Scott Sarah E, Jenkins Genelle, Mickievicz Erin, Saladino Jackie, Rick Anne-Marie, Levenson Rebecca, Chang Judy C, Randell Kimberly A, Duplessis Virginia, Miller Elizabeth, Ragavan Maya
Division of Adolescent and Young Adult Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Division of General Academic Pediatrics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
J Womens Health (Larchmt). 2024 Feb;33(2):204-217. doi: 10.1089/jwh.2023.0347. Epub 2023 Nov 16.
Intimate partner violence (IPV) has negative health impacts for pregnant people and their infants. Although inpatient postpartum units offer an opportunity to provide support and resources for IPV survivors and their families, to our knowledge, such interventions exist. The goal of this study is to explore (1) how IPV is currently discussed with postpartum people in the postpartum unit; (2) what content should be included and how an IPV intervention should be delivered; (3) how best to support survivors who disclose IPV; and (4) implementation barriers and facilitators. We used individual, semistructured interviews with postpartum people and health care providers (HCPs). Interview transcripts were coded and analyzed using an inductive-deductive thematic analysis. While HCPs reported using a variety of practices to support survivors, postpartum people reported that they did not recall receiving resources or education related to IPV while in the inpatient postpartum unit. While HCPs identified a need for screening and disclosure-driven resource provision, postpartum people identified a need for universal IPV resource provision in the postpartum unit to postpartum people and their partners. Participants identified several barriers (, staff capacity, education already provided in the postpartum unit, and COVID-19 pandemic) and facilitators (, continuity of care, various HCPs) to supporting survivors in the postpartum unit. The inpatient postpartum unit is a promising setting to implement an intervention to support IPV survivors and their infants. Future research and intervention development should focus on facilitating universal education and promoting resource provision to IPV survivors.
亲密伴侣暴力(IPV)会对孕妇及其婴儿的健康产生负面影响。尽管住院产后病房为向亲密伴侣暴力幸存者及其家人提供支持和资源提供了契机,但据我们所知,此类干预措施并不存在。本研究的目的是探讨:(1)目前在产后病房如何与产后患者讨论亲密伴侣暴力问题;(2)应包含哪些内容以及应如何实施亲密伴侣暴力干预措施;(3)如何最好地支持披露亲密伴侣暴力情况的幸存者;以及(4)实施过程中的障碍和促进因素。我们对产后患者和医疗保健提供者(HCPs)进行了个人半结构化访谈。访谈记录采用归纳 - 演绎主题分析法进行编码和分析。虽然医疗保健提供者报告使用了多种方法来支持幸存者,但产后患者表示,她们不记得在住院产后病房期间接受过与亲密伴侣暴力相关的资源或教育。虽然医疗保健提供者确定需要进行筛查并根据披露情况提供资源,但产后患者确定需要在产后病房向产后患者及其伴侣普遍提供亲密伴侣暴力相关资源。参与者确定了在产后病房支持幸存者的几个障碍(如工作人员能力、产后病房已提供的教育以及新冠疫情)和促进因素(如连续护理、不同的医疗保健提供者)。住院产后病房是实施支持亲密伴侣暴力幸存者及其婴儿干预措施的一个有前景的场所。未来的研究和干预措施开发应侧重于促进普遍教育并推动向亲密伴侣暴力幸存者提供资源。