Intimate Partner Violence During Pregnancy in Yenagoa, Southern Nigeria

Authors

  • Ikobho Ebenezer Howel Department of Obstetrics and Gynecology, Niger Delta University Teaching Hospital, Yenagoa, Bayelsa State, Nigeria. Author
  • Uwakwe Emmanuel Chijioke Department of Obstetrics and Gynecology, Alex Ekwueme Federal University Teaching Hospital, Abakaliki,, Ebonyi State, Nigeria. Author
  • Ugoji Darlington--Peter Chibuzo Department of Obstetrics and Gynaecology, David Umahi Federal University Teaching Hospital Uburu, Ebonyi State, Nigeria Author

Keywords:

Southern Nigeria, Yenagoa, pregnancy, Intimate partner violence

Abstract

Background: Intimate partner violence (IPV) perpetrated against women during pregnancy is quite common, and it could lead to psychological or emotional trauma, and physical injury to both mother and fetus. 

Objectives: To determine the prevalence and pattern of IPV perpetrated against women during pregnancy in Yenagoa.

Methodology and subjects: This is a cross-sectional study of 640 booked parturient who received antenatal care at Niger Delta University Teaching Hospital (NDUTH) in Yenagoa. The participants were interviewed using a well structured interviewer administered questionnaire. Information obtained were patients bio-data, and issues related to IPV, such as: physical or emotional violence, sexual abuse, verbal violence, social violence, financial deprivation, and complications of IPV.

Results: The prevalence of IPV during pregnancy was 65.6%, and the chances of having IPV was twice higher during pregnancy compared to non pregnant women, odd ratio = 2.96[2.36 – 3.71], p = 0.001 The most perpetrated act was social violence (44.1%), especially infidelity (20.6%). Next was financial deprivation (40.5%), predominated by taking control of the wife's financial resources (20.0%). Verbal violence was next (38.8%), especially name calling (24.1%). Physical violence was 22.5%, and slapping (12.5%) was the most common form of physical violence; only a handful of the women (2.5%) were attacked with weapons. The least perpetrated act was sexually abuse (13.1%), mostly sexual deprivation as punishment (7.3%). The complication rate from IPV was 13.5%  predominantly mild physical injuries), and only 1.2% reported IPV to police. 

Conclusion: IPV during pregnancy is quite common in Yenagoa, and a great majority of the women suffer in silence, even in the face of complications. Public enlightenment and advocacy by women right groups and activists are recommended. 

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References

1. Violence against women Prevalence Estimates, 2018. Global, regional and national prevalence estimates for intimate partner violence

against women and global and regional prevalence estimates for non-partner sexual violence against women. WHO: Geneva, 2021

2. Rutherford A, Zwi AB, Grove NJ, Butchart A. Violence: a glossary. J Epidemiol Community Health. 2007; 61(8): 676 - 80. doi:10.1136/jech.2005.043711.

3. WHO, LSHTM, SAMRC. Global and regional estimates of violence against women: prevalence and health impacts of intimate partner

violence and non-partner sexual violence. WHO: Geneva, 2013.

4. Susan Clarke, Robyn Richmond, Eleanor Black, Helen Fry, James Henry Obol, Heather Worth. Intimate partner violence in pregnancy: a cross-sectional study from post-conflict northern Uganda. BMJ Open. 2019; doi:10.1136/ bmjopen-2018- 027541

5. Reham E lkhateeb, Ayman Abdelmeged, Samar Ahmad, Ahmad Mahran, Walaa Yehia Abdelzaher, Nermeen N. Welson. Impact of domestic violence against pregnant women in Minia governorate, Egypt: a cross sectional study. BMC Pregnancy Child birth. 2021; 21: 535. doi.org/10.1186/s12884-021-03953- 9

6. Sharma R, Kaphle H. P. Intimate partner violence during pregnancy among married women in Putalibajar municipality, Nepal. Front.

Psychol. 2023; 14:1158406. doi: 10.3389/fpsyg.2023.1158406.

