Violência contra a gestante e fatores associados no município de Governador Valadares
DOI:
https://doi.org/10.11606/s1518-8787.2020054002491Palabras clave:
Gestantes, Violência contra a Mulher, Fatores de Risco, Fatores Socioeconômicos, Estudos TransversaisResumen
OBJETIVO: Caracterizar a violência contra a mulher durante a gestação e verificar a associação com os fatores socioeconômicos, demográficos, obstétricos, comportamentais, de assistência à saúde e doenças na gestação. MÉTODOS: Estudo transversal realizado com puérperas cujo parto ocorreu no Hospital Municipal de Governador Valadares, em Minas Gerais, no período de maio de 2017 a julho de 2018. A coleta de dados foi realizada por meio de entrevista, e informações complementares foram obtidas pela análise do cartão de pré-natal e prontuário. Para a análise dos dados, foi utilizada regressão logística. RESULTADOS: Participaram do estudo 771 puérperas. Dessas, 62 (8,0%) relataram ter sofrido violência física, psicológica ou sexual durante a gestação. As gestantes com maior chance de terem sofrido violência foram as dependentes de álcool (RC = 4,97; IC95% 2,30–10,75; p < 0,001), as que não realizaram o pré-natal (RC = 3,88; IC95% 1,00–15,09; p = 0,050), as que usaram os serviços de saúde de forma emergencial durante a gravidez (RC = 2,47; IC95% 1,42–4,30; p = 0,001) e que apresentaram diabetes gestacional (RC = 2,59; IC95% 1,06–6,32; p = 0,037) e doenças sexualmente transmissíveis (RC = 3,85; IC95% 1,41–10,50; p = 0,009). CONCLUSÃO: A violência contra a gestante está associada a fatores comportamentais e relacionados à assistência à saúde e doenças na gestação. É imprescindível o reconhecimento dos fatores associados pelos profissionais de saúde, por meio de ações de rastreamento de situações de violência contra a mulher desde o início do pré-natal, a fim de possibilitar intervenção precoce.
Referencias
Baird K. Women’ s lived experience of domestic violence during pregnancy (1). Pract Midwife. 2015;18(3):27-31.
World Health Organization. Violence against women. Geneva: WHO; 2019 [cited 2019 Oct 20]. Available from: https://www.who.int/news-room/fact-sheets/detail/violence-against-women
Donovan BM, Spracklen CN, Schweizer ML, Ryckman KK, Saftlas AF. Intimate partner violence during pregnancy and the risk for adverse infant outcomes:
a systematic review and meta-analysis. BJOG. 2016;123(8):1289-99. https://doi.org/10.1111/1471-0528.13928
World Health Organization, Department of Reproductive Health and Research; London School of Hygiene and Tropical Medicine; South African Medical Research Council. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. Geneva: WHO; 2013 [cited 2019 Oct 20]. Available from: https://www.who.int/reproductivehealth/publications/violence/9789241564625/en/
Drevies KM, Kishor S, Johnson H, Stöckl H, Bacchus LJ, Garcia-Moreno C, et al. Intimate partner violence during pregnancy: analysis of prevalence data from 19 countries. Reprod Health Matters. 2010;18(36):158-70. https://doi.org/10.1016/S0968-8080(10)36533-5
Bott S, Guedes A, Ruiz-Celis AP, Mendoza JA. Intimate partner violence in the Americas: a systematic review and reanalysis of national prevalence estimates. Rev Panam Salud Publica. 2019;43:e26. https://doi.org/10.26633/RPSP.2019.26
García-Moreno C, Jansen HAFM, Ellsberg M, Heise L, Watts C. WHO Multi-country Study on Women’s Health and Domestic Violence against Women: initial results on prevalence, health outcomes and women’s responses. Geneva: World Health Organization; 2005 [cited 2019 Oct 20]. Available from: https://www.who.int/reproductivehealth/publications/violence/24159358X/en/
Rodrigues NCP, O’Dwyer G, Andrade MKN, Flynn MB, Monteiro DLM, Lino VTS. The increasein domestic violence in Brazil from 2009-2014. Cienc Saude Coletiva. 2017;22(9):2873-80. https://doi.org/10.1590/1413-81232017229.09902016
Governo do Estado de Minas Gerais, Sistema Integrado de Defesa Social, Centro Integrado de Informações de Defesa Social. Diagnóstico de violência doméstica e familiar nas regiões integradas de segurança pública de Minas Gerais: Registros Tentados e Consumados. Belo Horizonte, MG; 2018 [cited 2019 Oct 20]. Available from: http://www.seguranca.mg.gov.br/images/2020/Maio/Diagnosticos/final_Diagnstico%20violncia%20domstica%202015%20a%202017%20-%20MG%20e%20RISPs.pdf
Alhusen JL, Ray E, Sharps P, Bullock L. Intimate partner violence during pregnancy: maternal and neonatal outcomes. J Women’s Health (Larchmt). 2015;24(1):100-6. https://doi.org/10.1089/jwh.2014.4872
Berhanie E, Gebregziabher D, Berihu H, Gerezgiher A, Kidane G. Intimate partner violence during pregnancy and adverse birth outcomes: a case-control study. Reprod Health. 2019;16:22. https://doi.org/10.1186/s12978-019-0670-4
Defilipo EC. Fatores associados à prematuridade e ao baixo peso ao nascer em Governador Valadares, Minas Gerais: estudo caso controle [tese]. Juiz de Fora, MG: Faculdade de Medicina da Universidade Federal de Juiz de Fora; 2019.
