Quelopana Ana M, Champion Jane Dimmitt, Salazar Bertha C
Faculty of Health Science, Universidad de Tarapaca, Arica, Chile.
West J Nurs Res. 2008 Dec;30(8):1005-18. doi: 10.1177/0193945908320464. Epub 2008 Jul 24.
This study examines the association between history of violence, attitudes toward pregnancy, and initiation of prenatal care (PNC). Pregnant women receiving their first PNC visit at a public prenatal clinic in Monterrey, Mexico, were enrolled in the study. Structured interviews collected information concerning demographics, reproductive history, current pregnancy, attitudes toward pregnancy, history of violence, and perceived barriers and benefits of PNC. Results showed that 35% of participants reported violence. A current or previous partner was the most common perpetrator. Of women experiencing abuse, 47% reported that abuse was ongoing during the current pregnancy. More women reporting violence were unmarried, did not live with a partner, and reported a lower monthly income. An experience of violence was associated with initiation of PNC, number of pregnancies, perception of barriers, and negative attitudes toward pregnancy. This issue should be emphasized in recognition of the important role that nurses and midwives have regarding violence.
本研究探讨暴力史、对怀孕的态度与产前护理(PNC)开始之间的关联。在墨西哥蒙特雷一家公共产前诊所接受首次PNC检查的孕妇被纳入研究。结构化访谈收集了有关人口统计学、生殖史、当前妊娠情况、对怀孕的态度、暴力史以及PNC的感知障碍和益处等信息。结果显示,35%的参与者报告曾遭受暴力。当前或前任伴侣是最常见的施暴者。在遭受虐待的女性中,47%报告在当前妊娠期间虐待仍在持续。更多报告遭受暴力的女性未婚、未与伴侣同住且月收入较低。暴力经历与PNC的开始、怀孕次数、障碍感知以及对怀孕的消极态度有关。鉴于护士和助产士在应对暴力方面的重要作用,应强调这一问题。