).
Conclusions: Psychological violence was higher than that reported for physical violence. Both were experienced during the childhood years or before pregnancy and increased the risk of suffering it during the reproductive process. Pregnant women who were married or in union had a lower risk of suffering physical and psychological violence.


REFERENCES

  1. Organización de las Naciones Unidas. Declaración sobrela Eliminación de la Violencia contra la Mujer. NuevaYork: Naciones Unidas, 1993. https://www.ohchr.org/sp/professionalinterest/pages/violenceagainstwomen.aspx

  2. Fekadu E , Yigzaw G , Gelaye KA , Ayele TA, et al. Prevalenceof domestic violence and associated factors among pregnantwomen attending antenatal care service at Universityof Gondar Referral Hospital, Northwest Ethiopia. BMCWomens Health 2018; 18: 138. https://doi.org/10.1186/s12905-018-0632-y

  3. Collado-Peña SP, Villanueva-Egan LA. Relación entre la violenciafamiliar durante el embarazo y el riesgo de bajo pesoen el recién nacido. Ginecol Obstet Mex 2007; 75: 259-67.

  4. Clarke S, Richmond R, Black E, Fry H, et al. Intimate partnerviolence in pregnancy: a cross-sectional study from postconflictnorthern Uganda. BMJ Open 2019; 9: e027541.https://doi.org/10.1136/bmjopen-2018-027541

  5. Finnbogadóttir H, Dykes AK. Increasing prevalence andincidence of domestic violence during the pregnancy andone and a half year postpartum, as well as risk factors:a longitudinal cohort study in Southern Sweden. BMCPregnancy and Childbirth 2016; 16: 327: 1-12 https://doi.org/10.1186/s12884-016-1122-6

  6. Echarte-Pazos JL, León-Bertrán N, Puente-Palacios I, Lasode la Vega-Artal S, et al. Mejorar la calidad asistencialen la atención a la mujer maltratada en los servicios deurgencias. Emergencias 2010; 22: 193-8. https://dialnet.unirioja.es/servlet/articulo?codigo=3224227

  7. Sánchez-Chávez NP, Galván-Espinoza H, Reyes-HernándezU, Reyes-Gómez U, et al. Factores Asociados al MaltratoDurante el Embarazo. Bol Clin Hosp Infant Edo Son 2013;30 (1): 8-15. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=42051

  8. Ramos P, Cañete F, Dullak R, Palau R, et al. Características delos casos de violencia contra la mujer de Asunción y GranAsunción, Paraguay. Rev Salud Pública Parag 2017; 7 (2): 20-25. https://doi.org/10.18004/rspp.2017.diciembre.20-25

  9. Campero L, Walker D, Hernández B, Espinoza H, et al. Lacontribución de la violencia a la mortalidad materna enMorelos, México. Salud Pública Méx 2006; 480: s297-s306.https://saludpublica.mx/index.php/spm/article/view/4727

  10. Fonseca-Machado MO, Monteiro JCS, Haas VJ, Abrão ACFV,et al. Intimate partner violence and anxiety disorders inpregnancy: the importance of vocational training of thenursing staff in facing them. Rev Latino-Am Enfermagem2015; 23 (5): 855-64. https://doi.org/10.1590/0104-

  11. 1169.0495.262411. Estefó S. Mendoza-Parra S. Sáez K. Violencia física en el embarazo:realidad en el extremo sur de Chile. Rev Chil ObstetGinecol 2014; 79 (5): 396-407. http://dx.doi.org/10.4067/S0717-75262014000500007

  12. Velasco-Juez MC. Recomendaciones para la detecciónprecoz de la violencia en el embarazo. Matronas Prof2008; 9 (3): 32-37. https://medes.com/publication/46293

  13. Chapman E, Pinzón C. La violencia doméstica en el embarazoy su relación con la muerte materna. Evidencias parasu abordaje. Hoja Informativa OSSyR. 2014 (9):1-9. http://www.ossyr.org.ar/pdf/hojas_informativas/Hoja_Informativa_OSSyR_09.pdf

  14. Gashaw BT, Schei B, Magnus JH. Social ecological factorsand intimate partner violence in pregnancy. PLoS ONE2018; 13 (3): 1-14. https://doi.org/10.1371/journal.pone.0194681

  15. Mejia C, Delgado M, Mostto F, Torres R, et al. CárdenasM, Almanza-Mio C. Maltrato durante el embarazo adolescente:Un estudio descriptivo en gestantes que seatienden en un hospital público de Lima. Rev Chil ObstetGinecol 2018; 83 (1). http://dx.doi.org/10.4067/s0717-75262018000100015

  16. Lencha B, Ameya G, Baresa G, Minda Z, Ganfure G. Intimatepartner violence and its associated factors among pregnantwomen in Bale Zone, Southeast Ethiopia: Across sectionalstudy PLoS ONE 2019; 14 (5): 1-14. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214962

