Bair-Merritt Megan H
Primary Care Fellowship Program, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Pediatr Rev. 2010 Apr;31(4):145-50; quiz 150. doi: 10.1542/pir.31-4-145.
After completing this article, readers should: 1. Know the prevalence of intimate partner violence and childhood exposure to intimate partner violence. 2. Identify risk factors associated with intimate partner violence. 3. Understand that child maltreatment is significantly more likely in the setting of intimate partner violence. 4. Recognize the impact of intimate partner violence exposure on children's social-emotional and physical health, and on their health care use. 5. Understand strategies for screening and responding to intimate partner violence in the pediatric setting. You are seeing a healthy, previously full-term 4 month old for well child care. As a part of your routine social history, you inquire about intimate partner violence (IPV). The infant's mother discloses that her partner frequently yells at her, pushes her and makes her feel afraid. Upon further questioning, you find that she describes the infant as “fussy.” His physical exam is unremarkable, but you note that he missed his two month visit and is behind on his immunizations. How do you proceed?
读完本文后,读者应:1. 了解亲密伴侣暴力的患病率以及儿童期遭受亲密伴侣暴力的情况。2. 识别与亲密伴侣暴力相关的风险因素。3. 明白在亲密伴侣暴力的环境中,儿童遭受虐待的可能性要大得多。4. 认识到接触亲密伴侣暴力对儿童社会情感和身体健康以及他们的医疗保健使用的影响。5. 理解在儿科环境中筛查和应对亲密伴侣暴力的策略。你正在为一名健康的、足月出生的4个月大婴儿进行健康儿童护理。作为常规社会史的一部分,你询问了亲密伴侣暴力(IPV)情况。婴儿的母亲透露,她的伴侣经常对她大喊大叫、推搡她,让她感到害怕。进一步询问后,你发现她形容婴儿“爱哭闹”。他的体格检查无异常,但你注意到他错过了两个月的体检,并且疫苗接种也落后了。你会如何处理?