Prevalence of Intimate Partner Violence in Pregnancy: An Umbrella Review

Rosario M Román-Gálvez, Sandra Martín-Peláez, Juan Miguel Martínez-Galiano, Khalid Saeed Khan, Aurora Bueno-Cavanillas, Rosario M Román-Gálvez, Sandra Martín-Peláez, Juan Miguel Martínez-Galiano, Khalid Saeed Khan, Aurora Bueno-Cavanillas

Abstract

Background: Intimate partner violence (IPV) is a public health concern, especially during pregnancy, and needs to be urgently addressed. In order to establish effective actions for the prevention of IPV during pregnancy, authorities must be aware of the real burden of IPV. This review aimed to summarize the existing evidence about IPV prevalence during pregnancy worldwide.

Methods: A review of reviews was carried out. All published systematic reviews and meta-analyses published until October 2020 were identified through PubMed, Scopus, and Web of Science. The main outcome was the IPV prevalence during pregnancy.

Results: A total of 12 systematic reviews were included in the review, 5 of them including meta-analysis. The quality of the reviews was variable. Physical IPV during pregnancy showed a wide range (1.6-78%), as did psychological IPV (1.8-67.4%).

Conclusions: Available data about IPV prevalence during pregnancy were of low quality and showed high figures for physical and psychological IPV. The existing evidence syntheses do not capture the totality of the worldwide disease burden of IPV in pregnancy.

Keywords: intimate partner violence; pregnancy; prevalence; umbrella review.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
PRISMA flowchart of the study selection process.

