Influence of intimate partner violence during pregnancy on fear of childbirth.
OBJECTIVE
Women are at increased risk of intimate partner violence (IPV) during pregnancy. This may impact women's positive anticipation for birth. Negative feelings around birth often translate to a fear of childbirth. Our aim was to examine the prevalence IPV and whether physical, sexual, psychological IPV during pregnancy predicts fear of childbirth among Iranian pregnant women.


METHOD
A population-based cross sectional study was conducted in North-East Iran. Pregnant women (n=174) at least 14weeks gestation attending health centers were selected for inclusion through a stratified sampling method. IPV, fear of birth, state and trait anxiety and socio-demographic variables were collected using validated instruments. To achieve the final models the Bayesian information criterion was used. A p value of <0.05 was considered statistically significant.


RESULTS
Seventy-three percent of women reported experiencing IPV at least once within their current pregnancy. Fear of birth was prevalent (61.5%). Logistic regression analysis revealed that after adjusting for confounding factors, in nulliparous physical IPV significantly predicted fear of birth (adjusted OR=12.15; 95% CI, 1.33, 110.96) while, in multiparous psychological IPV associated inversely with fear of birth (adjusted OR=0.18; 95% CI, 0.04, 0.73). For all participants, physical IPV increased the chance of fear of birth, (adjusted OR=2.47; 95% CI, 1.01, 6.02).


CONCLUSION
All pregnant women experiencing physical violence had a higher chance of fear of birth. Screening programs for fear of birth and IPV need to be implemented in particular for nulliparous women. Providing continuity of midwifery care and family therapy may be strategies for early support to reduce IPV to pregnant women.
['Moghaddam Hossieni|Vahideh|V|', 'Toohill|Jocelyn|J|', 'Akaberi|Arash|A|', 'HashemiAsl|BibiMarzie|B|']
D000328:Adult D003430:Cross-Sectional Studies D036861:Delivery, Obstetric D005260:Female D006801:Humans D007492:Iran D016015:Logistic Models D036801:Parturition D011247:Pregnancy D011256:Pregnancy Outcome D037841:Pregnant Women D011295:Prenatal Care D012307:Risk Factors D013179:Spouse Abuse D011795:Surveys and Questionnaires D055815:Young Adult
Intimate partner violence Pregnancy Fear of childbirth Iran