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Intimate partner violence during pregnancy and its association with pregnancy and childbirth complications

A prospective cohort study

Bibliographic Data

ID19594856
AuthorsShamsudeen Mohammed (0000-0002-3771-8425, London School of Hygiene & Tropical Medicine), Paul Lokubal (0000-0002-1212-2035, London School of Hygiene & Tropical Medicine), Josephine Akua Ackah Baafi, Josephine Akua Ackah (0000-0003-3840-0387, London School of Hygiene & Tropical Medicine)
EditorsMuthusamy Sivakami Muthusamy Sivakami
Year2025
Volume5
Issue4
Pagese0004311
Publication date2025-04-11
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0004311
PMID40215217
OpenAlexW4409358262
LanguageEN
References cited45

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

Childbirth · Cohort study · Confidence interval · Domestic violence · Gynecology · Injury prevention · Obstetrics · Poison control · Pregnancy · Prospective cohort study · Relative risk · Child Abuse and Trauma · Global Maternal and Child Health · Intimate Partner and Family Violence · Medicine · Emergency Medicine · Internal Medicine · Surgery

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