Association of intimate partner violence during pregnancy, prenatal depression, and adverse birth outcomes in Wuhan, China.

ABSTRACT

BACKGROUND: Intimate partner violence (IPV) among pregnant women constitutes a global public health problem and a potential risk factor for adverse maternal and fetal outcomes. The present study aimed to examine the associations among IPV during pregnancy, prenatal depression, and adverse birth outcomes in Wuhan, China. METHODS: A cross-sectional study was performed from April 2013 to March 2014 in Wuhan, China. Sociodemographic characteristics, IPV during pregnancy, and depressive symptoms during pregnancy were assessed in the third trimester of pregnancy. Birth outcomes were collected after delivery using medical records. Chi-square tests and logistic regression analysis were used to examine the association between IPV and prenatal depression, as well as the association between IPV combined with prenatal depression and adverse birth outcomes. RESULTS: After adjustment for covariates, there was a statistically significant association between IPV during pregnancy and prenatal depression (adjusted odds ratio [aOR] = 2.50, 95% confidence interval [CI] 1.60-3.90). IPV during pregnancy (aOR = 1.67, 95% CI 1.08-2.56) and prenatal depression (aOR = 1.72, 95% CI 1.11-2.68) were significantly associated with adverse birth outcomes. Women experiencing psychological abuse had a significantly higher odds of prenatal depression (aOR = 2.04, 95% CI 1.19-3.49) and of adverse birth outcomes (aOR = 2.13, 95% CI 1.08-2.58), compared with women who did not experience IPV and prenatal depression. CONCLUSIONS: IPV during pregnancy and prenatal depression were significantly associated with adverse birth outcomes, after adjustment for socio-demographic and behavior factors. The findings suggest that early recognition of IPV and prenatal depression during antenatal care may protect pregnant women and improve birth outcomes.