scholarly journals Prevalence and Correlates of Maternal Early Stimulation Behaviors during Pregnancy in Northern Ghana: A Cross-Sectional Survey

2020 ◽  
Author(s):  
Jessica Mackness ◽  
John A Gallis ◽  
Raymond Kofi Owusu ◽  
Mohammed Ali ◽  
Safiyatu Abubakr-Bibilazu ◽  
...  

Abstract Background: Per UNICEF’s Nurturing Care Framework, early childhood development (ECD) begins during pregnancy and many lower-resource settings need data to inform their programs for optimal child development. The maternal-fetal relationship can be partly examined via a series of bonding activities called early stimulation behaviors (ESB). This study describes early stimulation behaviors and the associated correlates among pregnant women in Ghana. Methods: This cross-sectional study used data from a cluster-randomized trial in two districts of Northern Ghana. A total of 374 pregnant women were enrolled at baseline and administered a pre-intervention survey. Communication-related early stimulation behaviors was the primary outcome which was evaluated using three maternal-fetal bonding activities; did the woman self-report touching and/or talking, singing, and/or talking about family to her belly. A generalized estimating equation modified Poisson model was used for the bivariate and multivariable analysis.Results: About half of the participants reported performing communication-related ESB during pregnancy frequently or sometimes. Bivariate analysis revealed that negative life experiences including higher rates of emotional, physical and sexual intimate partner violence (IPV) and having moderate to severe depressive symptoms were associated with women performing early stimulation behaviors more often. In the multivariable model, physical intimate partner violence remained significantly associated with early stimulation behaviors. Conclusion: Research on early stimulation behaviors is still in a nascent phase. It is unclear why our results revealed an association between intimate partner violence and early stimulation behaviors; this could reflect a coping mechanism for the expectant mother. Further research is needed to better understand this association and explore potential long-term impacts of early stimulation behaviors during pregnancy on child development.Trial registration: Clinical Trials # NCT03665246, August 29, 2018.

2020 ◽  
Author(s):  
Jessica Mackness ◽  
John A Gallis ◽  
Raymond Kofi Owusu ◽  
Mohammed Ali ◽  
Safiyatu Abubakr-Bibilazu ◽  
...  

Abstract Background: Per UNICEF’s Nurturing Care Framework, early childhood development (ECD) begins during pregnancy and many lower-resource settings need data to inform their programs for optimal child development. The maternal-fetal relationship can be partly examined via a series of bonding activities called early stimulation behaviors (ESB). This study describes early stimulation behaviors and the associated correlates among pregnant women in Ghana. Methods: This cross-sectional study used data from a cluster-randomized trial in two districts of Northern Ghana. A total of 374 pregnant women were enrolled at baseline and administered a pre-intervention survey. Communication-related early stimulation behaviors was the primary outcome which was evaluated using three maternal-fetal bonding activities; did the woman self-report touching and/or talking, singing, and/or talking about family to her belly. A generalized estimating equation modified Poisson model was used for the bivariate and multivariable analysis.Results: About half of the participants reported performing communication-related ESB during pregnancy frequently or sometimes. Bivariate analysis revealed that negative life experiences including higher rates of emotional, physical and sexual intimate partner violence (IPV) and having moderate to severe depressive symptoms were associated with women performing early stimulation behaviors more often. In the multivariable model, physical intimate partner violence remained significantly associated with early stimulation behaviors. Conclusion: Research on early stimulation behaviors is still in a nascent phase. It is unclear why our results revealed an association between intimate partner violence and early stimulation behaviors; this could reflect a coping mechanism for the expectant mother. Further research is needed to better understand this association and explore potential long-term impacts of early stimulation behaviors during pregnancy on child development.Trial registration: Clinical Trials # NCT03665246, September 11, 2018


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jessica Mackness ◽  
John A. Gallis ◽  
Raymond Kofi Owusu ◽  
Mohammed Ali ◽  
Safiyatu Abubakr-Bibilazu ◽  
...  

