title: Frequency and pattern of intimate partner violence before, during and after pregnancy.
abstract: OBJECTIVE
  To estimate the prevalence and analyze the pattern of intimate partner violence, before and during pregnancy and in the postpartum period.
  
  
  METHODS
  This was a cohort study undertaken on 960 women aged 18 to 49 years, who were registered in the Family Health Program of the city of Recife, Northeastern Brazil, between 2005 and 2006. The women were interviewed during pregnancy and in the postpartum period, using a questionnaire adapted from the World Health Organization's Multi-country Study on Women's Health and Domestic Violence. To assess the pattern of intimate partner violence occurrences between a given time period and the subsequent period, the odds ratio (OR) was calculated with 95% confidence intervals (95%CI).
  
  
  RESULTS
  The prevalence of intimate partner violence before, during and/or after pregnancy was estimated to be 47.4%. For the three periods separately, it was 32.4%, 31.0% and 22.6% respectively. The women who reported violence before pregnancy were 11.6 times more likely to report violence during pregnancy (95%CI: 8.3;16.2). When the women reported violence during pregnancy, the chance of reports in the postpartum period was 8.2 times higher (95%CI: 5.1;11.7). Psychological violence was more prevalent, especially during pregnancy (28.8%; 95%CI: 26.0%;31.7%). Sexual violence was less prevalent, especially after delivery (3.7%; 95%CI: 2.6%;5.0%). Physical violence diminished by almost 50% during pregnancy, in comparison with the preceding period.
  
  
  CONCLUSIONS
  A significant proportion of women of reproductive age experience situations of intimate partner violence. The periods of prenatal and childcare consultations are opportunities for healthcare professionals to identify situations of violence.
authors: Universidade Federal de Pernambuco, Recife, Brasil. elisabetepsilva@terra.com.br
authors: Elisabete Pereira
authors: EP
authors: Silva
authors: Ana Bernarda
authors: AB
authors: Ludermir
authors: Thália Velho Barreto de
authors: TV
authors: Araújo
authors: Sandra Alves
authors: SA
authors: Valongueiro
mesh_terms: D000328:Adult; D017677:Age Distribution; D001938:Brazil / Q000453:epidemiology; D004812:Epidemiologic Methods; D005192:Family Health; D005260:Female; D006078:Government Programs; D006801:Humans; D008875:Middle Aged; D049590:Postpartum Period; D011247:Pregnancy; D037841:Pregnant People / Q000523:psychology; D011295:Prenatal Care; D012747:Sexual Partners; D012959:Socioeconomic Factors; D013179:Spouse Abuse / Q000523:psychology / Q000706:statistics & numerical data*; D016387:Women's Health; D055815:Young Adult