{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T13:04:20Z","timestamp":1785330260789,"version":"3.55.0"},"reference-count":51,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100007686","name":"Instituto Nacional de Perinatolog\u00eda","doi-asserted-by":"publisher","award":["2023\u20101\u201018"],"award-info":[{"award-number":["2023\u20101\u201018"]}],"id":[{"id":"10.13039\/501100007686","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study estimates the prevalence of intimate partner violence during pregnancy (IPVP) and identifies associated psychosocial and mental health factors among women with high\u2010risk pregnancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional study was conducted among 199 women with high\u2010risk pregnancies attending a tertiary obstetrics and gynecology hospital. Convenience sampling was used between May and September 2024. Validated questionnaires were administered to assess partner violence, adverse childhood experiences, social support, gender roles, and symptoms of anxiety and depression. Statistical analysis included \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      and Fisher's exact tests, Spearman's correlation, and binomial and multiple logistic regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prevalence of IPVP was 21.5%, with 8.2% of cases classified as severe. Psychological violence was the most frequent subtype (33.1%). In bivariate analysis, depressive and anxiety symptoms were independently associated with IPVP, with odds ratios [OR] of 4.53 (95% confidence interval [CI] 1.58\u201312.97) and 3.03 (95% CI 1.44\u20136.36). Variables that reached statistical significance in the bivariate analysis were entered into a multiple logistic regression model, and backward elimination was used to remove non\u2010significant variables and derive the final model. In the final multivariate model, low social support (OR\u2009=\u20097.95, 95% CI 3.04\u201320.78) and partner alcohol consumption (OR\u2009=\u20097.31, 95% CI 2.02\u201326.43) emerged as the strongest associated factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among women with high\u2010risk pregnancies, IPVP remains an important public health problem. Strengthening support networks and implementing routine psychosocial and mental health screening within obstetric care might improve the identification of women experiencing violence and inform prevention and support strategies aimed at improving maternal and child health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71232","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:22:43Z","timestamp":1785327763000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A cross\u2010sectional study of intimate partner violence and associated factors in women with high\u2010risk pregnancies: Implications for perinatal care in a tertiary obstetrics hospital"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7131-366X","authenticated-orcid":false,"given":"Diana","family":"Pimentel\u2010Nieto","sequence":"first","affiliation":[{"name":"National Institute of Perinatology Isidro Espinosa de los Reyes  Ciudad de M\u00e9xico Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0403-9880","authenticated-orcid":false,"given":"Luciana","family":"Ramos\u2010Lira","sequence":"additional","affiliation":[{"name":"National Institute of Psychiatry Ram\u00f3n de la Fuente Mu\u00f1iz  Ciudad de M\u00e9xico Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0799-7900","authenticated-orcid":false,"given":"Mauricio","family":"Ramos\u2010Cruz","sequence":"additional","affiliation":[{"name":"National Institute of Psychiatry Ram\u00f3n de la Fuente Mu\u00f1iz  Ciudad de M\u00e9xico Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Braulio Alfonso","family":"R\u00edos Flores","sequence":"additional","affiliation":[{"name":"National Institute of Perinatology Isidro Espinosa de los Reyes  Ciudad de M\u00e9xico Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.22463\/17949831.512"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16084"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2025.105930"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/15248380231209434"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.738459"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2025.103382"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-025-08209-4"},{"issue":"5","key":"e_1_2_12_9_1","first-page":"431","article-title":"Intimate partner violence and depressive symptoms in pregnant Mexican women: national survey results","volume":"66","author":"Lara MA","year":"2014","journal-title":"Rev Investig Clin"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.4236\/health.2014.620320"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2020.100569"},{"issue":"3","key":"e_1_2_12_12_1","first-page":"286","article-title":"Prevalence of domestic violence in pregnant women aged 20 to 35\u2009years at a family medicine unit","volume":"54","author":"Cervantes\u2010S\u00e1nchez P","year":"2016","journal-title":"Rev Med Inst Mex Seguro Soc"},{"issue":"2","key":"e_1_2_12_13_1","first-page":"98","article-title":"Timely institutional psychological intervention in pregnant patients with diabetes mellitus","volume":"27","author":"Pimentel\u2010Nieto D","year":"2013","journal-title":"Perinatol Reprod Hum"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/15248380231210939"},{"issue":"2","key":"e_1_2_12_15_1","first-page":"88","article-title":"Clinical guide for psychological intervention for women with domestic violence","volume":"21","author":"Henales\u2010Almaraz MC","year":"2007","journal-title":"Perinatol Reprod Hum"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2024.0038"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-018-0612-2"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0004311"},{"key":"e_1_2_12_19_1","unstructured":"National Institute of Child Health and Human Development.What is a high\u2010risk pregnancy?2017. 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