7. Okada M. M, Hoga L. A, Borges A. L, Albuquerque R. S, Belli M. A Domestic violence against pregnant women. Acta Paul Enferm. 2015; 28(3):270-4

8. Belay H. G, Debebe G. A, Ayele A. D, Kassa B. G, Mihretie G. N, Bezabih L. M, et al. Intimate partner violence during pregnancy and adverse birth outcomes in Ethiopia: A systematic review and meta-analysis. PLoS ONE. 2022; 17(12): e0275836. https://doi.org/10.1371/journal.pone.0275836

9. Fátima Susana, Jesus Almeida, Emília Carvalho Coutinho, João Carvalho Duarte, Cláudia Margarida Balula Chaves. Domestic violence in pregnancy: prevalence and characteristics of the pregnant woman. *Journal of Clinical Nursing*. 2017; https://doi.org/10.1111/jocn.13756

10. Mube W. A, Gbaranor K. B, Tee P. G, Gilbert U. D, Sapira-Ordu L, Tomii B. C et al. Prevalence and Pattern of Domestic Violence among Obstetrics Patients in University of Port Harcourt Teaching Hospital. 2022; 8(3): 20 – 4

11. Eikemo R, Barimani M, Elvin-Nowak Y, Eriksson J, Vikström A, Nyman V, Backman-Enelius M, Jonas W. Intimate partner violence during

pregnancy – Prevalence and associations with women's health: A cross-sectional study. Sexual & Reproductive Healthcare. 2023; 36:

doi.org/10.1016/j.srhc.2023.100843.

12. Kate Nkume. Employment and HR, Family and Matrimonial, Discrimination, Disability & Sexual Harassment, Divorce. Legal Remedies for Domestic Violence in Nigeria. V/Lex, World of Legal intelligence. Published 7th of August, 2023.

13. The Prohibition Against Domestic Violence Law of Lagos. Lagos State of Nigeria Official Gazelle Extraordinary No. 53. 2007; 40: 198 – 200.

14. James L, Brody D, Hamilton Z. Risk factors for domestic violence during pregnancy: a meta-analytic review. Violence Vict. 2013; 28(3):

359-80. doi: 10.1891/0886-6708.vv-d-12-00034.

15. Cook J, Bewley S. Acknowledging a persistent truth: domestic violence in pregnancy. J R Soc Med. 2008; 101(7): 358-63. doi: 10.1258/jrsm.2008.080002. PMID:18591689; PMCID: PMC2442136

16. Hellmuth, J. C, Gordon, K. C, Stuart, G.L, Moore, T. M. Risk factors for intimate partner violence during pregnancy and postpartum.

Archives of Women's Mental Health, 2013; 16(1): 19–27. https://doi.org/10.1007/s00737-012-0309-8

17. Greco P. S, Day L. J, Pearlman M. D. Guidance for Evaluation and Management of Blunt Abdominal Trauma in Pregnancy. Obstet

Gynecol. 2019; 134(6): 1343-57. doi: 10.1097/AOG.0000000000003585.

18. Agarwal, S., Prasad, R., Mantri, S., Chandrakar, R., Gupta, S., Babhulkar, V., et al. (2023). A comprehensive review of intimate partner violence during pregnancy and its adverse effects on maternal and fetal health. Cureus, 15(5), e39262. https://doi.org/10.7759/cureus.39262

19. Alhusen J. L, Ray E, Sharps P, Bullock L. Intimate partner violence during pregnancy: maternal and neonatal outcomes. J Womens Health

(Larchmt). 2015; 24(1): 100 - 6. doi: 10.1089/jwh.2014.4872. Epub 2014 Sep 29. PMID: 25265285; PMCID:PMC4361157.

20. Janel M. L, Sandra D. L, Emilia H. K, Kathy D, Martha A. Wojtowycz, J, Richard H. A. Effects of intimate partner violence on pregnancy trauma and placental abruption. (2010). Journal of Women's Health, 19(8), 1501–1509.

21. Johri M, Morales R. E, Boivin J. F, Samayoa B. E, Hoch J. S, Grazioso C. F, et al. 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. 2011; 11: 49. doi: 10.1186/1471-2393-11-49.

