TY  - JOUR
PY  - 2018//
TI  - Intimate partner violence during pregnancy and use of antenatal care among rural women in southern Terai of Nepal
JO  - Women and birth
A1  - Singh, Jitendra Kumar
A1  - Evans-Lacko, Sara
A1  - Acharya, Dilaram
A1  - Kadel, Rajendra
A1  - Gautam, Salila
SP  - 96
EP  - 102
VL  - 31
IS  - 2
N2  - BACKGROUND: Underutilisation of antenatal care services due to intimate partner violence during pregnancy has been well documented elsewhere, but it is understudied in Nepal. Our study aimed at exploring the impact of intimate partner violence on antenatal care service utilisation in southern Terai of Nepal. <br><br>METHOD: A community-based cross-sectional study was performed in 6 village development committees in Dhanusha district, Nepal. A total of 426 pregnant women in their second trimester were selected using a multistage cluster sampling method. Multivariable regression analyses were used to examine the association between exposure to intimate partner violence and selected antenatal care services, adjusting for covariates. <br><br>RESULTS: Among 426 pregnant women, almost three out of ten women (28.9%) were exposed to intimate partner violence at some point during their pregnancy. Pregnant women who were exposed to intimate partner violence were less likely to: register for antenatal care (OR 0.31; 95% CI (0.08-0.50)), take iron and folic acid (OR 0.55; 95% CI (0.12-0.90)), report dietary diversity (middle vs low: OR 0.34; 95% CI (0.11-0.58) and high vs low: OR 0.18; 95% CI (0.08-0.37)), have rest and sleep during day time (OR 0.47; 95% CI (0.61-0.58)), and attend mother's group meetings (OR 0.29; 95% CI (0.10-0.83)). <br><br>CONCLUSIONS: Intimate partner violence during pregnancy is associated with low utilisation of antenatal care services. Therefore, effective strategies to prevent or reduce intimate partner violence during pregnancy is needed, which may lead to improved antenatal care service utilization in Nepal with healthier mothers and children's outcome.<br><br>Copyright © 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 1871-5192
UR  - http://dx.doi.org/10.1016/j.wombi.2017.07.009
ID  - ref1
ER  -