The Effect of a Supportive-Educational Intervention on Maternal-Fetal Attachment of Pregnant Women Facing Domestic Violence: A Randomized Controlled Trial

Khalili, Zahra; Navaee, Maryam; Shakiba, Mansour; Navidian, Ali

doi:10.5812/ijpbs.92070

Cited by 17 publications

(40 citation statements)

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“…Reviewers identified 273 articles that were potentially relevant and thus included in full text screening. Thirty-six articles representing 21 randomised trials met criteria for inclusion in this systematic review and seven articles were classified as awaiting assessment because eligibility could not be adequately evaluated given available information (Aracena et al ., 2011; Aracena et al ., 2012; Akbarzadeh et al ., 2016; Shirazi et al ., 2016; Frith et al ., 2017; Kahalili et al ., 2019; Tran et al ., 2019). The most common reasons for exclusion were studies that described an intervention that did not aim to improve MMH and studies that did not include a child outcome (Fig.…”

Section: Resultsmentioning

confidence: 99%

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Tol

Greene

Lasater

et al. 2020

Epidemiol Psychiatr Sci

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Aims Observational studies have shown a relationship between maternal mental health (MMH) and child development, but few studies have evaluated whether MMH interventions improve child-related outcomes, particularly in low- and middle-income countries. The objective of this review is to synthesise findings on the effectiveness of MMH interventions to improve child-related outcomes in low- and middle-income countries (LMICs). Methods We searched for randomised controlled trials conducted in LMICs evaluating interventions with a MMH component and reporting children's outcomes. Meta-analysis was performed on outcomes included in at least two trials. Results We identified 21 trials with 28 284 mother–child dyads. Most trials were conducted in middle-income countries, evaluating home visiting interventions delivered by general health workers, starting in the third trimester of pregnancy. Only ten trials described acceptable methods for blinding outcome assessors. Four trials showed high risk of bias in at least two of the seven domains assessed in this review. Narrative synthesis showed promising but inconclusive findings for child-related outcomes. Meta-analysis identified a sizeable impact of interventions on exclusive breastfeeding (risk ratio = 1.39, 95% confidence interval (CI): 1.13–1.71, ten trials, N = 4749 mother–child dyads, I2 = 61%) and a small effect on child height-for-age at 6-months (std. mean difference = 0.13, 95% CI: 0.02–0.24, three trials, N = 1388, I2 = 0%). Meta-analyses did not identify intervention benefits for child cognitive and other growth outcomes; however, few trials measured these outcomes. Conclusions These findings support the importance of MMH to improve child-related outcomes in LMICs, particularly exclusive breastfeeding. Given, the small number of trials and methodological limitations, more rigorous trials should be conducted.

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Section: Resultsmentioning

confidence: 99%

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Tol

Greene

Lasater

et al. 2020

Epidemiol Psychiatr Sci

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“…Searches identified 6082 records, we assessed 313 full text reports and included 32 28–59 reporting on 26 studies 28–35 38–40 42 45–47 49 50 52–60 (Figure 1, online supplementary file 2).…”

Section: Resultsmentioning

confidence: 99%

“…Of the 26 studies, 18 were from sub-Saharan Africa, 28 31–34 38 42 45–47 49 52–54 56 57 59 60 three from the Middle East, 40 55 58 three from South Asia, 29 39 50 and two from South America. 30 35 Twelve quantitative evaluations were randomised controlled trials (RCTs), 32 34 35 38 40 47 50 52 55 58–60 six were uncontrolled before-after (UBA) studies, 29 30 39 42 46 54 six cross sectional studies, 31 45 49 53 56 57 and one was a controlled before-after evaluation (CBA).…”

Section: Resultsmentioning

confidence: 99%

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Interventions in sexual and reproductive health services addressing violence against women in low- and middle- income countries: a mixed-methods systematic review

