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The Relationship Between Physical Violence During Pregnancy and Stillbirth and Neonatal Mortality



Valadbeigi T1 ; Gharaei HA2 ; Rajabi A3 ; Tabatabaee HR4 ; Etemad K5 ; Soltani M6 ; Arabahmadi A2 ; Salehnasab C7 ; Almasi SZ8 ; Yaghoobi H9 ; Zolfizadeh F10 ; Ghasemi A11 ; Enayatrad M12 ; Mahdavi S1 Show All Authors
Authors
  1. Valadbeigi T1
  2. Gharaei HA2
  3. Rajabi A3
  4. Tabatabaee HR4
  5. Etemad K5
  6. Soltani M6
  7. Arabahmadi A2
  8. Salehnasab C7
  9. Almasi SZ8
  10. Yaghoobi H9
  11. Zolfizadeh F10
  12. Ghasemi A11
  13. Enayatrad M12
  14. Mahdavi S1
  15. Hajipour M13
Show Affiliations
Authors Affiliations
  1. 1. Clinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Sciences, Shahroud, Iran
  2. 2. Department of epidemiology, School of public health, Tehran University of medical sciences, Tehran, Iran
  3. 3. Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran
  4. 4. Research Center for Health Sciences, Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  5. 5. Department of Epidemiology, Environmental and Occupational Hazards Control Research Center, Faculty of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  6. 6. Khaf health higher education College, Mashhad University of Medical Sciences, Mashhad, Iran
  7. 7. Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
  8. 8. Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
  9. 9. Social Determinants in Health Promotion Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  10. 10. Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  11. 11. Birjand University of Medical Sciences, Birjand, Iran
  12. 12. Dezful University of Medical Sciences, Dezful, Iran
  13. 13. Epidemiology Department, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Source: Journal of Advanced Pharmacy Education and Research Published:2017

Abstract

Background: Violence against women is one of the major public health issues and violation of women's human rights. Violence may affect women's health, especially during pregnancy. In addition to serious consequences for women's health, it will also impact the health of a growing fetus. Material and Method: This study was conducted to investigate the relationship between physical violence during pregnancy and stillbirth and neonatal mortality. This s a population base case-control study conducted on pregnant women attending public health centers in 10 provinces of Iran. The collected data were analyzed using SPSS (version 21), descriptive statistics and univariate and multivariate logistic regression analysis at a significance level of less than 0.05. Results: In this study, 193 participants (6.9%) had experienced physical violence including 104 controls (7.7%) and 89 cases (6.4%) and a significant relation was found between physical violence and stillbirth during pregnancy (OR=1.54, CI: 1.16-2.05). There was also a significant association between stillbirth and maternal lower educational level (OR=3.7, CI: 2.4-5.6), accidental blows on the mother (OR=5.83, CI: 3.09-10.98). No significant association was observed between physical violence during pregnancy and neonatal mortality. However, neonatal mortality was significantly related to the accidental blows (OR=15.25, CI: 8.2-28.38). Discussion and Conclusion: The results of this study showed that physical violence and accidental blows during pregnancy can cause stillbirth and neonatal mortality. Accordingly, it is recommended to take necessary measures through performing proper and routine screening for domestic violence during pregnancy and offering educational measures to empower women and raise men's awareness. © 2017 Journal of Advanced Pharmacy Education & Research.
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