Ob-Gyns Should Screen for Domestic Abuse: Experts

TUESDAY, Jan. 24 (HealthDay News) — Obstetricians and gynecologists
should screen all patients for intimate partner violence, including during
prenatal visits, according to new recommendations from the American
College of Obstetricians and Gynecologists.

In addition, ob-gyns should offer patients support, and have referral
and resource information on hand to give to patients who are victims of
abuse.

Intimate partner violence includes physical injury, psychological
abuse, sexual assault, progressive isolation, stalking, deprivation,
intimidation and reproductive coercion. The goal of these behaviors is to
establish control over a partner.

The violence can occur among both heterosexual and same-sex partners
and at every level of society, regardless of age, gender, income levels,
race, ethnicity, religion or educational background, according to a news
release from the college.

About one in four women has been physically and/or sexually assaulted
by a current or former partner, and nearly 324,000 pregnant women are
abused by their partners each year in the United States, researchers have
found.

Intimate partner violence has been linked to poor pregnancy outcomes,
including poor weight gain, infection, fetal injury, preterm delivery, low
birth weight and stillbirth.

Signs and symptoms that a woman is experiencing violence include
physical injuries, chronic headaches, chronic pelvic pain, irritable bowel
syndrome, and recurrent vaginal infections. Violence is often linked to
depression, anxiety, substance abuse, unintended pregnancy and
suicide.

“Women of all ages experience intimate partner violence, but it is most
prevalent among reproductive-age women,” Dr. Maureen Phipps, chair of the
college’s Committee on Health Care for Underserved Women, said in the news
release. “We have a prime opportunity to identify and help women who are
being abused by incorporating this screening into our routine office
visits with each and every patient.”

The recommendations are published in the February issue of the journal
Obstetrics Gynecology.

More information

The American Academy of Family Physicians has more about domestic violence.

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