Dagens FSV-oversigt: Intimate partner violence and pregnancy: a systematic review of interventions.

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Date: Sun, 25 Jan 2015 11:11:14 -0000
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------------- Seneste opslag -------------

Dagens #fsvoversigt:

Intimate partner violence and pregnancy: a systematic review of interventions.

PLoS One. 2014;9(1):e85084

Authors: Van Parys AS, Verhamme A, Temmerman M, Verstraelen H

Abstract

BACKGROUND: Intimate partner violence (IPV) around the time of pregnancy is a 
widespread global health problem with many negative consequences. Nevertheless, 
a lot remains unclear about which interventions are effective and might be 
adopted in the perinatal care context.

OBJECTIVE: The objective is to provide a clear overview of the existing 
evidence on effectiveness of interventions for IPV around the time of pregnancy.

METHODS: Following databases PubMed, Web of Science, CINAHL and the Cochrane 
Library were systematically searched and expanded by hand search. The search 
was limited to English peer-reviewed randomized controlled trials published 
from 2000 to 2013. This review includes all types of interventions aiming to 
reduce IPV around the time of pregnancy as a primary outcome, and as secondary 
outcomes to enhance physical and/or mental health, quality of life, safety 
behavior, help seeking behavior, and/or social support.

RESULTS: We found few randomized controlled trials evaluating interventions for 
IPV around the time of pregnancy. Moreover, the nine studies identified did not 
produce strong evidence that certain interventions are effective. Nonetheless, 
home visitation programs and some multifaceted counseling interventions did 
produce promising results. Five studies reported a statistically significant 
decrease in physical, sexual and/or psychological partner violence (odds ratios 
from 0.47 to 0.92). Limited evidence was found for improved mental health, less 
postnatal depression, improved quality of life, fewer subsequent miscarriages, 
and less low birth weight/prematurity. None of the studies reported any 
evidence of a negative or harmful effect of the interventions.

CONCLUSIONS AND IMPLICATIONS: Strong evidence of effective interventions for 
IPV during the perinatal period is lacking, but some interventions show 
promising results. Additional large-scale, high-quality research is essential 
to provide further evidence about the effect of certain interventions and 
clarify which interventions should be adopted in the perinatal care context.

PMID: 24482679 [PubMed - indexed for MEDLINE]

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Dette abstract er hentet via PubMed fra National Library of Medicine, USA 
(http://www.ncbi.nlm.nih.gov/About/disclaimer.html).
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Dagens FSV-oversigt: Intimate partner violence and pregnancy: a systematic review of interventions.

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