fa رابطه خشونت خانگی دوران بارداری و پیامدهای نوزادی: یک مطالعه مورد-شاهدی پزشکی اجتماعی Community Medicine پژوهشي Research <span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">چکیده</span></span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:117%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">زمینه و هدف: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">خشونت خانگی در دوران بارداری تهدید جدی بر سلامت جسمی، روحی و روانی مادر، جنین و در نهایت تهدید جدی بر سلامت و ساختار جامعه است. در نتیجه این مطالعه با هدف تعیین رابطه بین خشونت خانگی در طی بارداری با پیامد‌های نوزادی، در زنان باردار شهر رفسنجان انجام شد.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:117%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">مواد و روش‌ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> در این مطالعه مورد-شاهدی، جمع‌آوری داده&shy;ها با استفاده از پرسش‌نامه سه قسمتی شامل اطلاعات جمعیت ‌شناختی، خشونت خانگی و پیامد‌های نوزادی انجام شد. حجم نمونه برای گروه مورد (دارای حداقل یک پیامد نوزادی) 20 نفر محاسبه شد که برای دست‌یابی به این تعداد، انجام پرسش‌گری از 211 زن باردار مراجعه‌کننده به زایشگاه نیک‌نفس رفسنجان در سال‌های 1399 و 1400 انجام شد. به ازای هر فرد مورد، سه نفر از افراد بدون پیامد که از لحاظ سن و تعداد فرزند با ایشان همسان&shy; بودند، به عنوان شاهد انتخاب شدند (60 نفر). داده&shy;ها با استفاده از رگرسیون لجستیک چندگانه تجزیه‌ و ‌تحلیل شد.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:117%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">یافته‌ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> تعداد 13 نفر (7/21 درصد) از گروه شاهد و 10 نفر (50 درصد) از گروه مورد با خشونت دوران بارداری مواجهه داشته‌اند (015/0</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">=</span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">). نتایج رگرسیون لجستیک چندگانه نشان داد با تعدیل اثر سن همسر، </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">شانس بروز حداقل یک پیامد نوزادی در مادرانی که در طول دوره بارداری مورد خشونت قرار گرفته‌اند 29/3 برابر مادرانی بوده که مورد خشونت قرار نگرفته‌اند (036/0=</span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">).</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:117%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">نتیجه‌گیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> بر طبق نتایج مطالعه حاضر، به نظر می‌رسد خشونت خانگی باعث افزایش پیامد‌ها و عوارض بارداری می‌شود. در نتیجه برنامه‌ریزی مناسب برای اجرای فرآیند‌های مداخله‌گر و آگاهی بخش ضروری به نظر می‌رسد.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:117%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">واژه‌های کلیدی: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">خشونت خانگی، پیامدهای نوزادی، بارداری</span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:140%">Background and Objectives:</span></span></b></a><span style="font-size:9.0pt"><span style="line-height:140%"> Domestic violence during pregnancy poses a serious threat to the physical, mental, and emotional health of both the mother and the fetus. Ultimately, it also jeopardizes the overall health and structure of society. Therefore, this study was conducted with the aim of determining the relationship between domestic violence during pregnancy and neonatal outcomes in pregnant women residing in Rafsanjan City.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:140%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> In this case-control study, data collection was performed through a three-part questionnaire, which included demographic information, domestic violence experiences, and infant outcomes. The sample size for the case group (comprising individuals with at least one neonatal outcome) was determined to be 20 people. To achieve this number, interviews were conducted with 211 pregnant women who visited Niknafs Maternity Hospital in Rafsanjan during 2019 and 2020. For each case subject, three individuals without any neonatal outcomes matched in terms of age and number of children, were selected as controls (60 people in total). The obtained data were analyzed using multiple logistic regression.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:140%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Out of the control group, 13 individuals (21.7%) and out of the case group, 10 individuals (50%) experienced violence during pregnancy (p=0.015). The results of multiple logistic regression analysis indicated that after adjusting for the spouse&#39;s age, the odds of experiencing at least one neonatal outcome were 3.29 times higher in mothers who were subjected to violence during pregnancy compared to those who were not (p=0.036).</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:140%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> According to the current study, it can be concluded that domestic violence leads to an increase in pregnancy-related consequences and complications. Consequently, it is crucial to implement intervention programs and raise awareness to address this issue effectively.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:140%">Key words: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Domestic violence, Neonatal outcomes, Pregnancy</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-size:1.