medigraphic.com
Federación Mexicana de Ginecología y Obstetricia, A.C.

2025, Number 5

<< Back Next >>

Ginecol Obstet Mex 2025; 93 (5)

Domestic violence and insufficient prenatal care

Ochoa LY, Ku CE, Correa LM

Language: Spanish
References: 21
Page: 175-183
PDF size: 218.68 Kb.


ABSTRACT

Objective: To analyze the association between domestic violence and inadequate prenatal care in postpartum patients treated at a national hospital in Peru.
Materials and Methods: Analytical case-control study conducted at the Sergio E. Bernales National Hospital in the district of Comas, Lima, Peru, during November and December 2023. The sample consisted of cases (postpartum patients with fewer than six prenatal visits during pregnancy, defined as inadequate prenatal care) and controls (postpartum patients with six or more prenatal visits during pregnancy, defined as adequate prenatal care). Study variables: domestic violence and number of prenatal care visits, considered inadequate if less than six, measured by a validated questionnaire. Associations between variables were assessed using Pearson's χ2, Fisher's exact test, linear trend χ2 test, and odds ratio, with 95% confidence intervals and p ‹ 0.05.
Results: A total of 138 cases and 138 controls were examined. In relation to sociodemographic characteristics, school education was significantly associated with inadequate prenatal care. Forms of physical violence such as hitting, pushing, and falling were significantly associated with inadequate prenatal care. When these types of aggression were perpetrated by a partner or ex-partner, the risk of not receiving at least six prenatal care visits increased.
Conclusions: There is a significant association between physical, psychological, or sexual domestic violence and inadequate prenatal care.


REFERENCES

  1. Organización Mundial de la Salud. Violencia contra la mujer, 2021. https://www.who.int/news-room/fact-sheets/detail/violence-against-women

  2. Bott S, Guedes A, Ruiz-Celis A, Mendoza J. Violencia contrala mujer en América Latina y el Caribe: Análisis comparativode datos poblacionales de 12 países. Washington DC, 2019. https://iris.paho.org/bitstream/handle/10665.2/3470/Violencia%20contra%20las%20mujeres_resumen.pdf?sequence=1&isAllowed=y

  3. Ministerio de la Mujer y Poblaciones Vulnerables. Casosatendidos en el Centro de Emergencia Mujer, según sexo,2023. https://www.mimp.gob.pe/omep/estadisticasatencion-a-la-violencia.php

  4. Al-Marhabi BD, Fahim WA, Katooa NE, Al-Nujaydi AA.Maternal and Fetal Outcomes Among Pregnant WomenExposed to Violence. Cureus 2023; 15 (9): e44715. https://doi.org/10.7759/cureus.44715

  5. Campbell JC. Health consequences of intimate partnerviolence. Lancet 2002; 359 (9314): 1331-6. https://doi.org/10.1016/S0140-6736(02)08336-8

  6. Barcelona de Mendoza V, Harville EW, Savage J, GiarratanoG. Experiences of Intimate Partner and Neighborhood Violenceand Their Association With Mental Health in PregnantWomen. J Interpers Violence 2018; 33 (6): 938-959. https://doi.org/10.1177/0886260515613346

  7. Barzola M, Moquillaza V, Diaz “†” C. Violencia domésticadurante el embarazo en un hospital especializado del Perú:Prevalencia y factores asociados. Rev. chil. obstet. ginecol2020; 85 (6): 641-653. http://dx.doi.org/10.4067/S0717-75262020000600641

  8. Organización Mundial de la Salud. Recomendaciones dela OMS sobre atención prenatal para una experiencia deembarazo positiva. Ginebra: OMS, 2016. https://apps.who.int/iris/handle/10665/250796

  9. Ministerio de Salud. Norma técnica de salud para la atenciónintegral de salud materna, 2013. https://docs.bvsalud.org/biblioref/2019/04/964549/rm_827-2013-minsa.pdf

  10. Testa A, Lee J, Semenza DC, Jackson DB, Ganson KT, NagataJM. Intimate partner violence and barriers to prenatal care.Soc Sci Med 2023; 320: 115700. https://doi.org/10.016/j.socscimed.2023.115700

  11. Correa-Lopez MY. Complicaciones maternas asociadasa la violencia psicológica y sexual durante el embarazoen el Hospital de Vitarte, Lima, Perú. Rev Int Salud MaternoFetal 2022; 7 (1): o1-o9. https://doi.org/10.47784/rismf.2022.7.1.140

  12. Quaresma M, Magalhães de Melo C, Vitral I, Dias P. Mortalidadede mulheres com notificação de violência durantea gravidez no Brasil: um estudo caso-controle. Cad. SaúdePública. 2023; 39 (10). https://doi.org/10.1590/0102-311XPT012823

  13. Yohannes K, Abebe L, Kisi T, Demeke W, Yimer S, Feyiso M,et al. The prevalence and predictors of domestic violenceamong pregnant women in Southeast Oromia, Ethiopia.Reprod Health 2019; 16 (1): 37. https://doi.org/10.1186/s12978-019-0694-9

  14. Nuñez-Ochoa MJ, Moquillaza-Alcántara VH, Díaz-TinocoCM. Violencia física durante el embarazo en el Perú:Proporción, distribución geográfica y factores asociados,2016-2018. Rev. Cuerpo Med. HNAAA. 2022; 15(2): 199-204. https://doi.org/10.35434/rcmhnaaa.2022.152.1242

  15. Castillo N. Violencia económica y patrimonial en mujeresafroesmeraldeñas: un enfoque interseccional. MundosPlurales - Revista Latinoamericana de Políticas y AcciónPública 2020; 7 (1): 97 - 116. https://doi.org/10.17141/mundosplurales.1.2021.4274

  16. Gómez A, Parra I, Corral O. Complicaciones en el parto y elpuerperio entre las gestantes de una población españolaque están expuestas a la violencia de género. Musas 2023;8 (1): 103–124. https://revistes.ub.edu/index.php/MUSAS/article/view/39982

  17. Cha S, Masho SW. Intimate partner violence and utilization ofprenatal care in the United States. J Interpers Violence 2014;29 (5): 911-27. https://doi.org/10.1177/0886260513505711

  18. Fernández Y, García G, Estrada A, Olaya K. Inasistencia alcontrol prenatal: ¿Cuáles son los principales factores asociados?.CpD 2019; 10 (1): 9-16. https://doi.org/10.17268/CpD.2019.01.02

  19. Akombi-Inyang B, Ghimire PR, Archibong E, Woolley E,Razee H. Association between intimate partner violenceand male alcohol use and the receipt of perinatal care:Evidence from Nepal demographic and health survey

  20. 2011-2016. PLoS ONE 2021; 16 (12): e0259980. https://doi.org/10.1371/journal.pone.025998020. Mohammed BH, Johnston JM, Harwell JI, Yi H, Tsang KW,Haidar JA. Intimate partner violence and utilization of maternalhealth care services in Addis Ababa, Ethiopia. BMCHealth Serv Res 2017; 17 (1): 178. https://doi.org/10.1186/s12913-017-2121-7

  21. Ellsberg M, Emmelin M. Intimate partner violence andmental health. Glob Health Action 2014; 7: 25658. https://doi.org/10.3402/gha.v7.25658




2020     |     www.medigraphic.com