Department of Psychiatry, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, 00168 Rome, Italy.
Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Int J Environ Res Public Health. 2021 May 16;18(10):5281. doi: 10.3390/ijerph18105281.
Interpersonal violence in the perinatal period is frequent and should be considered a prominent health issue due to the risk of escalation of violence and the significant impact on mothers' parenting after childbirth. Domestic violence during pregnancy can be associated with fatal and non-fatal adverse health outcomes due to the direct trauma to a pregnant woman's body and to the effect of stress on fetal growth and development. Emotional violence is a risk factor for prenatal and/or postpartum depression. Recent studies focusing on abusive situations during peripartum and possible preventive strategies were identified in PubMed/Medline, Scopus, Embase, and ScienceDirect. All of the available literature was retrospectively reviewed with a special attention to peer-reviewed publications from the last ten years. Results of the present narrative review suggest that perinatal health care professionals (general practitioners, gynecologists, obstetricians, psychologists, psychiatrists) should promptly detect interpersonal violence during and after pregnancy and provide health care for pregnant women. It seems pivotal to guarantee psychological care for abused women before, during, and after pregnancy in order to prevent the risk of depressive symptoms, other mental or physical sequelae, and mother-to-infant bonding failure. There is an urgent need for multifaceted interventions: programs should focus on several risk factors and should design tailored care pathways fitted to the specific needs of women and finalized to support them across the lifespan.
围产期人际暴力较为常见,应被视为一个突出的健康问题,因为这会增加暴力升级的风险,并对母亲产后育儿产生重大影响。孕期家庭暴力可能会导致致命和非致命的不良健康后果,这不仅是因为孕妇的身体会受到直接创伤,还因为压力会对胎儿的生长和发育产生影响。情感暴力是产前和/或产后抑郁的一个风险因素。在 PubMed/Medline、Scopus、Embase 和 ScienceDirect 中,确定了最近关注围产期虐待情况和可能的预防策略的研究。对所有可用的文献进行了回顾性审查,特别关注了过去十年的同行评议出版物。本叙述性综述的结果表明,围产期保健专业人员(全科医生、妇科医生、产科医生、心理学家、精神科医生)应在怀孕期间和之后及时发现人际暴力,并为孕妇提供保健服务。在怀孕期间、期间和之后,为受虐妇女提供心理保健似乎至关重要,以预防抑郁症状、其他精神或身体后遗症以及母婴关系破裂的风险。迫切需要采取多方面的干预措施:这些方案应侧重于几个风险因素,并应设计量身定制的护理途径,以满足妇女的具体需求,并最终支持她们终生。