Intimate partner violence during pregnancy and its association with birth asphyxia in hospitals of Tigray region, Ethiopia

Abstract Background Birth asphyxia is the main cause of neonatal mortality and morbidity worldwide. Some studies indicate intimate partner violence during pregnancy is a risk factor for birth asphyxia. In Ethiopia, intimate partner violence during pregnancy is reported to be high. Despite this high...

Full description

Bibliographic Details
Main Authors: Kahsay Zenebe Gebreslasie, Gelawdiwos Gebre, Dawit Zenebe, Rahel Nardos, Aklil Birhane
Format: Article
Language:English
Published: BMC 2024-02-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-024-04585-6
_version_ 1797273218084503552
author Kahsay Zenebe Gebreslasie
Gelawdiwos Gebre
Dawit Zenebe
Rahel Nardos
Aklil Birhane
author_facet Kahsay Zenebe Gebreslasie
Gelawdiwos Gebre
Dawit Zenebe
Rahel Nardos
Aklil Birhane
author_sort Kahsay Zenebe Gebreslasie
collection DOAJ
description Abstract Background Birth asphyxia is the main cause of neonatal mortality and morbidity worldwide. Some studies indicate intimate partner violence during pregnancy is a risk factor for birth asphyxia. In Ethiopia, intimate partner violence during pregnancy is reported to be high. Despite this high prevalence, there is a lack of data about the association of birth asphyxia and intimate partner violence. The aim of this study was to assess the prevalence of intimate partner violence during pregnancy and its associated factors with birth asphyxia in health facilities in the Tigray region of northern Ethiopia. Methods This was an institutional-based cross-sectional study conducted at select health facilities in the Tigray region of Ethiopia. Random sampling technique was employed to select health facilities and systematic sampling was used to select 648 study participants. Data was entered by using Epi info version 3.5.1 and was analyzed using SPSS version 20. Bivariate and multivariate analysis was done to assess the association between exposure to intimate partner violence during pregnancy and birth asphyxia after adjusting for possible confounders. Results The prevalence of intimate partner violence during pregnancy was 47(7.3%). Eighty two (12.7%) babies were delivered with birth asphyxia. Intimate partner violence during pregnancy had a significant association with birth asphyxia, AOR (95% CI) = 4.4(2-9.8). In addition to this, other factors that were associated with birth asphyxia include place of residence [ AOR (95% CI) = 2.7(1.55–4.8)], age > 19 [AOR (95% CI) = 2.9(1.29–6.5)], age 20–35 [AOR (95% CI) = 3.1(1.06–9.3)], gestational age < 37 weeks [AOR(95% CI) = 7.2(3.5–14.8)] and low birth weight [AOR(95% CI) = 3.9(2.1–7.3)]. Conclusions The prevalence of birth asphyxia in this study is high and is further increased by intimate partner violence during pregnancy. Health care providers and policy makers should take measures aimed at preventing intimate partner violence during pregnancy to reduce harm to the mother and adverse birth outcomes.
first_indexed 2024-03-07T14:40:25Z
format Article
id doaj.art-10866cfc196b41ceafbdca76d897143c
institution Directory Open Access Journal
issn 1471-2431
language English
last_indexed 2024-03-07T14:40:25Z
publishDate 2024-02-01
publisher BMC
record_format Article
series BMC Pediatrics
spelling doaj.art-10866cfc196b41ceafbdca76d897143c2024-03-05T20:22:33ZengBMCBMC Pediatrics1471-24312024-02-012411710.1186/s12887-024-04585-6Intimate partner violence during pregnancy and its association with birth asphyxia in hospitals of Tigray region, EthiopiaKahsay Zenebe Gebreslasie0Gelawdiwos Gebre1Dawit Zenebe2Rahel Nardos3Aklil Birhane4College of Health Sciences, Mekelle UniversityCollege of Health Sciences, Mekelle UniversityCollege of Health Sciences, Mekelle UniversityOregon Health& Science UniversityCollege of Health Sciences, Mekelle UniversityAbstract Background Birth asphyxia is the main cause of