Department of Family Medicine, East Tennessee State University, Johnson City, TN, USA.
Int J Womens Health. 2010 Aug 9;2:183-97. doi: 10.2147/ijwh.s8632.
The purpose of this review is to provide an overview of the current state of knowledge regarding the experience of intimate partner violence (IPV) during pregnancy. Pregnancy IPV is a significant problem worldwide, with rates varying significantly by country and maternal risk factors. Pregnancy IPV is associated with adverse newborn outcomes, including low birth weight and preterm birth. Many mechanisms for how IPV may impact birth outcomes have been proposed and include direct health, mental health, and behavioral effects, which all may interact. Screening for IPV during pregnancy is essential, yet due to time constraints and few clear recommendations for assessment, many prenatal providers do not routinely inquire about IPV, or even believe they should. More training is needed to assist health care providers in identifying and managing pregnancy IPV, with additional research needed to inform effective interventions to reduce the rates of pregnancy IPV and resultant outcomes.
本次综述旨在概述当前有关怀孕期间亲密伴侣暴力 (IPV) 经历的知识现状。全球范围内,怀孕期间的 IPV 是一个严重的问题,其发生率因国家和产妇危险因素的不同而有显著差异。怀孕期间的 IPV 与不良新生儿结局有关,包括低出生体重和早产。已经提出了许多关于 IPV 如何影响出生结局的机制,包括直接的健康、心理健康和行为影响,这些都可能相互作用。在怀孕期间对 IPV 进行筛查至关重要,然而,由于时间限制和评估的建议很少明确,许多产前提供者没有常规询问 IPV,甚至认为他们不应该这样做。需要更多的培训来帮助医疗保健提供者识别和管理怀孕期间的 IPV,还需要进一步的研究来为减少怀孕期间 IPV 发生率和相关结果的有效干预措施提供信息。