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-size:1.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-size:1.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:140%">Funding: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">This study did not have any funds.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:140%">Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> None declared.</span></span><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:140%">Ethical Considerations (Code of Ethics): </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">The Ethics Committee of Rafsanjan University of Medical Sciences approved the study (IR.RUMS.REC.1398.163).</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:140%">Authors Contributions</span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.0pt"><span style="line-height:130%">- Conceptualization: </span></span></b><span style="font-size:8.0pt"><span style="line-height:130%">Zohreh Ghorashi<b> . </b>Mohsen Rezaeian,</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.0pt"><span style="line-height:130%">- Methodology: </span></span></b><span style="font-size:8.0pt"><span style="line-height:130%">Mohsen Rezaian, Zohreh Ghorashi<b>, </b>Zahra Sadat Hosseini, </span></span><span style="font-size:9.0pt"><span style="line-height:130%">Hassan Ahmadinia</span></span><b> </b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.0pt"><span style="line-height:130%">- Data collection: </span></span></b><span style="font-size:8.0pt"><span style="line-height:130%">Zahra Sadat Hosseini, </span></span><span style="font-size:9.0pt"><span style="line-height:130%">Zohreh Ghorashi</span></span><b><span style="font-size:8.0pt"><span style="line-height:130%"></span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.0pt"><span style="line-height:130%">- Formal analysis:</span></span></b><span style="font-size:9.0pt"><span style="line-height:130%"> Hassan Ahmadinia,</span></span><b> </b><span style="font-size:9.0pt"><span style="line-height:130%">Zahra Sadat Hosseini</span></span><b><span style="font-size:8.0pt"><span style="line-height:130%"></span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.0pt"><span style="line-height:130%">- Supervision: </span></span></b><span style="font-size:8.0pt"><span style="line-height:130%">Zohreh Ghorashi, Mohsen Rezaian</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.0pt"><span style="line-height:130%">- Project administration: </span></span></b><span style="font-size:8.0pt"><span style="line-height:130%">Mohsen Rezaian</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.0pt"><span style="line-height:130%">- Writing - original draft:</span></span></b><span style="font-size:8.0pt"><span style="line-height:130%"> Zahra Sadat Hosseini, Hassan Ahmadinia</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:normal"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:8.0pt">- Writing - review and editing: </span></b><span style="font-size:9.0pt">Zahra Sadat Hosseini, Hassan Ahmadinia, Zohreh Ghorashi, Mohsen Rezaian</span><b><span style="font-size:5.0pt"></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:normal"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><v:roundrect arcsize="0" id="Rounded_x0020_Rectangle_x0020_1" o:gfxdata="UEsDBBQABgAIAAAAIQC75UiUBQEAAB4CAAATAAAAW0NvbnRlbnRfVHlwZXNdLnhtbKSRvU7DMBSF dyTewfKKEqcMCKEmHfgZgaE8wMW+SSwc27JvS/v23KTJgkoXFsu+P+c7Ol5vDoMTe0zZBl/LVVlJ gV4HY31Xy4/tS3EvRSbwBlzwWMsjZrlprq/W22PELHjb51r2RPFBqax7HCCXIaLnThvSAMTP1KkI +gs6VLdVdad08ISeCho1ZLN+whZ2jsTzgcsnJwldluLxNDiyagkxOquB2Knae/OLUsyEkjenmdzb mG/YhlRnCWPnb8C898bRJGtQvEOiVxjYhtLOxs8AySiT4JuDystlVV4WPeM6tK3VaILeDZxIOSsu ti/jidNGNZ3/J08yC1dNv9v8AAAA//8DAFBLAwQUAAYACAAAACEArTA/8cEAAAAyAQAACwAAAF9y 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The Relationship between Domestic Violence during Pregnancy and Neonatal Outcomes: A Case-Control Study</span></span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">. </span></span></span><i><span style="font-size:9.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">J Rafsanjan</span></span></span></i><span style="font-size:9.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> <i>Univ Med Sci</i> 2024; 23 (1): 46-60. [Farsi</span></span></span> خشونت خانگی, پیامدهای نوزادی, بارداری ​​​​​​​ Domestic violence, Neonatal outcomes, Pregnancy 46 60 http://journal.rums.ac.ir/browse.php?a_code=A-10-6352-1&slc_lang=fa&sid=1 Zahra Sadat Hosseini زهراالسادات حسینی zahraappleid@yahoo.com 6900319475328460057049 6900319475328460057049 No Rafsanjan University of Medical Science, Rafsanjan, Iran دانشگاه علوم پزشکی رفسنجان Hasan Ahmadinia حسن احمدی نیا H.ahmadinia@gmail.com 6900319475328460057050 6900319475328460057050 No Rafsanjan University of Medical Science, Rafsanjan, Iran دانشگاه علوم پزشکی رفسنجان Zohreh Ghorashi زهره قرشی zghorashi@yahoo.com 6900319475328460057051 6900319475328460057051 No Rafsanjan University of Medical Science, Rafsanjan, Iran دانشگاه علوم پزشکی رفسنجان Mohsen Rezaeian محسن رضائیان moeygmr2@yahoo.co.uk 6900319475328460057052 6900319475328460057052 Yes Rafsanjan University of Medical Science, Rafsanjan, Iran دانشگاه علوم پزشکی رفسنجان