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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Health Care Providers' Experiences, Perceptions, and Challenges in Addressing Perinatal Intimate Partner Violence

Jeanne L Alhusen1, Maggie Hughes1, Jordan Gear1

  • 1School of Nursing, University of Virginia, Charlottesville, Virginia.

Women'S Health Issues : Official Publication of the Jacobs Institute of Women'S Health
|June 13, 2026
PubMed
Summary

Healthcare providers face challenges in screening for intimate partner violence (IPV) among people with disabilities during the perinatal period due to inadequate training and ableism. Addressing these barriers is crucial for equitable care and patient safety.

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Area of Science:

  • Perinatal Health
  • Public Health
  • Disability Studies

Background:

  • Individuals with disabilities experience intimate partner violence (IPV) at significantly higher rates (2-3x) than the general population.
  • Perinatal healthcare settings often underscreen and underserved individuals with disabilities for IPV.
  • Healthcare providers' limited training, systemic bias, and ableism impede effective and equitable IPV identification and intervention for this population.

Purpose of the Study:

  • To explore healthcare providers' experiences, perceptions, and challenges in screening and intervening for IPV among perinatal patients with disabilities.
  • To identify barriers to providing trauma-informed and disability-inclusive care in IPV screening within perinatal settings.

Main Methods:

  • Conducted semistructured interviews with 44 perinatal care providers (nurses, midwives, physicians, doulas) across diverse US clinical settings.
  • Analyzed interview transcripts using inductive content analysis to identify themes related to IPV screening, knowledge, and attitudes toward disability.

Main Results:

  • Identified three key themes: lack of disability-specific abuse training, implicit bias and ableist assumptions, and provider discomfort/avoidance leading to missed IPV inquiries.
  • Providers cited uncertainty, time constraints, and systemic barriers (e.g., difficult navigation, devaluation of disabled patients) as hindering effective screening.
  • Ableism manifested at interpersonal and structural levels, negatively impacting trauma-informed, disability-inclusive care.

Conclusions:

  • Provider discomfort, insufficient preparation, and ableist beliefs undermine equitable IPV screening for people with disabilities in perinatal care.
  • Integrating trauma-informed and disability-inclusive approaches into healthcare education, policy, and practice is essential.
  • Enhancing provider training and addressing systemic ableism can improve IPV identification, patient trust, and safety in perinatal settings.