PDF(Pubmed)
Abstract：
Introduction Domestic violence (DV) in the form of verbal abuse is very common among women, especially pregnant women, posing as a serious public health issue that could lead to complications in pregnancy and threaten maternal and fetal outcomes. Studies have determined that domestic verbal abuse (DVA) in pregnancy was more common in women less than 25 years of age as well as in those with low education levels. This study determined the overall prevalence of verbal abuse in pregnant women, in a semi-urban population and is unique in that the verbal abuse in pregnant women with a previous girl child was also determined. This study helps healthcare providers identify the potential causes of DVA in pregnancy and provide timely interventions in the form of counseling for pregnant women and families. Objective This observational study was carried out to assess the prevalence of DVA among pregnant women, to determine the trimester of occurrence of DVA among pregnant women, and to explore the associations of DVA with age, employment status, parity gestational age, and birth weight. Materials and methods This was a six-month hospital-based observational study conducted at Dr D. Y. Patil Medical College\'s in-patient department (IPD) of Obstetrics and Gynecology in Pimpri, Pune. Consent was obtained from 200 pregnant women who received admission for delivery and provided a validated modified copy of a DV assessment screening questionnaire. A statistical analysis was performed using GraphPad Prism 10. A Chi-square test was employed wherever required, and a p-value of less than 0.05 was considered significant. Results The study included 200 pregnant women, who were admitted to the hospital for delivery. The prevalence of DV in the form of verbal abuse was noted to be 74 out of 200 (37%). The working status of the woman showed an influence on DVA. There was also a significant increase in verbal abuse (68%) among the age group between 18 and 23 years. The previous delivery of a female child also had a significant impact on DVA, which turned out to be more prevalent, particularly if two female children were born previously (80%). The study also noted higher rates of preterm deliveries in pregnant women with DVA being 57%. Conclusion The study demonstrates that women, even in modern times, experience DVA during pregnancy, especially among the younger age group. It has also been found that it is more common among women who are financially dependent due to maternal unemployment. As a result, there is a need to routinely screen pregnant women for DVA to avoid potentially detrimental pregnancy outcomes and to prevent ongoing abuse.
摘要：
引言家庭暴力（DV）在女性中非常普遍，尤其是孕妇,这是一个严重的公共卫生问题，可能导致妊娠并发症，威胁孕产妇和胎儿的结局。研究已经确定，怀孕期间的家庭言语虐待（DVA）在25岁以下的女性以及受教育程度低的女性中更为常见。这项研究确定了孕妇言语虐待的总体患病率，在半城市人口中，其独特之处在于，还确定了先前有女童的孕妇的言语虐待。这项研究有助于医疗保健提供者确定怀孕期间DVA的潜在原因，并以咨询的形式为孕妇和家庭提供及时的干预措施。目的这项观察性研究旨在评估孕妇中DVA的患病率。为了确定孕妇中DVA发生的三个月，并探索DVA与年龄的关系，就业状况,胎次胎龄,出生体重。材料和方法这是一项为期六个月的基于医院的观察性研究，在Pimpri的Patil医学院妇产科住院部（IPD）进行，浦那。从200名接受分娩的孕妇中获得了同意，并提供了经过验证的DV评估筛查问卷的修改副本。使用GraphPadPrism10进行统计分析。任何需要的地方都采用卡方检验，并且小于0.05的p值被认为是显著的。结果该研究包括200名孕妇，他们被送进医院分娩。以言语虐待形式出现的DV的患病率为200人中的74人（37％）。该妇女的工作状况对DVA有影响。在18至23岁的年龄组中，言语虐待也显着增加（68％）。先前分娩的女性儿童也对DVA产生了重大影响，结果变得更加普遍，特别是如果两个女孩之前出生（80％）。该研究还指出，DVA孕妇的早产率更高，为57％。结论研究表明,女性,即使在现代，在怀孕期间体验DVA，尤其是在年轻群体中。还发现，由于孕产妇失业而在经济上依赖的妇女中，这种情况更为普遍。因此,有必要对孕妇进行常规DVA筛查,以避免潜在的有害妊娠结局,并防止持续的滥用.
