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孕期中的亲密伴侣暴力和创伤知情关怀。

Intimate partner violence and trauma-informed care in pregnancy.

机构信息

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of North Carolina at Chapel Hill, Chapel Hill, NC.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of North Carolina at Chapel Hill, Chapel Hill, NC.

出版信息

Am J Obstet Gynecol MFM. 2022 Mar;4(2):100542. doi: 10.1016/j.ajogmf.2021.100542. Epub 2021 Dec 3.

Abstract

Intimate partner violence is defined as any behavior within an intimate relationship that causes physical, psychological, or sexual harm to those in the relationship. Globally, women are disproportionately victims of intimate partner violence. The risk increases during pregnancy, with estimated rates of as high as 20% among pregnant persons. Intimate partner violence is associated with adverse perinatal outcomes, including perinatal and maternal death. Given that pregnancy is a period of frequent interaction with the healthcare system, it is an opportune time to screen and intervene for intimate partner violence. Universal screening at the first prenatal visit and subsequently every trimester is recommended, with either written or verbal validated tools. Pregnant persons experiencing intimate partner violence need nonjudgmental, compassionate, confidential, and trauma-informed care. The goal of this review is to outline pregnancy-specific care considerations.

摘要

亲密伴侣暴力被定义为亲密关系中任何导致关系中人身、心理或性伤害的行为。在全球范围内,女性不成比例地成为亲密伴侣暴力的受害者。怀孕期间风险增加,估计孕妇中的发生率高达 20%。亲密伴侣暴力与不良围产期结局相关,包括围产期和产妇死亡。鉴于怀孕是与医疗保健系统频繁互动的时期,这是筛查和干预亲密伴侣暴力的合适时机。建议在第一次产前检查时进行普遍筛查,随后每三个月进行一次,使用书面或口头验证工具。经历亲密伴侣暴力的孕妇需要非评判性、富有同情心、保密和创伤知情的护理。本综述的目的是概述与怀孕相关的护理注意事项。

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