Abstract Background Per UNICEF’s Nurturing Care Framework, early childhood development (ECD) begins during pregnancy and many lower-resource settings need data to inform their programs for optimal child development. The maternal-fetal relationship can be partly examined via a series of bonding activities called early stimulation behaviors (ESB). This study describes early stimulation behaviors and the associated correlates among pregnant women in Ghana. Methods This cross-sectional study used data from a cluster-randomized trial in two districts of Northern Ghana. A total of 374 pregnant women were enrolled at baseline and administered a pre-intervention survey. Communication-related early stimulation behaviors was the primary outcome which was evaluated using three maternal-fetal bonding activities; did the woman self-report touching and/or talking, singing, and/or talking about family to her belly. A generalized estimating equation modified Poisson model was used for the bivariate and multivariable analysis. Results About half of the participants reported performing communication-related ESB during pregnancy frequently or sometimes. Bivariate analysis revealed that negative life experiences including higher rates of emotional, physical and sexual intimate partner violence (IPV) and having moderate to severe depressive symptoms were associated with women performing early stimulation behaviors more often. In the multivariable model, physical intimate partner violence remained significantly associated with early stimulation behaviors. Conclusion Research on early stimulation behaviors is still in a nascent phase. It is unclear why our results revealed an association between intimate partner violence and early stimulation behaviors; this could reflect a coping mechanism for the expectant mother. Further research is needed to better understand this association and explore potential long-term impacts of early stimulation behaviors during pregnancy on child development. Trial registration Clinical Trials # NCT03665246, August 29, 2018.


2020 ◽  
Author(s):  
Jessica Mackness ◽  
John A Gallis ◽  
Raymond Kofi Owusu ◽  
Mohammed Ali ◽  
Safiyatu Abubakr-Bibilazu ◽  
...  

Abstract Background: Per UNICEF’s Nurturing Care Framework, early child development (ECD) begins during pregnancy and many lower-resource settings need data to inform their programs for optimal child development. The maternal-fetal relationship can be partly examined via a series of bonding activities called early stimulation behaviors (ESB). This study describes early stimulation behaviors and the associated correlates among pregnant women in Ghana. Methods: This cross-sectional study used data from a cluster-randomized trial in two districts of Northern Ghana. A total of 374 pregnant women were enrolled at baseline and administered a pre-intervention survey. Communication-related early stimulation behaviors was the primary outcome which was evaluated using three maternal-fetal bonding activities; did the woman self-report touching and/or talking, singing, and/or talking about family to her belly. A generalized estimating equation modified Poisson model was used for the bivariate and multivariable analysis.Results: About half of the participants reported performing communication-related ESB during pregnancy frequently or sometimes. Bivariate analysis revealed that negative life experiences including higher rates of emotional, physical and sexual intimate partner violence (IPV) and having moderate to severe depressive symptoms were associated with women performing early stimulation behaviors more often. In the multivariable model, physical intimate partner violence remained significantly associated with early stimulation behaviors. Conclusion: Research on early stimulation behaviors is still in a nascent phase. It is unclear why our results revealed an association between intimate partner violence and early stimulation behaviors; this could reflect a coping mechanism for the expectant mother. Further research is needed to better understand this association and explore potential long-term impacts of early stimulation behaviors during pregnancy on child development.Trial registration: Clinical Trials # NCT03665246, September 11, 2018


2020 ◽  
Author(s):  
Jessica Mackness ◽  
John A Gallis ◽  
Raymond Kofi Owusu ◽  
Mohammed Ali ◽  
Safiyatu Abubakr-Bibilazu ◽  
...  

Abstract Background: Per UNICEF’s Nurturing Care Framework, early child development (ECD) begins during pregnancy and many lower-resource settings need data to inform their programs for optimal child development. The maternal-fetal relationship can be partly examined via a series of bonding activities called early stimulation behaviors (ESB). This study describes early stimulation behaviors and the associated correlates among pregnant women in Ghana. Methods: This cross-sectional study used data from a cluster randomized trial in two districts of Northern Ghana. A total of 374 pregnant women were enrolled at baseline and administered a pre-intervention survey. Communication-related early stimulation behaviors were the primary outcome and was evaluated using three maternal-fetal bonding activities; did the woman self-report touching and/or talking, singing, and talking to her belly about family. A generalized estimating equation modified Poisson model was used for the bivariate and multivariable analysis.Results: About half of the participants reported performing communication-related ESB during pregnancy frequently or sometimes. Bivariate analysis revealed that negative life experiences including higher rates of emotional, physical and sexual intimate partner violence (IPV) and having moderate to severe depressive symptoms were associated with women performing early stimulation behaviors more often. In the multivariable model, physical intimate partner violence remained significantly associated with early stimulation behaviors. Conclusion: Research on early stimulation behaviors is still in a nascent phase. It is unclear why our results revealed an association between intimate partner violence and early stimulation behaviors; this could reflect a coping mechanism for the expectant mother. Further research is needed to better understand this association and explore potential long-term impacts of early stimulation behaviors during pregnancy on child development.Trial registration: Clinical Trials # NCT03665246, September 11, 2018


2021 ◽  
pp. 088626052110014
Author(s):  
Doris F. Pu ◽  
Christina M. Rodriguez ◽  
Marina D. Dimperio

