Valdez-Santiago Rosario, Arenas-Monreal Luz, Hernández-Tezoquipa Isabel
Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
Salud Publica Mex. 2004 Jan-Feb;46(1):56-63. doi: 10.1590/s0036-36342004000100008.
To explore the experiences of midwives in the identification of battered women during pregnancy and to describe the types of violence they identify most easily.
A qualitative study was conducted between January and September 2001 among twelve midwives from a group of midwives ascribed to the Instituto Nacional de Antropología e Historia (INAH, National Institute of Anthropology and History), in Morelos, Mexico. Participants were selected from those living in Cuernavaca City and surrounding areas.
Study findings show that: a) the identification of battered pregnant women in prenatal care should be triggered by a pattern of behaviors and attitudes of battered women, such as being unkempt, shyness, and above all, poor control over decisions on their health care; b) physical and emotional violence were the most frequently types of violence identified by midwives during prenatal care visits. Sexual violence was more difficult to identify.
It is necessary to incorporate midwives in the national plans and programs to prevent domestic violence. Midwives' practices provide opportunities to care for battered women. Specialized training strategies must be directed to midwives caring for pregnant women in Mexico.
探讨助产士在孕期识别受虐妇女的经历，并描述她们最容易识别的暴力类型。
2001年1月至9月间，对墨西哥莫雷洛斯州国家人类学与历史研究所（INAH）的一组助产士中的12名助产士进行了定性研究。参与者从居住在库埃纳瓦卡市及周边地区的人员中选取。
研究结果表明：a）产前检查中对受虐孕妇的识别应通过受虐妇女的行为和态度模式来触发，例如不修边幅、害羞，最重要的是，对自身医疗保健决策缺乏掌控；b）身体暴力和情感暴力是助产士在产前检查中最常识别出的暴力类型。性暴力则更难识别。
有必要将助产士纳入国家预防家庭暴力的计划和项目中。助产士的工作为照顾受虐妇女提供了机会。必须针对墨西哥照顾孕妇的助产士制定专门的培训策略。
