title: Correlations between intimate partner violence and spontaneous abortion, stillbirth, and neonatal death in rural Malawi.
abstract: OBJECTIVE
  To characterize associations between intimate partner violence (IPV) and adverse delivery outcomes among married Malawian women.
  
  
  METHODS
  In the present secondary analysis of an ongoing project investigating sexual and reproductive health decision making in rural, Lilongwe District, Malawi, married women who had experienced at least one pregnancy were interviewed between July 15, 2014, and February 25, 2015. Associations between physical IPV experienced with participants' current partners and history of adverse delivery outcomes (spontaneous abortions, stillbirths, and neonatal deaths) were examined using log-binomial regression.
  
  
  RESULTS
  The analyses included 792 women. The 166 (21.0%) participants who reported having experienced physical IPV with their current partner were significantly more likely to have a history of adverse delivery outcomes in the unadjusted (prevalence ratio 1.23; 95% confidence interval 1.08-1.41) and adjusted (adjusted prevalence ration 1.19; 95% CI 1.01-1.40) analyses.
  
  
  CONCLUSIONS
  Physical IPV was reported by a large proportion of participants in the present study and was significantly associated with adverse delivery outcomes. Public health interventions providing physical IPV screening and referral to support services could help improve maternal and child health in Malawi.
authors.affiliation: The Ohio State University College of Medicine, Columbus, OH, USA.
authors.forename: Nisha
authors.initials: N
authors.lastname: Rao
authors.affiliation: The Ohio State University College of Medicine, Columbus, OH, USA.|The Ohio State University College of Public Health, Columbus, OH, USA.
authors.forename: Abigail
authors.initials: A
authors.lastname: Norris Turner
authors.affiliation: Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
authors.forename: Bryna
authors.initials: B
authors.lastname: Harrington
authors.affiliation: Child Legacy International, Lilongwe, Malawi.
authors.forename: Patrick
authors.initials: P
authors.lastname: Nampandeni
authors.affiliation: Child Legacy International, Lilongwe, Malawi.
authors.forename: Venson
authors.initials: V
authors.lastname: Banda
authors.affiliation: The Ohio State University College of Medicine, Columbus, OH, USA.|The Ohio State University College of Public Health, Columbus, OH, USA.
authors.forename: Alison
authors.initials: A
authors.lastname: Norris
mesh_terms: D000022:Abortion, Spontaneous / Q000453:epidemiology*; D000328:Adult; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008295:Malawi / Q000453:epidemiology; D066087:Perinatal Death / Q000209:etiology*; D054238:Perinatal Mortality; D015995:Prevalence; D012424:Rural Population / Q000706:statistics & numerical data; D013179:Spouse Abuse / Q000706:statistics & numerical data*; D050497:Stillbirth / Q000453:epidemiology*
keywords: Intimate partner violence; Malawi; Neonatal death; Spontaneous abortion; Stillbirth