22 . Ifeoma Veralyn Njoku, Joseph Tochukwu Enebe, Cyril Chukwudi Dim. Magnitude and predictors of female domestic abuse in pregnancy in a patriarchal African society: a cross-sectional study of pregnant women in Enugu, South East Nigeria. Pan African Medical Journal. 2021; 40 (82). 10.11604/pamj.2021.40.82.28157

23. Scott S. B, Rhoades G. K, Stanley S. M, Allen E. S, Markman H. J. Reasons for Divorce and Recollections of Premarital Intervention: Implications for Improving Relationship Education. Couple Family Psychol. 2013; 2(2):131-45. doi: 10.1037/a0032025.

24. Ekiti State Gender-based Violence (Prohibition) Law No. 18, Ekiti State of Nigeria. 2019; 1 – 43

25. Ayodapoa A. O, Sekonib O. O, Asuzu M. C. Pattern of intimate partner violence disclosure among pregnant women attending ante-natal clinic in Oyo East Local Government, Nigeria. S Afr Fam

26. Efetie E. R, Salami H. A. Domestic violence on pregnant women in Abuja, Nigeria. Journal of Obstetrics and Gynaecology, 2007; 27(4): 379 - 82.

27. Ashimi A. O, Amole T. G. Prevalence and predictors for domestic violence among pregnant women in a rural community Northwest, Nigeria. Niger Med J. 2015; 56: 118- 21.

28. Mangdik E. C, David L. S, Dalyop M, Dandong M. S, Dajuwe P. L, Shanding C. P, et al. Factors and the Effects of Domestic Violence on

Reproductive Healthcare Delivery among Pregnant Women in Kwata Rural Community of Jos South, Plateau State, Nigeria. Asian J. Res.

Nur. Health. 2024; 7(1): 13-22

29. Ifeoma Veralyn Njoku, Joseph Tochukwu Enebe, Cyril Chukwudi Dim. Magnitude and predictors of female domestic abuse in pregnancy in a patriarchal African society: a cross-sectional study of pregnant women in Enugu, South East Nigeria. Pan African Medical Journal. 2021; 40 (82). 10.11604/pamj.2021.40.82.28157

30. Adedayo Yemi Kofoworade, Kola Moradeyo Alabi, Louis Okeibunor Odeigah, Ampitan Amoko. Family and clinical indicators of domestic

violence among pregnant women in Ilorin, North-Central Nigeria. Pan African Medical Journal. 2022; 41(1). 10.11604/pamj.2022.41.1.29893

31. Jeremiah I, Kalio G. B, Vaduneme K. O. Domestic Violence in Pregnancy among Antenatal Attendees at the University of Port Harcourt

Teaching Hospital, Port Harcourt. Nigerian Journal of Medicine. 2011; 20 (3): 355 – 9. ISSN 1115 – 2613

32. Consumer Price Index (CPI) and Inflation Report: Nigerian National Bureau of Statistics. January 2024: 3 – 17

33. Onah H. E, Iloabachie G. C, Obi S. N, Ezugwu F. O, Eze J. N. Nigerian male sexual activity during pregnancy. International Journal of

Gynecology & Obstetrics. 2002; 76(2): 219-23. doi.org/10.1016/S0020-7292 (01)00579-3.

34. Titilayo A, Anuodo O. O, Palamuleni M. E. Family type, domestic violence and under-five mortality in Nigeria. Afr Health Sci. 2017;

17(2): 538 - 48. doi: 10.4314/ahs.v17i2.30.

35. Ugwu, E. O, Dim C. C, Eleje G. U. Sexual Function in Pregnancy in a Nigerian Population: A Prospective Longitudinal Study. Nigerian Journal of Clinical Practice. 2023; 26(5): 636 - 45, DOI: 10.4103/njcp.njcp_119_23

36. Joseph O. Ugboaja, Charlotte B. Oguejiofor, Emmanuel O. Oranu, Anthony O. Igwegbe. Perceptions about Sex in Pregnancy among

Women Attending Antenatal Clinic in a Tertiary Health Institution in South-East Nigeria. Orient Journal of Medicine. 2018; 30[3-4]: 68 – 73.

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Published

2024-09-09

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Section

Original Articles

How to Cite

Howell, I., Chijioke, U., & Chibuzo, U. (2024). Intimate Partner Violence During Pregnancy in Yenagoa, Southern Nigeria. Niger Delta Journal of Medical Sciences (NDJMS), 4(1), 17-33. https://ndjms.ndu.edu.ng/index.php/home/article/view/67

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