neonatal mortality and morbidity worldwide. Some studies indicate intimate partner violence during pregnancy is a risk factor for birth asphyxia. In Ethiopia, intimate partner violence during pregnancy is reported to be high. Despite this high prevalence, there is a lack of data about the association of birth asphyxia and intimate partner violence. The aim of this study was to assess the prevalence of intimate partner violence during pregnancy and its associated factors with birth asphyxia in health facilities in the Tigray region of northern Ethiopia. Methods This was an institutional-based cross-sectional study conducted at select health facilities in the Tigray region of Ethiopia. Random sampling technique was employed to select health facilities and systematic sampling was used to select 648 study participants. Data was entered by using Epi info version 3.5.1 and was analyzed using SPSS version 20. Bivariate and multivariate analysis was done to assess the association between exposure to intimate partner violence during pregnancy and birth asphyxia after adjusting for possible confounders. Results The prevalence of intimate partner violence during pregnancy was 47(7.3%). Eighty two (12.7%) babies were delivered with birth asphyxia. Intimate partner violence during pregnancy had a significant association with birth asphyxia, AOR (95% CI) = 4.4(2-9.8). In addition to this, other factors that were associated with birth asphyxia include place of residence [ AOR (95% CI) = 2.7(1.55–4.8)], age > 19 [AOR (95% CI) = 2.9(1.29–6.5)], age 20–35 [AOR (95% CI) = 3.1(1.06–9.3)], gestational age < 37 weeks [AOR(95% CI) = 7.2(3.5–14.8)] and low birth weight [AOR(95% CI) = 3.9(2.1–7.3)]. Conclusions The prevalence of birth asphyxia in this study is high and is further increased by intimate partner violence during pregnancy. Health care providers and policy makers should take measures aimed at preventing intimate partner violence during pregnancy to reduce harm to the mother and adverse birth outcomes.https://doi.org/10.1186/s12887-024-04585-6Intimate partner violencePregnancyBirth asphyxia
spellingShingle Kahsay Zenebe Gebreslasie
Gelawdiwos Gebre
Dawit Zenebe
Rahel Nardos
Aklil Birhane
Intimate partner violence during pregnancy and its association with birth asphyxia in hospitals of Tigray region, Ethiopia
BMC Pediatrics
Intimate partner violence
Pregnancy
Birth asphyxia
title Intimate partner violence during pregnancy and its association with birth asphyxia in hospitals of Tigray region, Ethiopia
title_full Intimate partner violence during pregnancy and its association with birth asphyxia in hospitals of Tigray region, Ethiopia
title_fullStr Intimate partner violence during pregnancy and its association with birth asphyxia in hospitals of Tigray region, Ethiopia
title_full_unstemmed Intimate partner violence during pregnancy and its association with birth asphyxia in hospitals of Tigray region, Ethiopia
title_short Intimate partner violence during pregnancy and its association with birth asphyxia in hospitals of Tigray region, Ethiopia
title_sort intimate partner violence during pregnancy and its association with birth asphyxia in hospitals of tigray region ethiopia
topic Intimate partner violence
Pregnancy
Birth asphyxia
url https://doi.org/10.1186/s12887-024-04585-6
work_keys_str_mv AT kahsayzenebegebreslasie intimatepartnerviolenceduringpregnancyanditsassociationwithbirthasphyxiainhospitalsoftigrayregionethiopia
AT gelawdiwosgebre intimatepartnerviolenceduringpregnancyanditsassociationwithbirthasphyxiainhospitalsoftigrayregionethiopia
AT dawitzenebe intimatepartnerviolenceduringpregnancyanditsassociationwithbirthasphyxiainhospitalsoftigrayregionethiopia
AT rahelnardos intimatepartnerviolenceduringpregnancyanditsassociationwithbirthasphyxiainhospitalsoftigrayregionethiopia
AT aklilbirhane intimatepartnerviolenceduringpregnancyanditsassociationwithbirthasphyxiainhospitalsoftigrayregionethiopia