Lewis

Munas

Colombini

et al. 2021

Preprint

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ObjectivesTo synthesise evidence on the effectiveness, cost-effectiveness, and barriers to responding to violence against women (VAW) in sexual and reproductive health (SRH) services in low- and middle-income countries (LMICs).DesignMixed-methods systematic review.Data sourcesMedline, Embase, Psycinfo, Cochrane, Cinahl, IMEMR, Web of Science, Popline, Lilacs, WHO RHL, ClinicalTrials.gov, Google, Google Scholar, websites of key organisations through December 2019.Eligibility criteriaStudies of any design that evaluated VAW interventions in SRH services in LMICs.Data extraction and synthesisConcurrent narrative quantitative and thematic qualitative syntheses, integration through line of argument and mapping onto a logic model. Two reviewers extracted data and appraised quality.Results26 studies of varied interventions using heterogeneous outcomes. Of ten interventions that strengthened health systems capacity to respond to VAW during routine SRH consultation, three reported no harm and reduction in some types of violence. Of nine interventions that strengthened health systems and communities’ capacity to respond to VAW, three reported conflicting effects on re-exposure to some types of VAW and mixed effect on SRH. The interventions increased identification of VAW but had no effect on the provision (75-100%) and uptake (0.6-53%) of referrals to VAW services. Of seven psychosocial interventions in addition to SRH consultation that strengthened women’s readiness to address VAW, four reduced re-exposure to some types of VAW and improved health. Factors that disrupted the pathway to better outcomes included accepting attitudes towards VAW, fear of consequences, and limited readiness of the society, health systems, and individuals. No study evaluated cost-effectiveness.ConclusionsSome VAW interventions in SRH services reduced re-exposure to some types of VAW and improved some health outcomes in single studies. Future interventions should strengthen capacity to address VAW across health systems, communities, and individual women. First-line support should be better tailored to women’s needs and expectations.PROSPERO protocol CRD42019137167.

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“…Family-based counseling is a kind of support and decision-based approach aiming at identifying the problem and proposing an appropriate solution [ 32 ]. Supportive counseling has reduced the rate of domestic violence by affecting the psychological, physical[ 33 ] financial, emotional, verbal, and sexual dimensions [ 34 ].Educating family members in controlling and preventing diseases and behavioral disorders can also be very helpful, because there is a strong connection between the family and the health status of its members [ 35 ]. Therefore, in order to achieve low-cost, easy, sustainable and less harmful treatment, family cooperation should be used instead of individual treatment to have a positive effect and change the lifestyle.…”

Section: Discussionmentioning

confidence: 99%

The effect of family-based counseling on domestic violence in pregnant women referring to health centers in Sahneh city, Iran, 2018

et al. 2021

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Background Domestic violence is a term that shows aggressive behavior with different physical, psychological, economic, and social dimensions. This concept is considered as one of the health priorities regarding its significant effects on pregnancy, postpartum, and the outcome of pregnancy. The present study was conducted to investigate the effect of family-based counseling on domestic violence against pregnant women. Methods An intervention trial was conducted on 92 pregnant women exposed to domestic violence, selected among 274 pregnant women accessible in Sahneh, Iran. Data collection was performed using the standard questionnaire of domestic violence against women of Mohseni Tabrizi. The pregnant women exposed to violence were randomly assigned to intervention and control groups (in two groups of 45 people). In the intervention group, three 45-min individual counseling sessions were held for the pregnant women and their spouses according to Greeting, Ask, Tell, Help, Explain, and Refer (GATHER) principles. Four weeks after the end of the sessions, the two groups again completed the questionnaire. Results Family-based counseling intervention reduced the mean score of domestic violence in the intervention group from 68.58 ± 9.21 before the intervention to 49.56 ± 8.83 after intervention. Also, various domains of violence including mental, verbal, financial, physical, sexual, and social violence were significantly declined in the intervention group (P < 0.001); however, there was no significant decrease in emotional violence score (P > 0.001). Conclusion Family-based counseling plays a significant role in reducing the various types of violence against women through increasing the awareness of couples and by improving the relationship between couples during pregnancy. It will reduce the incidence of violence against a pregnant woman and consequently reduce complications on the mother and pregnancy outcomes. Family-oriented counseling played a significant role in deterring all forms of violence against women by increasing awareness of couples and improving their relationship during pregnancy. Moreover, family-oriented counseling reduced the incidence of violence against pregnant women and thus deterred maternal complications associated with pregnancy.

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The Effect of a Supportive-Educational Intervention on Maternal-Fetal Attachment of Pregnant Women Facing Domestic Violence: A Randomized Controlled Trial

Cited by 17 publications

References 18 publications

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Interventions in sexual and reproductive health services addressing violence against women in low- and middle- income countries: a mixed-methods systematic review

The effect of family-based counseling on domestic violence in pregnant women referring to health centers in Sahneh city, Iran, 2018

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