Marchant S, Davidson L L, Garcia J, Parsons J E
University of Bournemouth, Bournemouth, UK.
Midwifery. 2001 Sep;17(3):164-70. doi: 10.1054/midw.2001.0254.
to explore current policies and practices in maternity units that aim to identify, assess and support women experiencing domestic violence.
a postal survey, conducted between June and October 1999, of all NHS Trusts in England and Wales that provided maternity services.
Heads of Midwifery or the midwife with expertise or interest in domestic violence in each Trust.
use of written policies and agreed practices for identifying and referring women experiencing domestic violence, such as availability of information, routine questioning of all women and offering women an appointment without their partner.
87% (183) of the 211 NHS Trusts providing maternity care participated in the survey. Twelve per cent of units had written policies for identifying women experiencing domestic violence, and a further 30% had some form of agreed practice. Less than half of maternity units routinely offered women an appointment without their partner, and just over half displayed material about domestic violence in places where women receive maternity care. Only three units had undertaken audit on their domestic violence practices.
there is considerable variability around England and Wales in policies and practices related to domestic violence. It is evident that clear guidelines for identification and referral, training, audit and the integration of domestic violence policies with child protection and other policies are necessary to fully address the issues.
探讨产科病房旨在识别、评估和支持遭受家庭暴力妇女的现行政策与做法。
1999年6月至10月对英格兰和威尔士所有提供产科服务的国民健康服务信托机构进行了邮政调查。
每个信托机构的助产士负责人或对家庭暴力有专业知识或兴趣的助产士。
使用书面政策和商定做法来识别和转介遭受家庭暴力的妇女，例如信息的可获取性、对所有妇女进行常规询问以及为妇女提供不带伴侣的预约。
提供产科护理的211个国民健康服务信托机构中有87%（183个）参与了调查。12%的病房制定了识别遭受家庭暴力妇女的书面政策，另有30%有某种形式的商定做法。不到一半的产科病房常规为妇女提供不带伴侣的预约，略多于一半的病房在妇女接受产科护理的地方展示有关家庭暴力的资料。只有三个病房对其家庭暴力做法进行了审计。
英格兰和威尔士在与家庭暴力相关的政策和做法方面存在很大差异。显然，为识别和转介、培训、审计以及将家庭暴力政策与儿童保护及其他政策整合制定明确的指导方针对于全面解决这些问题是必要的。
