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Disorders of the Female Reproductive System01:24

Disorders of the Female Reproductive System

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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
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Published on: May 30, 2025

Intimate partner violence. The gynaecologist's perspective.

K Roelens1

  • 1Department of Obstetrics & Gynaecology, Ghent University Hospital P3, De Pintelaan 185 - B-9000 Ghent.

Verhandelingen - Koninklijke Academie Voor Geneeskunde Van Belgie
|August 24, 2010
PubMed
Summary

Intimate partner violence (IPV) affects 10.1% of pregnant women. Routine screening by healthcare providers is approved by patients, yet OB/GYNs face barriers to implementation.

Area of Science:

  • Public Health
  • Obstetrics & Gynecology
  • Social Sciences

Background:

  • Intimate partner violence (IPV) is a significant public health issue affecting pregnant women.
  • Victims of IPV often present with non-specific symptoms, making detection challenging within healthcare settings.
  • Women experiencing IPV rarely disclose abuse spontaneously to healthcare providers.

Purpose of the Study:

  • To estimate the prevalence of IPV among pregnant women in East Flanders.
  • To assess women's attitudes towards routine screening for IPV by healthcare providers.
  • To identify barriers and facilitators for implementing IPV screening among OB/GYNs.

Main Methods:

  • A questionnaire-based surveillance study was conducted among a regional probability sample of pregnant women in East Flanders.

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Published on: May 30, 2025

  • A Knowledge-Practice and Attitude Survey was administered to OB/GYNs in Flanders.
  • Data analysis included prevalence estimation and assessment of healthcare provider perspectives.
  • Main Results:

    • Overall IPV prevalence was estimated at 10.1% among pregnant women, with 3.4% experiencing it during pregnancy or the preceding year.
    • Women generally approve of routine questioning regarding IPV by their GP or gynecologist.
    • OB/GYNs reported discomfort with routine screening, underestimating prevalence, lacking self-efficacy, and citing time constraints and perceived inappropriateness.

    Conclusions:

    • There is a clear opportunity for early detection of IPV through healthcare sector screening.
    • Barriers among OB/GYNs can be addressed through targeted training, education, and supportive strategies like screening tools and referral pathways.
    • Developing guidelines for healthcare workers, including gynecologists, is crucial to address IPV as a public health problem.