Although intimate partner violence (IPV) is often conceptualized as occurring unilaterally, reciprocal or bidirectional violence is actually the most prevalent form of IPV. The current study assessed physical IPV experiences in couples and evaluated risk and protective factors that may be differentially associated with reciprocal and nonreciprocal IPV concurrently and over time. As part of a multi-wave longitudinal study, women and men reported on the frequency of their IPV perpetration and victimization three times across the transition to parenthood. Participants also reported on risk factors related to personal adjustment, psychosocial resources, attitudes toward gender role egalitarianism, and sociodemographic characteristics at each wave. Participants were classified into one of four IPV groups (reciprocal violence, male perpetrators only, female perpetrators only, and no violence) based on their self-report and based on a combined report, which incorporated both partners’ reports of IPV for a maximum estimate of violence. Women and men were analyzed separately, as both can be perpetrators and/or victims of IPV. Cross-sectional analyses using self-reported IPV data indicated that IPV groups were most consistently distinguished by their levels of couple satisfaction, across gender; psychological distress also appeared to differentiate IPV groups, although somewhat less consistently. When combined reports of IPV were used, sociodemographic risk markers (i.e., age, income, and education) in addition to couple functioning were among the most robust factors differentiating IPV groups concurrently, across gender. In longitudinal analyses, sociodemographic vulnerabilities were again among the most consistent factors differentiating subsequent IPV groups over time. Several gender differences were also found, suggesting that different risk factors (e.g., women’s social support and men’s emotion regulation abilities) may need to be targeted in interventions to identify, prevent, and treat IPV among women and men.


2019 ◽  
Vol 13 (2) ◽  
pp. 1-5 ◽  
Author(s):  
Joshua Epuitai ◽  
Samson Udho ◽  
Anna Grace Auma ◽  
Rose Chalo Nabirye

Background: Intimate partner violence may be more prevalent during pregnancy as women are more vulnerable. Aims: To determine the prevalence of intimate partner violence and associated factors among pregnant women at Soroti Regional Referral Hospital, Uganda. Methods: A cross-sectional study was conducted among 180 pregnant women. Data were collected using a pre-tested, semi-structured questionnaire. Intimate partner violence was measured using the revised Conflict Tactile Scale 2. Findings: The overall prevalence of intimate partner violence during pregnancy was 27.8%. Household average monthly income, experiences of intimate partner violence before pregnancy and marital conflicts were independently associated with intimate partner violence during pregnancy. Conclusions: Screening should be done during antenatal care among women with low household income, marital conflicts, and history of intimate partner violence before pregnancy to identify and manage cases of intimate partner violence. More research is needed to identify interventions for reduction of intimate partner violence during pregnancy.


2017 ◽  
Vol 59 (2) ◽  
pp. 31
Author(s):  
Abayomi Olusola Ayodapo ◽  
Olutoyin O Sekoni ◽  
Michael C Asuzu

Background: Intimate partner violence (IPV) is a significant public health problem. Despite being a phenomenon that occurs globally, few studies have reviewed the issue of intimate partner violence among pregnant women as it relates to disclosure of abuse. This study sets out to determine the prevalence and pattern of disclosure of intimate partner violence among pregnant women attending antenatal clinic in Oyo East Local Government of Oyo State. Methods: A descriptive cross-sectional study among pregnant women aged 18–49 years. A total of 350 pregnant women in the sole secondary health care facility and 3 out of the 18 primary health care facilities randomly selected by balloting were consecutively recruited. A pre-tested semi-structured questionnaire adapted from the WHO Multi-Country Study on Women’s Health and Domestic Violence was used to collect data. Data were analysed with SPSS® version 16. Results: Of 252 (72.0%) women who had been exposed to violence by their partner in pregnancy, 72 (28.6%) disclosed their IPV experience. The experience was disclosed to relatives, friends and religious leaders. Of the 72 that disclosed their IPV experience, 31 (43.1%) reported for the purpose of seeking redress through religious or local leaders, healthcare professionals and law enforcement agencies. Conclusion: Intimate partner violence is common among pregnant women, but a culture of silence still persists, making identification of the exposed difficult. These data may encourage healthcare providers to include screening for IPV in the curriculum of the antenatal care. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2017; DOI: 10.1080/20786190.2016.1272245


2020 ◽  
Vol 19 (4) ◽  
pp. 1-45
Author(s):  
Leilson Da Silva Lima ◽  
Tainá Orrara Amaral do Carmo ◽  
Custódio De Souza Brito Neto ◽  
José Luis Da Cunha Pena