  17. Olagbuji B, Ezeanochie M, Ande A, Ekaete E. Trends anddeterminants of pregnancy-related domestic violencein a referral center in southern Nigeria. Int J GynaecolObstet 2010; 108 (2): 101-3. https://doi.org/10.1016/j.ijgo.2009.09.024

  18. Brum-Rojas P, Coelho E, Carvalho C, Rubia-Lindner S. Violenciade pareja en la gestación y el perfil del autor de laagresión. Salud Pública Méx 2017; 59 (2): 123-24. http://dx.doi.org/10.21149/8280

  19. Field S ,Onah M, van Heyningen T , Honikman S. Domesticand intimate partner violence among pregnant women in alow resource setting in South Africa: a facility-based, mixedmethods study. BMC Womens Health 2018; 18 (119): 1-13https://doi.org/10.1186/s12905-018-0612-2

  20. Shneyderman Y, Kiely M. Intimate Partner Violence duringPregnancy: Victim or Perpetrator? Does it make adifference?. BJOG 2013; 120 (11): 1375-85. https://doi.org/10.1111/1471-0528.12357

  21. Safranof A. Violencia psicológica hacia la mujer: ¿cuálesson los factores que aumentan el riesgo de que exista estaforma de maltrato en la pareja? Salud Colectiva 2017; 13(4). https://doi.org/10.18294/sc.2017.1145

  22. Valladares E, Peña R, Persson LÅ, Högberg U. Violenciacontra mujeres embarazadas: prevalencia y características.Un estudio de base poblacional en Nicaragua. BJOG.2005; 112: 1243-48. https://doi.org/10.1111/j.1471-0528.2005.00621.x

  23. Johri M, Morales RE, Boivin JF, Samayoa BE, et al. Increasedrisk of miscarriage among women experiencingphysical or sexual intimate partner violence duringpregnancy in Guatemala City, Guatemala: cross-sectionalstudy. BMC Pregnancy Childbirth 2011; 11: 49. https://doi.org/10.1186/1471-2393-11-49

  24. McFarlane J, Hughes RB, Nosek MA, Groff JY, et al. Abuse assessmentscreen-disability (AAS-D): measuring frequency,type, and perpetrator of abuse toward women with physicaldisabilities. J Womens Health Gend Based Med 2001; 10:861-66. https://doi.org/10.1089/152460901753285750

  25. Rabin RF, Jennings JM, Campbell JC, Bair-Merritt MH.Intimate partner violence screening tools: a systematicreview. Am J Prev Med 2009; 36 (5): 439-45.e4. https://doi.org/10.1016/j.amepre.2009.01.024

  26. Escobar-Pérez J, Cuervo-Martínez A. Validez de contenidoy juicio de expertos: una aproximación a su utilización.Avances en Medición 2008; 6: 27-36. https://www.researchgate.net/publication/302438451

  27. Yugueros-Garcia AJ. La violencia contra las mujeres:conceptos y causas. Barataria. Revista Castellanos-Manchegade Ciencias Sociales 2014; (18): 147-59. https://doi.org/10.20932/barataria.v0i18.49

  28. INEGI. Encuesta Nacional sobre la Dinámica de las Relacionesen los Hogares. ENDIREH. Guía para la aplicación delos cuestionarios. 2016:278. https://www.inegi.org.mx/contenidos/programas/endireh/2016/doc/endireh2016_guia_aplicacion.pdf

  29. Andersson N, Mitchell S. CIETmap: Free GIS and epidemiologysoftware from the CIETgroup, helping to buildthe community voice into planning. In World Congressof Epidemiology. Montreal Canada, August 2002. http://dl.maptools.org/dl/omsug/osgis2004/CMAP-OSGIS-pres.pdf

  30. Mantel N, Haenszel W. Statistical aspects of the analysis ofdata from retrospective studies. J Natl Cancer Inst 1959; 22:719-48. https://doi.org/10.1093/jnci/22.4.719

  31. Miettinen OS. The “case-control study”: valid selectionof subjects. J Chronic Dis 1985; 38 (7): 543-8. https://doi.org/10.1016/0021-9681(85)90039-6

  32. Castro R, Ruíz A. Prevalencia y severidad de la violenciacontra mujeres embarazadas, México. Rev Saúde Pública2004; 38 (1): 62-70. https://doi.org/10.1590/S0034-89102004000100009

  33. Doubova-Svetlana V, Pámanes-González V, Billings-DeborahL, Torres-Arreola L. Violencia de pareja en mujeresembarazadas en la Ciudad de México. Rev Saúde Pública2007; 41 (4): 582-90. https://doi.org/10.1590/S0034-89102007000400012

  34. Daoud N, Urquia ML, O'Campo P, Heaman M, et al. Prevalenceof Abuse and Violence Before, During, and AfterPregnancy in a National Sample of Canadian Women. AmJ Public Health 2012; 102 (10): 1893-901. https://doi.org/10.2105/AJPH.2012.300843




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