The association of intimate partner violence during pregnancy and spontaneous abortion in adigrat general hospital, Tigray region, Northern Ethiopia.
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Date
2020-01
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Addis Abeba University
Abstract
Background: intimate partner violence-affected 30% of women in their lifetime globally. In
Ethiopia, according to the Ethiopia Demographic and Health Survey 2016 report, the prevalence
of intimate partner violence among ever-married women was 34% that varies across regions
(between 9% in Somali and 38% in Oromiya regions). Several studies showed that women who
experienced intimate partner violence had a high risk of spontaneous abortion than women who
didn’t experience intimate partner violence.
Objectives: To measure the association of intimate partner violence during pregnancy and
spontaneous abortion among those who attended maternal health service in Adigrat general
hospital, from July 2019 to June 2020, Tigray region, Ethiopia.
Methods: Explanatory sequential mixed-method study design was used. Systematic probability
sampling and convenience nonprobability sampling was used to select study participants for the
quantitative and qualitative approach. Bivariate and multivariate logistic analyses were
performed to identify the association between intimate partner violence and spontaneous
abortion. Muticollinary test was performed to test collinearity between independent variables.
For the qualitative approach data were analyzed using thematic analysis.
Result: women who were exposed to intimate partner violence during pregnancy had 4 times
higher odds of spontaneous abortion than mother who don’t expose to any form of intimate
partner violence (AOR 4.65, 95% CI 1.94-11.14). Women who were exposed to physical
intimate partner violence during pregnancy had 3 times higher odds of spontaneous abortion
compared to those who didn’t expose to physical intimate partner violence (AOR 3.06, 95% CI
1.09-8.59). However emotional and sexual intimate partner violence doesn’t have a significant
association with spontaneous abortion. From the qualitative approach study participants believed
that physical beating and stress had a relationship with spontaneous abortion.
Conclusion: This study shows that spontaneous abortion is significant associated with exposure
to any form of intimate partner violence and physical intimate partner violence during
pregnancy. We could prevent spontaneous abortion-related to intimate partner violence by
Health care providers’ identifying and counsel mothers about intimate partner violence when
assessing spontaneous abortion patients.
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Keywords
Pregnancy ,spontaneous abortion