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. 2014 Jan 17;9(1):e85084.
doi: 10.1371/journal.pone.0085084. eCollection 2014.

Intimate partner violence and pregnancy: a systematic review of interventions

An-Sofie Van Parys  1 , Annelien Verhamme  1 , Marleen Temmerman  1 , Hans Verstraelen  1
Affiliations

Intimate partner violence and pregnancy: a systematic review of interventions

An-Sofie Van Parys et al. PLoS One. .

Abstract

Background: Intimate partner violence (IPV) around the time of pregnancy is a widespread global health problem with many negative consequences. Nevertheless, a lot remains unclear about which interventions are effective and might be adopted in the perinatal care context.

Objective: The objective is to provide a clear overview of the existing evidence on effectiveness of interventions for IPV around the time of pregnancy.

Methods: Following databases PubMed, Web of Science, CINAHL and the Cochrane Library were systematically searched and expanded by hand search. The search was limited to English peer-reviewed randomized controlled trials published from 2000 to 2013. This review includes all types of interventions aiming to reduce IPV around the time of pregnancy as a primary outcome, and as secondary outcomes to enhance physical and/or mental health, quality of life, safety behavior, help seeking behavior, and/or social support.

Results: We found few randomized controlled trials evaluating interventions for IPV around the time of pregnancy. Moreover, the nine studies identified did not produce strong evidence that certain interventions are effective. Nonetheless, home visitation programs and some multifaceted counseling interventions did produce promising results. Five studies reported a statistically significant decrease in physical, sexual and/or psychological partner violence (odds ratios from 0.47 to 0.92). Limited evidence was found for improved mental health, less postnatal depression, improved quality of life, fewer subsequent miscarriages, and less low birth weight/prematurity. None of the studies reported any evidence of a negative or harmful effect of the interventions.

Conclusions and implications: Strong evidence of effective interventions for IPV during the perinatal period is lacking, but some interventions show promising results. Additional large-scale, high-quality research is essential to provide further evidence about the effect of certain interventions and clarify which interventions should be adopted in the perinatal care context.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Search strategy flowchart.
Figure 2
Figure 2. Overview results.
PA = Paraprofessional. N = Nurse. IG = Intervention Group. CG = Control Group. MF = Multifaceted intervention. P = Physical. S = Sexual. E = Emotional. M.O. statistical significance = statistical significant results of measured primary outcome.
See this image and copyright information in PMC

References

    1. Daoud N, Urquia ML, O'Campo P, Heaman M, Janssen PA, et al. (2012) Prevalence of abuse and violence before, during, and after pregnancy in a national sample of Canadian women. Am J Public Health 102: 1893–1901 10.2105/AJPH.2012.300843 [doi] - DOI - PMC - PubMed
    1. Devries KM, Kishor S, Johnson H, Stockl H, Bacchus LJ, et al. (2010) Intimate partner violence during pregnancy: analysis of prevalence data from 19 countries. Reprod Health Matters 18: 158–170 S0968-8080(10)36533-5 [pii];10.1016/S0968-8080(10)36533-5 [doi]. - DOI - PubMed
    1. Taillieu TL, Brownridge DA (2010) Violence against pregnant women: Prevalence, patterns, risk factors, theories, and directions for future research. Aggression and Violent Behavior 15: 14–35.
    1. Krug EG, Mercy JA, Dahlberg LL, Zwi AB (2002) The world report on violence and health. Lancet 360: 1083–1088. - PubMed
    1. Hegarty KL, Gunn JM, O'Doherty LJ, Taft A, Chondros P, et al. (2010) Women's evaluation of abuse and violence care in general practice: a cluster randomised controlled trial (weave). Bmc Public Health 10. - PMC - PubMed

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