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Related Experiment Videos

Screening for abuse: barriers and opportunities.

D D'Avolio1, J W Hawkins, L A Haggerty

  • 1Boston College School of Nursing, Chestnut Hill, Massachusetts, USA.

Health Care for Women International
|January 30, 2002
PubMed
Summary

Domestic abuse significantly impacts pregnant women, affecting birth outcomes. This study examines psychological responses to abuse and explores barriers to screening pregnant women for domestic violence.

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Area of Science:

  • Public Health
  • Obstetrics & Gynecology
  • Psychology

Background:

  • Domestic abuse is a leading cause of injury and death for women of childbearing age in the U.S.
  • Understanding the impact of abuse on pregnant women is crucial for improving maternal and infant health.
  • Prenatal care settings present an opportunity for domestic abuse screening.

Purpose of the Study:

  • To investigate how pregnant women's psychological and behavioral responses to domestic abuse influence birth outcomes.
  • To identify supports and barriers to implementing domestic abuse screening in prenatal care settings.
  • To provide recommendations for enhancing domestic abuse screening rates.

Main Methods:

  • Recruited a diverse sample of pregnant women from 8 prenatal care sites.

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  • Utilized the Abuse Assessment Screen, a validated clinical instrument, for abuse screening.
  • Documented screening rates and observed implementation challenges over a 2.5-year period.
  • Main Results:

    • Significant variation in abuse screening rates across different prenatal care sites was observed.
    • Identified specific supports and barriers encountered during the implementation of the abuse screening program.
    • The study highlights inconsistencies in routine screening for domestic abuse among pregnant women.

    Conclusions:

    • Effective screening for domestic abuse during pregnancy requires addressing identified barriers.
    • Improving screening rates is essential to identify at-risk pregnant women and mitigate adverse birth outcomes.
    • Systematic implementation of validated screening tools can improve detection and intervention for domestic abuse in prenatal care.