Finnbogadóttir Hafrún, Torkelsson Ella, Christensen Cecilia B, Persson Eva-Kristina
Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.
Department of Obstetrics and Gynaecology, Malmö University Hospital, Malmö, Sweden.
Eur J Midwifery. 2020 Sep 15;4:35. doi: 10.18332/ejm/125941. eCollection 2020.
Worldwide every third women is exposed to physical and/or sexual violence and pregnancy is no safe period for the women. The aim was to elucidate midwives experience of violence-exposed pregnant women who had been referred to a prenatal ward and were hospitalized.
An inductive qualitative method was used with four focus-group interviews performed with sixteen midwives working at in-hospital prenatal ward. The data were analyzed with content analysis.
Three categories emerged. 'Professional area of responsibility', the midwives working at in-hospital prenatal ward considered it was the responsibility of the midwives working at antenatal care to ask routinely in order to detect violence-exposed women. Signs of help-seeking were based on the pregnant woman's behavior. Suspicion of intimate-partner violence was based on gut feeling. 'Conditions for support', the midwives strived to support pregnant women who were already identified as violence-exposed or if they had a suspicion that the pregnant woman was in a relationship where intimatepartner violence occurred. 'Barriers for giving support', both the work-place layout and routines constituted a barrier. The midwives own emotional state could affect her handling of the situation.
The midwives working in-hospital considered it the responsibility of the midwives at antenatal healthcare to identify these women. The midwives had limited experience in dealing with violence-exposed pregnant women but recognized a number of signs and symptoms that could cause suspicion. They felt uncomfortable in the situation and expressed a need for both education and an action plan.
在全球范围内，每三名女性中就有一人遭受身体暴力和/或性暴力，而怀孕对女性来说并非安全期。本研究旨在阐明助产士对被转介到产前病房并住院的受暴力影响孕妇的经验。
采用归纳定性方法，对在医院产前病房工作的16名助产士进行了4次焦点小组访谈。采用内容分析法对数据进行分析。
出现了三个类别。“专业责任领域”，在医院产前病房工作的助产士认为，产前护理工作的助产士有责任定期询问，以便发现受暴力影响的女性。寻求帮助的迹象基于孕妇的行为。对亲密伴侣暴力的怀疑基于直觉。“支持条件”，助产士努力支持那些已被确认为受暴力影响的孕妇，或者那些他们怀疑处于亲密伴侣暴力关系中的孕妇。“提供支持的障碍”，工作场所的布局和常规都构成了障碍。助产士自身的情绪状态可能会影响她对情况的处理。
在医院工作的助产士认为产前保健的助产士有责任识别这些女性。助产士在处理受暴力影响的孕妇方面经验有限，但认识到一些可能引起怀疑的迹象和症状。她们在这种情况下感到不舒服，并表示需要教育和行动计划。