References

    1. Dicola D., Spaar E. Intimate partner violence. Am. Fam. Physician. 2016;94:646–651.
    1. Committee Opinion No. 518: Intimate Partner Violence. [(accessed on 4 January 2021)];Obstet. Gynecol. 2012 119:412–417. Available online:
    1. WHO . Global and Regional Estimates of Violence against Women: Prevalence and Health Effects of Intimate Partner Violence and Non-Partner Sexual Violence. WHO; Geneva, Switzerland: 2013. p. 368.
    1. Halim N., Beard J., Mesic A., Patel A., Henderson D., Hibberd P. Intimate partner violence during pregnancy and perinatal mental disorders in low and lower middle income countries: A systematic review of literature, 1990–2017. Clin. Psychol. Rev. 2018;66:117–135. doi: 10.1016/j.cpr.2017.11.004.
    1. Moraes C.L., Amorim A.R., Reichenheim M.E. Gestational weight gain differentials in the presence of intimate partner violence. Int. J. Gynecol. Obstet. 2006;95:254–260. doi: 10.1016/j.ijgo.2006.08.015.
    1. El Kady D., Gilbert W.M., Xing G., Smith L.H. Maternal and neonatal outcomes of assaults during pregnancy. Obstet. Gynecol. 2005;105:357–363. doi: 10.1097/01.AOG.0000151109.46641.03.
    1. Donovan B., Spracklen C., Schweizer M., Ryckman K., Saftlas A. Intimate partner violence during pregnancy and the risk for adverse infant outcomes: A systematic review and meta-analysis. BJOG Int. J. Obstet. Gynaecol. 2016;123:1289–1299. doi: 10.1111/1471-0528.13928.
    1. Pastor-Moreno G., Ruiz-Pérez I., Henares-Montiel J., Petrova D. Intimate partner violence during pregnancy and risk of fetal and neonatal death: A meta-analysis with socioeconomic context indicators. Am. J. Obstet. Gynecol. 2020;222:123–133.e5. doi: 10.1016/j.ajog.2019.07.045.
    1. Lau Y., Chan K.S. Influence of Intimate Partner Violence During Pregnancy and Early Postpartum Depressive Symptoms on Breastfeeding among Chinese Women in Hong Kong. J. Midwifery Women Health. 2007;52:e15–e20. doi: 10.1016/j.jmwh.2006.09.001.
    1. Devries K.M., Kishor S., Johnson H., Stöckl H., Bacchus L.J., Garcia-Moreno C., Watts C. Intimate partner violence during pregnancy: Analysis of prevalence data from 19 countries. Reprod. Health Matters. 2010;18:158–170. doi: 10.1016/S0968-8080(10)36533-5.
    1. Das S., Bapat U., Shah More N., Alcock G., Joshi W., Pantvaidya S., Osrin D. Intimate partner violence against women during and after pregnancy: A cross-sectional study in Mumbai slums. [(accessed on 4 January 2021)];BMC Public Health. 2013 13:817. doi: 10.1186/1471-2458-13-817. Available online: .
    1. Mahenge B., Stöckl H., Abubakari A., Mbwambo J., Jahn A. Physical, sexual, emotional and economic intimate partner violence and controlling behaviors during pregnancy and postpartum among women in Dar es Salaam, Tanzania. [(accessed on 4 January 2021)];PLoS ONE. 2016 11:e0164376. doi: 10.1371/journal.pone.0164376. Available online:
    1. Martin S.L., Mackie L., Kupper L.L., Buescher P.A., Moracco K.E. Physical abuse of women before, during, and after pregnancy. [(accessed on 4 January 2021)];J. Am. Med. Assoc. 2001 285:1581–1584. doi: 10.1001/jama.285.12.1581. Available online:
    1. Ezeudu C.C., Akpa O., Waziri N.E., Oladimeji A., Adedire E., Saude I., Nguku P., Nsubuga P., Fawole O.I. Prevalence and correlates of intimate partner violence, before and during pregnancy among attendees of maternal and child health services, Enugu, Nigeria: Mixed method approach, January 2015. [(accessed on 4 January 2021)];Pan Afr. Med. J. 2019 32:14. doi: 10.11604/pamj.supp.2019.32.1.13287. Available online:
    1. Gomez-Beloz A., Williams M.A., Sanchez S.E., Lam N. Intimate partner violence and risk for depression among postpartum women in Lima, Peru. [(accessed on 4 January 2021)];Violence Vict. 2009 24:380–398. doi: 10.1891/0886-6708.24.3.380. Available online:
    1. Velasco C., Luna J.D., Martin A., Caño A., Martin-De-las-heras S. Intimate partner violence against Spanish pregnant women: Application of two screening instruments to assess prevalence and associated factors. Acta Obstet. Gynecol. Scand. 2014;93:1050–1058. doi: 10.1111/aogs.12459.
    1. Canterino J.C., VanHorn L.G., Harrigan J.T., Ananth C.V., Vintzileos A.M. Domestic abuse in pregnancy: A comparison of a self-completed domestic abuse questionnaire with a directed interview. Am. J. Obstet. Gynecol. 1999;181:1049–1051. doi: 10.1016/S0002-9378(99)70079-7.
    1. Garcia-Moreno C., Jansen H.A., Ellsberg M., Heise L., Watts C.H. Prevalence of intimate partner violence: Findings from the WHO multi-country study on women’s health and domestic violence. Lancet. 2006;368:1260–1269. doi: 10.1016/S0140-6736(06)69523-8.
    1. Liberati A., Altman D.G., Tetzlaff J., Mulrow C., Gøtzsche P.C., Ioannidis J.P.A.A., Clarke M., Devereaux P.J., Kleijnen J., Moher D., et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: Explanation and elaboration. [(accessed on 19 May 2020)];BMJ. 2009 339:b2700. doi: 10.1136/bmj.b2700. Available online: .
