Effective advocacy for domestic violence victims. Role of the nurse-midwife.

A nurse-midwife may be one of the first professionals domestic-abuse victims talk to about the abuse. Like other health professionals who see abuse victims for health issues often unrelated to abuse, nurse-midwives have a special opportunity to identify, intervene, and support victims of domestic violence. Professionals working in health care will see abuse victims when they are living with their abusers and do not know that abuse is abnormal, when they attempt to leave their abusers, when they return to their abusers, and when they ultimately separate. Justice system professionals only see abuse victims when they have decided to try to leave. A thorough knowledge about relief available in the legal system for abuse victims will allow nurse-midwives to help battered women effectively. This article discusses the role nurse-midwives should play in assisting abuse victims who will be seeking help from the civil and criminal justice systems. Topics discussed include the importance of documenting injuries for use in future court cases, civil protection orders, criminal court prosecutions of the abuser, legal malpractice issues if health providers do not identify battered women, informing and referring domestic-violence victims, and the special needs of immigrant women. The article also discusses typical problems victims encounter in the legal system and ways victims can overcome these barriers.