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Published on: February 16, 2011
Abuse survivor perspectives on trauma inquiry in obstetrical practice
Amina White1, Marion Danis2, Joan Gillece3
1Clinical Center Department of Bioethics, National Institutes of Health, 10 Center Drive, Building 10, Rm 1C118, Bethesda, MD, 20892, USA. amina.white@nih.gov.
Physicians should clearly define trauma, its purpose, and confidentiality when asking about abuse history during prenatal care. This approach helps engage abuse survivors effectively.
Area of Science:
- Obstetrics and Gynecology
- Trauma-Informed Care
- Patient Communication
Background:
- Prenatal care settings present opportunities to identify and support abuse survivors.
- Effective physician communication is crucial for patient engagement and safety.
Purpose of the Study:
- To explore abuse survivor perspectives on optimal physician approaches to trauma inquiry during prenatal care.
Main Methods:
- A focus group was conducted with six adult female abuse survivors.
Main Results:
- Five key themes emerged for "safe" trauma inquiry: clear definition of trauma, clear purpose for inquiry, reassurance of routine nature, confidentiality, and provision of non-psychiatric resources.
Conclusions:
- Clearly explaining the purpose of trauma inquiry is vital for effectively engaging abuse survivors in obstetric care.
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