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Battered and pregnant: a prevalence study.

A S Helton, J McFarlane, E T Anderson

American Journal of Public Health

|October 1, 1987

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Physical battering affects pregnant women, with some seeking medical care for injuries. However, prenatal care providers rarely assess these patients for abuse during pregnancy.

Area of Science:

Obstetrics and Gynecology
Public Health
Sociology

Background:

Domestic violence is a significant public health issue affecting pregnant women.
Prenatal care settings offer a critical opportunity to identify and address abuse during pregnancy.

Purpose of the Study:

To investigate the prevalence of physical battering among pregnant women.
To determine if pregnant women experiencing abuse seek medical treatment.
To assess the extent to which prenatal care providers screen for abuse.

Main Methods:

A cross-sectional study involving 290 pregnant women from public and private prenatal clinics.
Data collection through interviews regarding history of physical battering and medical treatment sought.
Analysis of reported abuse assessment by prenatal care providers.

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Main Results:

Twenty-four women (8.3%) reported physical battering during their current pregnancy.
Eight of these 24 women sought medical treatment for injuries sustained from abuse.
None of the pregnant women reporting abuse were assessed for it by their prenatal care providers.

Conclusions:

Physical battering is a reality for a notable percentage of pregnant women.
Pregnant women experiencing abuse may seek medical attention for injuries but are not being identified by prenatal care providers.
There is a critical gap in abuse screening by healthcare professionals during prenatal care, necessitating improved protocols.