Assessing for Violence During Pregnancy Using a Systematic Approach
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Objectives: The purpose of this study was to determine whether a systematic, multiple assessment protocol could increase reporting of prenatal violence compared with a one-time routine assessment. Method: In 1994, the Maternity Care Coordination (MCC) program in a health department prenatal clinic in North Carolina implemented a concise, systematic assessment protocol on all 384 women who enrolled in the program from April 1994 to April 1995. The protocol assessed for violence at three times during pregnancy using the direct question, “Have you been hit, slapped, kicked, or hurt during this pregnancy?” To determine the effectiveness of the system, we retrospectively examined the 1991–1993 MCC records (n = 1056) in which the care coordinators routinely screened all clients for violence at their first visit only. Results: Compared with the routine assessment approach, the new systematic assessment protocol increased reporting of prenatal violence at the initial prenatal visit from 6.3% to 10.9% (relative risk = 1.7, 95% confidence interval = 1.2, 2.5), and the multiple assessments increased reporting of prenatal violence to 14.1% (relative risk = 2.2, 95% confidence interval = 1.6, 3.1). Conclusions: Our study suggests that a concise and systematic screening technique using direct questions combined with multiple assessments increased reporting of prenatal violence compared with a single routine assessment.
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- Assessing for Violence During Pregnancy Using a Systematic Approach
Maternal and Child Health Journal
Volume 1, Issue 2 , pp 129-133
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- spouse abuse diagnosis
- spouse abuse prevention and control
- screening methods
- Industry Sectors
- Author Affiliations
- 1. Coastal Area Health Education Center, Wilmington, North Carolina
- 2. Department of Obstetrics and Gynecology, School of Medicine, The University of North Carolina, Chapel Hill, North Carolina
- 3. New Hanover Regional Medical Center, Wilmington, North Carolina