评估怀孕期间的虐待情况. 伤害的严重程度和频率以及相关的产前护理入口
J McFarlane1, B Parker, K Soeken
1Texas Woman's University, Houston 77030.
JAMA
|June 17, 1992
概括
怀孕期间的身体虐待影响了17%的女性,经常复发,对白人女性来说更严重. 被虐待的孕妇延迟产前护理的可能性是其两倍,这凸显了定期查的必要性.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 怀孕期间的身体虐待是一个重大的公共卫生问题.
- 之前的研究低估了虐待的普遍性,因为选方法.
研究的目的:
- 为了确定怀孕期间的身体虐待的发生,频率和严重程度.
- 检查虐待与开始产前护理之间的关联.
主要方法:
- 在城市产前诊所对691名孕妇进行前性队列研究.
- 在第一次产前检查时使用了一个简短的,三问的滥用评估屏幕.
- 追踪参与者从入学到分娩,以确定滥用状态.
主要成果:
- 在怀孕期间发现了17%的身体或性虐待,是之前估计的两倍.
- 虐待往往是复发的 (60%报告多次发作),头部创伤很常见.
- 被虐待的妇女在第三个三个月开始产前护理的可能性是其两倍.
- 白人女性经历了更频繁和严重的虐待,有更高的谋杀风险.
结论:
- 一个简单的,三个问题的临床评估屏幕有效地识别了受虐待的孕妇.
- 在临床环境中对滥用行为进行常规查对于早期干预和患者安全至关重要.
- 在怀孕期间解决家庭暴力问题可以预防创伤并改善健康结果.
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