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Summary
Physical abuse affects 10.9% of women in obstetric clinics, often linked to socioeconomic factors and emotional distress. Early identification through direct questioning is crucial for pregnant women
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Sociology
Background:
- Domestic violence is a significant public health issue affecting women's health.
- Understanding the prevalence and characteristics of physical abuse in pregnant populations is essential for targeted interventions.
Purpose of the Study:
- To determine the prevalence of physical abuse among women attending obstetric clinics.
- To identify demographic and psychosocial factors associated with physical abuse.
- To examine the relationship between abuse during pregnancy and pregnancy outcomes.
Main Methods:
- Screening interviews were conducted with 742 women at University of Virginia obstetric clinics.
- Data collected included history of abuse, demographic information, emotional problems, and suicide attempts.
- Pregnancy outcomes were compared between women experiencing abuse and controls.
Main Results:
- 10.9% of women reported past physical abuse.
- Abused women were more likely to be divorced/separated, indigent, less educated, and have emotional problems (20% attempted suicide).
- 29% reported abuse during current pregnancy; outcomes did not differ based on living with partner vs. leaving.
Conclusions:
- Physical abuse is prevalent in obstetric populations and associated with specific risk factors.
- Direct questioning during routine care can increase identification of abused women.
- Healthcare providers should be aware of the extent of abuse to support at-risk pregnant individuals.