A systematic review and meta-analysis of intimate partner violence during pregnancy and selected birth outcomes

作者：Hill Amber; Pallitto Christina^*; McCleary Sills Jennifer; Garcia Moreno Claudia

来源：International Journal of Gynecology & Obstetrics, 2016, 133(3): 269-276.

DOI：10.1016/j.ijgo.2015.10.023

• Intimate partner violence
• Low birth weight
• Meta-analysis
• Physical violence
• Pregnancy
• Preterm birth
• Sexual violence
• Systematic review

Background: Intimate partner violence (IPV) has a detrimental impact on the lives of women worldwide. Several studies have examined the effectIPV has on adverse birth outcomes when it occurs during pregnancy. Objectives: To explore the association between IPV and selected adverse birth outcomes. Search strategy: Multiple databases were searched to identify studies investigating the association between IPV and low birth weight (LBW), preterm birth, and/or intrauterine growth restriction (IUGR). Selection criteria: Included studies defined the perpetrator of violence as an intimate partner, the type of violence as physical and/or sexual, and the study outcomes as LBW, preterm birth, or IUGR, with violence preceding delivery. Data collection and analysis: Random-effects meta analysis was used to calculate adjusted/unadjusted odds ratios (ORs). Subanalyses explored the effect of emotional/psychological violence on birth outcomes. Main results: Nineteen studies met the inclusion criteria (15 LBW, 12 preterm birth, 4 IUGR). IPV was associated with LBW (OR 1.18, 95% confidence interval 1.05-1.31; I-2 = 0.70, P < 0.001) and preterm birth (OR 1.42, 95% confidence interval 1.21-1.63; I-2 = 0.20, P < 0.001). No statistically significant association was found for IUGR. Conclusions: There are associations between IPV and LBW and preterm birth that could be causal.

• 出版日期2016-6