Mayfield D, McLeod G, Hall P. The CAGE Questionnaire: validation of a new alcoholism screening instrument. Am J Psychiatry. 1974;131(10):1121-3. https://doi.org/10.1176/ajp.131.10.1121
Ministério da Saúde (BR), Secretaria Executiva. Programa Humanização do Parto: humanização no pré-natal e nascimento. Brasília, DF; 2002 [cited 2019 Oct 20]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/parto.pdf
Ribeiro MRC, Silva AAM, Britto e Alves MTSS, Batista RFL, Ribeiro CCC, Schraiber LB, et al. Effects of socioeconomic status and social support on violence against pregnant women: a structural equation modeling analysis. PLoS One. 2017;12(1):e0170469. https://doi.org/10.1371/journal.pone.0170469
Audi CAF, Segall-Corrêa AM, Santiago SM, Andrade MGG, Pérez-Escamilla R. Violência doméstica na gravidez : prevalência e fatores associados. Rev Saude Publica. 2008;42(5):877-85. https://doi.org/10.1590/S0034-89102008005000041
Devries KM, Child JC, Bacchus LJ, Mak J, Falder G, Graham K, et al. Intimate partner violence victimization and alcohol consumption in women: a systematic review and meta-analysis. Addiction. 2014;109(3):379-91. https://doi.org/10.1111/add.12393
Okada MM, Hoga LAK, Borges ALV, Albuquerque RS, Belli MA. Domestic violence against pregnant women. Acta Paul Enferm. 2015;28(3):270-4. https://doi.org/10.1590/1982-0194201500045
Moraes CL, Reichenheim ME. Rastreamento de uso de álcool por gestantes de serviços públicos de saúde do Rio de Janeiro. Rev Saude Pública. 2007;41(5):695-703. https://doi.org/10.1590/S0034-89102007000500002
Shrestha M, Shrestha S, Shrestha B. Domestic violence among antenatal attendees in a Kathmandu hospital and its associated factors: a cross-sectional study. BMC Pregnancy Childbirth. 2016;16(1):360. https://doi.org/10.1186/s12884-016-1166-7
Moraes CL, Arana FDN, Reichenheim ME. Violência física entre parceiros íntimos na gestação como fator de risco para a má qualidade do pré-natal. Rev Saude Publica. 2010;44(4):667-76. https://doi.org/10.1590/S0034-89102010000400010
Stöckl H, Watts C, Kilonzo Mbwambo JK. Physical violence by a partner during pregnancy in Tanzania: prevalence and risk factors. Reprod Health Matters. 2010;18(36):171-80. https://doi.org/10.1016/S0968-8080(10)36525-6
Coker AL, Sanderson M, Dong B. Partner violence during pregnancy and risk of adverse pregnancy outcomes. Paediatr Perinat Epidemiol. 2004;18(4):260-9. https://doi.org/10.1111/j.1365-3016.2004.00569.x
Chambliss LR. Intimate partner violence and its implication for pregnancy. Clin Obstet Gynecol. 2008;51(2):385-97. https://doi.org/10.1097/GRF.0b013e31816f29ce
Jewkes RK, Dunkle K, Nduna M, Shai N. Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study. Lancet. 2010;376(9734):41-8. https://doi.org/10.1016/S0140-6736(10)60548-X
Díáz-Olavarrieta C, Wilson KS, García SG, Revollo R, Richmond K, Paz F, et al. The co-occurrence of intimate partner violence and syphilis among pregnant
women in Bolivia. J Women’s Health (Larchmt). 2009;18(12):2077-86. https://doi.org/10.1089/jwh.2008.1258
Weiss HA, Patel V, West B, Peeling RW, Kirkwood BR, Mabey D. Spousal sexual violence and poverty are risk factors for sexually transmitted infections in women:
a longitudinal study of women in Goa, India. Sex Transm Infect. 2008;84(2):133-9. https://doi.org/10.1136/sti.2007.026039
Wilson BL, Dyer JM, Latendresse G, Wong B, Baksh L. Exploring the psychosocial predictors of gestational diabetes and birth weight. J Obstet Gynecol Neonatal Nurs. 2015;44(6):760-71. https://doi.org/10.1111/1552-6909.12754
Mason SM, Tobias DK, Clark CJ, Zhang C, Hu FB, Rich-Edwards JW. Abuse in Childhood or Adolescence and Gestational Diabetes: a retrospective cohort study. Am J Prev Med. 2016;50(4):436-44. https://doi.org/10.1016/j.amepre.2015.08.033
Mason SM, Wright RJ, Hibert EN, Spiegelman D, Jun HJ, Hu FB, et al. Intimate partner violence and incidence of type 2 diabetes in women. Diabetes Care. 2013;36(5):1159-65. https://doi.org/10.2337/dc12-1082
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