Henriksen L, Garnweidner-Holme L M, Thorsteinsen K K, Lukasse M
Faculty of Health Sciences, Department of Nursing and Health Promotion, Oslo and Akershus, University College of Applied Sciences, St. Olavs Plass, P.O. Box 4, 0310, Oslo, Norway.
Division of General Gynaecology and Obstetrics, Oslo University Hospital, P.O. Box 4950 Nydalen, N-0424, Oslo, Norway.
BMC Pregnancy Childbirth. 2017 Jun 2;17(1):165. doi: 10.1186/s12884-017-1352-2.
Intimate partner violence (IPV) during pregnancy may jeopardize maternal and fetal health (IJFWM 49:159-164, 2004; IJGO 133:269-276, 2016). In recognition of the significant public health impact of IPV, the Norwegian Directorate of Health issued new guidelines in 2014, which recommend that health professionals routinely ask all women in antenatal care about their exposure to violence. The objective of this study was to gain an in-depth understanding of midwives' experiences with routine enquiry for intimate partner violence during the antenatal period.
The study had a qualitative design. Individual semi-structured interviews with eight midwives providing antenatal care at eight Mother and Child Health Centres (MCHC) in Norway were conducted. Graneheim and Lundmans method of content analysis inspired the analysis.
Three main themes emerged: Midwives do ask about violence; It can be a challenge; and Factors that make it easier to ask. All midwives enquired, but not on a regular basis, about violence. The midwives' personal interest in the topic was an important factor that made it easier for them to ask about violence. Lack of time, fear of not knowing how to deal with a positive answer and lack of organizational support were barriers to asking pregnant women about their experiences of violence.
Midwives were aware of the guidelines and made some efforts to implement them. However, further education and organisational support is needed to enable midwives to routinely ask all pregnant women about IVP.
孕期亲密伴侣暴力（IPV）可能危及母婴健康（《国际妇产科学杂志》49:159 - 164，2004；《国际妇产科杂志》133:269 - 276，2016）。认识到IPV对公共卫生的重大影响，挪威卫生局于2014年发布了新指南，建议卫生专业人员在产前护理中常规询问所有女性是否遭受过暴力。本研究的目的是深入了解助产士在孕期常规询问亲密伴侣暴力情况的经历。
本研究采用定性设计。对在挪威八个母婴健康中心（MCHC）提供产前护理的八名助产士进行了个人半结构化访谈。分析受格兰内海姆和伦德曼的内容分析法启发。
出现了三个主要主题：助产士确实会询问暴力情况；这可能是一项挑战；以及使询问更容易的因素。所有助产士都询问了暴力情况，但并非定期询问。助产士对该话题的个人兴趣是使他们更容易询问暴力情况的一个重要因素。时间不足、担心不知道如何处理肯定的回答以及缺乏组织支持是向孕妇询问暴力经历的障碍。
助产士了解这些指南并做出了一些实施努力。然而，需要进一步的教育和组织支持，以使助产士能够常规询问所有孕妇关于亲密伴侣暴力的情况。
