Objective: To determine if intimate partner violence (IPV) was associated with unintended pregnancy and pregnancy
loss among married women in Pakistan. Methods: A retrospective analysis was conducted using nationally
representative cross-sectional secondary data from women of reproductive age who were currently married and
had participated in the domestic violence module of the 2012–13 Pakistan Demographic and Heath Survey.
Unintended pregnancy and pregnancy loss were defined as any mistimed or unwanted pregnancy, and any
pregnancy that resulted in spontaneous abortion, induced abortion, or stillbirth, respectively. Associations with
IPV were assessed by calculating adjusted odds ratios using logistic regression models. Results: Data from 3518
individuals were included. Pregnancy loss had been experienced by 1282 (36.4%) participants and unintended
pregnancy was reported by 391 (19.5%) of 2005 individuals this information was available for. In total, 1335
(37.9%) participants reported having ever experienced any form of IPV, including 919 (26.1%), 1112 (31.6%),
and 697 (19.8%) participants who had experienced physical, emotional, and both emotional and physical IPV.
Significant associations were observed between participants experiencing either physical or emotional IPV, emotional
IPV, and both emotional and physical IPV, and unintended pregnancy (P = 0.017, P b 0.001, and P = 0.011,
respectively) and pregnancy loss (P = 0.002, P = 0.005, and P b 0.001, respectively). Conclusions: There is an urgent
need to develop preventive strategies to reduce intramarital IPV and its associated poor health outcomes.