Intimate Partner Violence During Pregnancy and Victim’s Perception on Miscarriage
[1]
Animesh Biswas, Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka, Bangladesh; Dept. of Public Health Sciences, Örebro University, Örebro, Sweden.
[2]
Koustuv Dalal, Centre for Injury Prevention and Safety Promotion, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
[3]
Fazlur Rahman, Centre for Injury Prevention and Research, Bangladesh (CIPRB), Dhaka, Bangladesh.
[4]
Toity Deave, Centre for Child & Adolescent Health, Health & Applied Sciences, University of the West of England, Bristol, UK.
Introduction: Women who suffer intimate partner violence (IPV) encounter reproductive health problems including miscarriages. IPV in Bangladeshi women is known to be acute socio- medical problem. The aim of the current study was to determine the prevalence of intimate partner violence from the husband during pregnancy and to explore the victims’ perceptions of IPV and miscarriage. Methods: Women who were admitted to a sub-district level hospital in Bangladesh due to miscarriage between July and December 2007 were invited to participate. A cross-sectional study was performed using mixed methods. Descriptive statistics were applied to the quantitative data and the qualitative data were analysed using thematic analysis. Results: Majority of women aged between 18 – 30 years (68.4%), more than 38% had no education and most of them had low socio-economic conditions. 43 (56.6%) women reported that they had experienced sexual violence in the last four months. 20 (26.3%) women suffered this once a week and 30% (n=23) faced sexual violence twice or more in a week. 29 (38.2%) women believed that current miscarriage was due to their husband’s sexual violence. The women reported that their husband forced sexual intercourse on them and that they were highly controlling over their day-to-day lives. Conclusion: Sexual violence during pregnancy is a hidden health problem for women in rural Bangladesh. Education and information need to be made more widely available to improve maternal health and child survival.
Intimate Partner Violence, Sexual Violence, Pregnancy, Miscarriage, Bangladesh
[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.
[2]
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.
[3]
Gazmararian JA, Lazorick S, Spitz AM, Ballard T, Saltzman L, Marks JS. (1996) Prevalence of violence against pregnant women. JAMA. 275:1915–1920.
[4]
D’Avolio D, Hawkins JW, Haggerty LA, et al. (2001) Screening for abuse: Barriers and opportunities. Health Care Women Int. 22: 349–362.
[5]
Harry kissoon SD, Rickert VI, Wiemann CM. (2002) Prevalence and patterns of intimate partner violence among adolescent mothers during the postpartum period. Arch Pediatr Adolesc Med. 156: 325–330.
[6]
World Health Organization, London School of Hygiene and Tropical Medicine (2010) Preventing intimate partner and sexual violence against women: taking action and generating evidence. Geneva: World Health Organization. 94 p.
[7]
Heise L, Garcia-Moreno C. (2002) Violence by intimate partners, World report on violence and health. Geneva: World Health Organization.
[8]
Jewkes R, Sen P, Garcia-Moreno C. (2002) Sexual violence. In World report on violence and health. Edited by Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R. Geneva: World Health Organization; 149–181.
[9]
Tamara L Taillieu and Douglas A Brownridge. (2014) Review: intimate partner violence is associated with termination of pregnancy. Evid Based Nurs published online May 22.
[10]
Campbell JC. (2002) Health consequences of intimate partner violence. Lancet: 359 (9314): 1331–6.
[11]
Pallitto CC, Campbell JC, O'Campo P. (2005) Is intimate partner violence associated with unintended pregnancy? A review of the literature. Trauma Violence Abuse; 6(3):217–35.
[12]
Salam A, Alim A, Noguchi T. (2006) Spousal abuse against women and its consequenceson reproductive health: a study in the urban slums in Bangladesh. Matern Child Health J; 10 (1):83–94.
[13]
Wilson-Williams L, Stephenson R, Juvekar S, Andes K. (2008) Domestic violence and contraceptive use in a rural Indian village. Violence Against Women; 14(10):1181–98.
[14]
Cripe SM, Sanchez SE, Perales MT, Lam N, Garcia P, Williams MA. (2008) Association of intimate partner physical and sexual violence with unintended pregnancy among pregnant women in Peru. Int J Gynecol Obstet; 100 (2):104–8.
[15]
Polis CB, Lutalo T, Wawer M, Serwadda D, Kigozi G, Nalugoda F, et al. (2009) Coerced sexual debut and lifetime abortion attempts among women in Rakai, Uganda. Int J Gynecol Obstet; 104(2):105–9.
[16]
Golding JM, Wilsnack SC, Learman LA. (1998) Prevalence of sexual assault history among women with common gynecologic symptoms. Am J Obstet Gynecol; 179(4): 1013–9.
[17]
de Visser RO, Rissel CE, Richters J, Smith AM. (2007) The impact of sexual coercion on psychological, physical, and sexual well-being in a representative sample of Australian women. Arch Sex Behav; 36(5):676–86.
[18]
Berenson A. B., Wiemann, C. M., Wilkinson, G. S., Jones, W. A., & Anderson, G. D. (1994). Perinatal morbidity associated with violence experienced by pregnant women. American Journal of Obstetrics and Gynecology, 170, 1760-1769.
[19]
Garcia-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts C (2005) WHO multi-country study on women’s health and domestic violence against women: initial response on prevalence, health outcomes and women’s responses. Geneva: World Health Organization.
[20]
Dalal K, Rahman F, Jansson B. (2009) Wife abuse in Rural Bangladesh. Journal of Biosocial Science, 41: 561–573.
[21]
Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R, editors (2002) World report on violence and health. Geneva: World Health Organization. 346 p.
[22]
Sushmita Das, Ujwala Bapat, Neena Shah More, Glyn Alcock, Wasundhara Joshi, Shanti Pantvaidya and David Osrin. (2013) Intimate partner violence against women during and after pregnancy: a cross-sectional study in Mumbai slums. BMC Public Health, 13:817.
[23]
Rubeena Zakar A, Muhammad Z. Zakar AB, Rafael Mikolajczyk C, Alexander Kräme. (2012) Intimate partner violence and its association with women's reproductive health in Pakistan. International Journal of Gynecology and Obstetrics 117; 10–14.
[24]
Silverman J, Gupta J, Decker M, Kapur N, Raj A. (2007) Intimate partner violence and unwanted pregnancy, miscarriage, induced miscarriage, and stillbirth among a national sample of Bangladeshi women. BJOG; 114:1246–1252.
[25]
Basile K C, Saltzman L E. Sexual violence surveillance: uniform definitions and recommended data elements. Atlanta: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 2002
[26]
Cited from http://www.cdc.gov/violenceprevention/intimatepartnerviolence/definitions.html accessed on 27 September 2014
[27]
Jejeebhoy SJ. (1998) Associations between wife-beating and fetal and infant death: impressions from a survey in rural India. Stud Fam Plann, 300-308.
[28]
Garcia-Enguidanos A, Calle ME, Valero J, Luna S, V DR. (2002) Risk factors in miscarriage: a review. Eur J Obstet Gynecol Reprod Biol, 111-119.
[29]
Johri M et al. (2011) Increased risk of miscarriage among women experiencing physical or sexual intimate partner violence during pregnancy in Guatemala City, Guatemala: Cross- sectional study. BMC Pregnancy Childbirth. Jul 6; 11:49.
[30]
A Mapping of Faith-based Responses to Violence against Women and Girls in the Asia-Pacific Region. Cited from http://www.unfpa.org/webdav/site/global/shared/documents/publications/2013/UNFPA-WVA-FBO-VAWG-AP-2012.pdf (accessed 24 May 2014)
