孕期亲密伴侣暴力:对妇女和儿童的影响:综述

Richa Aeri, Fariba Farhoud
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摘要

背景:亲密伴侣暴力(IPV)是导致焦虑、抑郁和创伤后应激障碍的主要原因之一,会对孕期母亲产生负面影响。本综述旨在了解 IPV 对孕产妇心理健康的影响,从而制定和实施有效的干预措施和政策,为受害者提供支持,促进性别平等,并防止孕产妇出现不良后果。 研究方法根据 PRISMA 指南进行系统检索。使用以下数据库进行计算机数据库研究:Google Scholar、Psych INFO、Medline、Scopus、Web of Science 和 PubMed。通过标题、摘要和关键词搜索筛选文献。搜索关键词如下:妇女、暴力、家庭暴力、亲密伴侣暴力、IPV、怀孕、产前、受孕、孕产妇健康、儿童健康、心理健康和孕产妇心理健康。文献检索时间为 2014 年至 2024 年。 研究结果IPV 不仅会对受害者的福祉造成不利影响,还会破坏家庭环境的稳定。它影响儿童的健康、养育关怀和全面发展。在怀孕期间遭受暴力的母亲所生的孩子可能出生体重较轻,死亡率较高,早产率较高,Apgar 评分较低。IPV 对儿童健康的负面影响还超出了儿童认知发展的范围,会影响其同龄人的学习成绩。结论由于恐惧、羞耻、耻辱或缺乏认识,绝大多数涉及 IPV 的事件都没有报告。这会影响实际发生率数据的准确性。此外,社会规范、性别刻板印象和男性主导地位可能会加重 IPV 的影响,使受害者难以寻求帮助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intimate Partner Violence during pregnancy: Impact on women and children: A Review
Background: Intimate partner violence (IPV) is one of the major causes of anxiety, depression, and post-traumatic stress disorder and can have a negative impact on the mother during pregnancy. This review aims to understand the health consequences of IPV on maternal mental health so that effective interventions and policies can be developed and implemented to provide support to victims, promote gender equality, and prevent adverse maternal outcomes.  Methods: A systematic search was conducted as per the PRISMA guidelines. Computer database researches were conducted using the following databases: Google Scholar, Psych INFO, Medline, Scopus, Web of Science, and PubMed. The literature was screened by titles and abstracts and by applying keyword search. The following keywords were searched: women, violence, domestic violence, intimate partner violence, IPV, pregnancy, antenatal, conception, maternal health, child health, mental health, and maternal mental health. The literature search was done from 2014 to 2024.   Results: IPV not only poses adverse effects on the well-being of the victim but also disrupts the stability of the environment of the home. It impacts the health, nurturing care, and overall development of the child. Children born to mothers exposed to violence during pregnancy may have lower birth weights and experience higher rates of mortality, preterm births, and lower Apgar scores. The negative effects of IPV on child health also extend beyond the child's cognitive development, impacting the academic performance of their peers. Conclusion: A vast majority of the incidents involving IPV go unreported due to fear, shame, stigma, or lack of awareness. This can affect the accuracy of the actual data of prevalence. In addition, societal norms, gender stereotypes, and male dominance may add to the effects of IPV, making it difficult for the victims to seek help.
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