    1. Aromataris E., Fernandez R., Godfrey C.M., Holly C., Khalil H., Tungpunkom P. Summarizing systematic reviews: Methodological development, conduct and reporting of an umbrella review approach. [(accessed on 20 October 2020)];Int. J. Evid. Based. Healthc. 2015 13:132–140. doi: 10.1097/XEB.0000000000000055. Available online:
    1. Shea B.J., Reeves B.C., Wells G., Thuku M., Hamel C., Moran J., Moher D., Tugwell P., Welch V., Kristjansson E., et al. AMSTAR 2: A critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. [(accessed on 20 October 2020)];BMJ. 2017 358 doi: 10.1136/bmj.j4008. Available online:
    1. James L., Brody D., Hamilton Z. Risk factors for domestic violence during pregnancy: A meta-analytic review. Violence Vict. 2013;28:359–380. doi: 10.1891/0886-6708.VV-D-12-00034.
    1. Bazyar J., Safarpour H., Daliri S., Karimi A., Safi Keykaleh M., Bazyar M. The prevalence of sexual violence during pregnancy in Iran and the world: A systematic review and meta-analysis. [(accessed on 23 October 2020)];J. Inj. Violence Res. 2018 10:63–74. Available online: .
    1. Alhalal E., Ta’an W., Alhalal H. Trauma, Violence, and Abuse. SAGE Publications Ltd.; Thousand Oaks, CA, USA: 2019. Intimate Partner Violence in Saudi Arabia: A Systematic Review.
    1. Do H.P., Tran B.X., Nguyen C.T., Van Vo T., Baker P.R.A., Dunne M.P. Inter-partner violence during pregnancy, maternal mental health and birth outcomes in Vietnam: A systematic review. Child. Youth Serv. Rev. 2019;96:255–265. doi: 10.1016/j.childyouth.2018.11.039.
    1. Elghossain T., Bott S., Akik C., Obermeyer C.M. Prevalence of intimate partner violence against women in the Arab world: A systematic review. BMC Int. Health Hum. Rights. 2019;19:1–16. doi: 10.1186/s12914-019-0215-5.
    1. Udmuangpia T., Yu M., Laughon K., Saywat T., Bloom T. Prevalence, risks, and health consequences of intimate partner violence during pregnancy among young women: A systematic review. Pacific Rim Int. J. Nurs. Res. 2020;24:412–429.
    1. Wang T., Liu Y., Li Z., Liu K., Xu Y., Shi W., Chen L. Prevalence of intimate partner violence (IPV) during pregnancy in China: A systematic review and meta-analysis. PLoS ONE. 2017;12:e0175108. doi: 10.1371/journal.pone.0175108.
    1. Alebel A., Kibret G.D., Wagnew F., Tesema C., Ferede A., Petrucka P., Bobo F.T., Birhanu M.Y., Tadesse A.A., Eshetie S. Intimate partner violence and associated factors among pregnant women in Ethiopia: A systematic review and meta-analysis. Reprod. Health. 2018;15:1–12. doi: 10.1186/s12978-018-0637-x.
    1. Shamu S., Abrahams N., Temmerman M., Musekiwa A., Zarowsky C. A systematic review of African studies on intimate partner violence against pregnant women: Prevalence and risk factors. PLoS ONE. 2011;6:e17591. doi: 10.1371/journal.pone.0017591.
    1. Han A., Stewart D.E. Maternal and fetal outcomes of intimate partner violence associated with pregnancy in the Latin American and Caribbean region. [(accessed on 23 September 2020)];Int. J. Gynecol. Obstet. 2014 124:6–11. doi: 10.1016/j.ijgo.2013.06.037. Available online:
    1. Mendez-Figueroa H., Dahlke J.D., Vrees R.A., Rouse D.J. Trauma in pregnancy: An updated systematic review. Am. J. Obstet. Gynecol. 2013;209:1–10. doi: 10.1016/j.ajog.2013.01.021.
    1. Shamu S., Zarowsky C., Roelens K., Temmerman M., Abrahams N. High-frequency intimate partner violence during pregnancy, postnatal depression and suicidal tendencies in Harare, Zimbabwe. [(accessed on 21 May 2020)];Gen. Hosp. Psychiatry. 2016 38:109–114. doi: 10.1016/j.genhosppsych.2015.10.005. Available online: .
    1. Sumner S.A., Mercy J.A., Dahlberg L.L., Hillis S.D., Klevens J., Houry D. Violence in the United States: Status, challenges, and opportunities. [(accessed on 30 November 2020)];JAMA J. Am. Med. Assoc. 2015 314:478–488. doi: 10.1001/jama.2015.8371. Available online:
    1. World Health Organization WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience. [(accessed on 15 December 2020)];2016 Available online: .
    1. Ministerio de Sanidad, Servicios Sociales e Igualdad Guía de práctica clínica de atención en el embarazo y puerperio. [(accessed on 15 December 2020)];2014 Available online: .
    1. Halpern-Meekin S., Costanzo M., Ehrenthal D., Rhoades G. Intimate Partner Violence Screening in the Prenatal Period: Variation by State, Insurance, and Patient Characteristics. [(accessed on 7 January 2021)];Matern. Child Health J. 2019 23:756–767. doi: 10.1007/s10995-018-2692-x. Available online:
    1. The American College of Obstetricians and Gynecologists, American Academy of Pediatrics Guidelines for Perinatal Care, 8th ed.; 2017; pp. 1–712. [(accessed on 16 December 2020)]; Available online: .
    1. Alvarez C., Fedock G., Grace K.T., Campbell J. Provider Screening and Counseling for Intimate Partner Violence: A Systematic Review of Practices and Influencing Factors. [(accessed on 4 January 2021)];Trauma Violence Abus. 2017 18:479–495. doi: 10.1177/1524838016637080. Available online:
    1. Perttu S., Kaselitz V. Addressing Intimate Partner Violence Guidelines for Health Professionals in Maternity and Child Health Care. University of Helsinki; Helsinki, Finland: 2006.

Source: PubMed

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