Maternal Healthcare Utilization Among Pregnant Women Experiencing Intimate Partner Violence: A Rapid Systematic Review
Intimate Partner Violence (IPV) impacts millions of pregnant women every year, and IPV is associated with adverse maternal and infant health outcomes. Previous studies have suggested that women experiencing IPV during pregnancy are less likely to access maternal healthcare services. Still, no consensus has been found, particularly within understudied low-and middle-income countries. This rapid systematic review identifies and examines evidence related to maternal healthcare utilization among women experiencing IPV in studies from 2015 to the present. A literature search was conducted in PubMed and Scopus, and 1797 unique records were identified. After reviewing abstracts and full texts, 28 studies were included. This review is the first to integrate 28 recent studies covering 20 low-income and 33 middle-income countries. We reviewed findings related to sufficient antenatal care, early antenatal care, institutional delivery, skilled birth attendance, and postnatal care. Results suggest that different types of IPV (sexual, physical, and emotional) impact maternal healthcare usage differently. Still, IPV of all kinds reduces antenatal care utilization, early antenatal care, and institutional delivery. The studies reviewed did not indicate a relationship between postnatal care and IPV, although additional studies might identify an association. Results related to skilled birth attendance were mixed and suggested a need for further research in that area. These findings highlight the importance of early IPV screening and referrals to pregnant women when they establish care with a healthcare provider. They also point to a need to identify opportunities for screening outside of traditional healthcare appointments.
Harb, Gabrielle, "Maternal Healthcare Utilization Among Pregnant Women Experiencing Intimate Partner Violence: A Rapid Systematic Review" (2022). Master of Public Health Capstone Presentations. Presentation 467.
Poster attached as supplemental file below