Objetivo: Evaluar la presencia de síntomas depresivos en gestantes y su asociación con la violencia de pareja.Métodos: Este es un estudio piloto transversal de una muestra de 65 gestantes que recibieron atención prenatal en la Unidad Básica de Salud de la Universidad Federal de Amapá entre septiembre y octubre de 2018. Para la recolección de datos se utilizó un cuestionario socioeconómico, demográfico y obstétrico; la Escala de Depresión Posparto de Edimburgo, y el Estudio Multipaís sobre la salud de la mujer y la violencia doméstica.Resultados: El 41,5% de las gestantes tienen síntomas depresivos, en el análisis de regresión logística, estos síntomas tienen una asociación significativa con mujeres que sufren algún tipo de violencia de pareja (OR = 6,74; IC 95% 2,0 – 21,7; p = 0,001) Además, estar empleada, ser soltera, tener bajo nivel de escolaridad, bajos ingresos familiares y embarazo no deseado influyeron significativamente en los síntomas depresivos durante el embarazo.Conclusiones: Hubo un alto porcentaje de síntomas depresivos durante el embarazo y estos se relacionan con la violencia de pareja. Objective: To evaluate the presence of depressive symptoms in pregnant women and their association with intimate partner violence.Methods: This is a cross-sectional pilot study conducted with a sample of 65 pregnant women who performed prenatal care at the Basic Health Unit of the Federal University of Amapá in September and October 2018. For data collection, a socioeconomic, demographic and obstetric questionnaire was used, apart from the Edinburgh Postpartum Depression Scale, and the Multi-Country Study on Women's Health and Domestic Violence.Results: 41.5% of the pregnant women had depressive symptoms; in the logistic regression analysis, these symptoms have a significant association in women who suffer some type of intimate partner violence (OR = 6.74; 95% CI: 2.0 - 21.7; p = 0.001). In addition, being employed, being single, having low schooling, low family income, and unwanted pregnancies were affected by depressive symptoms during pregnancy.Conclusions: There was a high percentage of depressive symptoms during pregnancy and these were related to intimate partner violence. Objetivo: Avaliar a presença de sintomas depressivos em gestantes e sua associação com a violência sofrida pelo parceiro.Métodos: Trata-se de um estudo piloto transversal a partir de uma amostra de 65 gestantes que realizaram acompanhamento de pré-natal na Unidade Básica de Saúde da Universidade Federal do Amapá nos meses de setembro e outubro de 2018. Para coleta foi usado um questionário socioeconômico, demográfico e obstétrico; a Escala de Depressão Pós-Parto de Edimburgo; e o Estudo Multi-Países sobre Saúde da Mulher e Violência Doméstica.Resultados: 41,5% das gestantes apresentaram sintomas depressivos, na análise de regressão logística esses sintomas mostraram ter associação significativa em mulheres que sofreram algum tipo de violência pelo parceiro íntimo (OR = 6,74; IC95% 2,0 - 21,7; p=0,001), além disso, estar empregada, ser solteira, ter baixa escolaridade, baixa renda familiar e gravidez indesejada foram significativamente influenciadores para os sintomas depressivos durante a gestação.Conclusões: Houve alta porcentagem de sintomas depressivos durante a gestação e esses estiveram relacionados com a violência por parceiro íntimo.


2021 ◽  
Author(s):  
Joseph W. Jatta ◽  
Jean Claude R. P. Ouedraogo

Abstract BackgroundIntimate partner violence is a severe public health and human right issue that 1 in 3 women experience in their lifetime. Women's knowledge and attitudes towards intimate partner violence might importantly determine who experiences violence from an intimate partner. This study aimed at analysing the knowledge and attitudes of antenatal towards intimate partner violence.MethodsThis study employed a descriptive cross-sectional technique to meet its objectives. Pregnant women seeking antenatal care were selected from 6 public healthcare facilities in the Gambia's upper river region (URR). We used the single proportion formula to calculate the sample size, which was 373 women. Data were entered, cleaned and analysed using SPSS version 21.ResultsA good majority of the participants had an overall good knowledge about IPV (77%). The most common behaviours of intimate partner violence known to the women were denial of money to hurt her (80.2%). Only 58% of the women knew that partners insisting on knowing where his wife is always and expecting the wife to ask for permission before seeking healthcare for herself was a form of violence against them.Eighty-seven per cent (87%) of the participants had a negative attitude towards IPV (i.e., they were not precisely against the stated forms of violence perpetrated by their partners). When asked about what would warrant them to leave their partners, 67% acclaimed they would never leave their partners despite facing violence from them. According to 36% of the respondents, women stay in abusive marriages because of their children.ConclusionDespite the relatively high knowledge of intimate partner violence among pregnant women, their attitudes tell a different story, which is acceptance of violent behaviour from their partners. More work needs to be done to sensitise women on their rights to prevent intimate partner violence.


Sign in / Sign up

Export Citation Format

Share Document