Shoffner Dava H
College of Nursing, University of Tennessee, Knoxville, TN 37996, USA.
J Perinat Neonatal Nurs. 2008 Jan-Mar;22(1):39-48. doi: 10.1097/01.JPN.0000311874.30828.4e.
Violence directed by an intimate partner toward the pregnant woman and her fetus, or during the first year after delivery, is often either not recognized by professionals or suspected but not addressed. There is no typical abused woman; in fact, intimate partner violence occurs across all social, economic, educational, and professional settings. Physical or sexual abuse may be readily observed in some instances or well hidden at other times; the emotional components of verbal, economic, and isolation abuse are often difficult to assess. All types of intimate partner violence require sensitive assessment and intervention by healthcare professionals, as numerous undesirable outcomes for both the mother and her fetus/baby have been identified. Suggestions for assessment and intervention (primary, secondary, and tertiary) are offered.
亲密伴侣对孕妇及其胎儿实施的暴力行为,或在分娩后第一年期间发生的暴力行为,往往未被专业人员识别,或虽被怀疑但未得到处理。不存在典型的受虐妇女;事实上,亲密伴侣暴力行为在所有社会、经济、教育和职业背景中都有发生。身体虐待或性虐待在某些情况下可能很容易被察觉,而在其他时候则可能隐藏得很好;言语、经济和孤立虐待的情感成分往往难以评估。所有类型的亲密伴侣暴力行为都需要医疗保健专业人员进行敏感的评估和干预,因为已经确定了对母亲及其胎儿/婴儿的许多不良后果。文中提供了评估和干预(一级、二级和三级)的建议。