Current Evidence on Perinatal Home Visiting and Intimate Partner Violence

Sharps, Phyllis; Campbell, Jacquelyn C.; Baty, Marguerite L.; Walker, Keisha S.; Bair-Merritt, Megan

doi:10.1111/j.1552-6909.2008.00267.x

Cited by 57 publications

(65 citation statements)

References 41 publications

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“…One of the most widely known evidence-based programs, Olds' Nurse Family Partnership program, was less effective at decreasing child abuse in homes where the mother experienced more frequent incidents of abuse. 40 Although a variety of home visiting programs have demonstrated improvement in maternal and child outcomes to some degree, 41 the DOVE intervention provides a promising adjunct for any home visitation program.…”

Section: Discussionmentioning

confidence: 99%

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Domestic Violence Enhanced Perinatal Home Visits: The DOVE Randomized Clinical Trial

Sharps

Bullock

Campbell

et al. 2016

Journal of Women's Health

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Background: Perinatal intimate partner violence (IPV) is common and has significant negative health outcomes for mothers and infants. This study evaluated the effectiveness of an IPV intervention in reducing violence among abused women in perinatal home visiting programs. Materials and Methods: This assessor-blinded multisite randomized control trial of 239 women experiencing perinatal IPV was conducted from 2006 to 2012 in U.S. urban and rural settings. The Domestic Violence Enhanced Home Visitation Program (DOVE) intervention group (n = 124) received a structured abuse assessment and six home visitor-delivered empowerment sessions integrated into home visits. All participants were screened for IPV and referred appropriately. IPV was measured by the Conflicts Tactics Scale2 at baseline through 24 months postpartum. Results: There was a significant decrease in IPV over time (F = 114.23; p < 0.001) from baseline to 1, 3, 6, 12, 18, and 24 months postpartum (all p < 0.001). Additional models examining change in IPV from baseline indicated a significant treatment effect (F = 6.45; p < 0.01). Women in the DOVE treatment group reported a larger mean decrease in IPV scores from baseline compared to women in the usual care group (mean decline 40.82 vs. 35.87). All models accounted for age and maternal depression as covariates. Conclusions: The DOVE intervention was effective in decreasing IPV and is brief, thereby facilitating its incorporation within well-woman and well-child care visits, as well as home visiting programs, while satisfying recommendations set forth in the Affordable Care Act for IPV screening and brief counseling.

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Section: Discussionmentioning

confidence: 99%

“…In the most comparable trial, there was a 16% refusal rate suggesting that the refusal rate for this study was not unusual for this population. 41 There was also substantial attrition from both groups with the greatest attrition occurring at the 18-and 24-month time points (Fig. 1).…”

Section: Limitationsmentioning

confidence: 91%

Domestic Violence Enhanced Perinatal Home Visits: The DOVE Randomized Clinical Trial

Sharps

Bullock

Campbell

et al. 2016

Journal of Women's Health

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“…There are several examples of effective models including: (1) trained clinical staff with referral relationships with local domestic violence programs; (2) colocation of domestic violence advocates in clinic settings for immediate response; (3) hospital-based domestic violence staff; (4) integration of domestic violence responses in the patient-centered medical home; and (5) home-visiting services. 26,27 Health care practices have been shown to increase screening and identification rates and facilitate access to help when they take a comprehensive approach to IPV screening and counseling, create a supportive environment, train staff, establish protocols, and ensure access to on site or off site services and supports. 17 …”

Section: Supporting the Implementation Of A Comprehensive Response Atmentioning

confidence: 99%

Coordinated Public Health Initiatives to Address Violence Against Women and Adolescents

Dutton

James²,

Langhorne³

et al. 2015

Journal of Women's Health

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Intimate partner violence (IPV) is a well-recognized public health problem. IPV affects women's physical and mental health through direct pathways, such as injury, and indirect pathways, such as a prolonged stress response that leads to chronic health problems. The influence of abuse can persist long after the violence has stopped and women of color are disproportionately impacted. Successfully addressing the complex issue of IPV requires multiple prevention efforts that target specific risk and protective factors across individual, interpersonal, institutional, community, and societal levels. This paper includes examples of community-based, state led and federally funded public health programs focused on IPV along this continuum. Two community-based efforts to increase access to mental health care for low income, women of color who had experienced IPV, Mindfulness-Based Stress Reduction, and a telehealth intervention are discussed. Core tenets of a patientcentered comprehensive approach to assessment and responses and strategies for supporting a statewide comprehensive response are described in Project Connect: A Coordinated Public Health Initiative to Prevent Violence Against Women. Project Connect provides technical assistance to grantees funded through the Violence Against Women Act's health title and involves developing, implementing, and evaluating new ways to identify, respond to, and prevent domestic and sexual violence and promote an improved public health response to abuse in states and Native health programs. Health care partnerships with domestic violence experts are critical in order to provide training, develop referral protocols, and to link IPV victims to advocacy services. Survivors need a comprehensive response that addresses their safety concerns and may require advocacy around housing or shelter, legal assistance, and safety planning. Gaps in research knowledge identified are health system readiness to respond to IPV victims in health care settings and partner with domestic violence programs, effects of early IPV intervention, and models for taking interventions to scale.

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“…IPV during pregnancy has been associated with a variety of obstetrical risks, including late prenatal care, self-care deficits, abusive use of tobacco, alcohol and other substances, suicide attempts, depression, posttraumatic stress syndrome, sexually transmitted infections, unwanted pregnancies, pregnancy during adolescence, vulvovaginitis, bleeding, miscarriage, urinary tract infections, in addition to deficits in weight gain during pregnancy and violent deaths during pregnancy [2][3][4][5][6][7][8] . More severe consequences during pregnancy are described, including placenta previa, uterine rupture, hypertensive disorders, and chorioamnionitis, among others [9][10][11][12][13] .…”

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confidence: 99%

Intimate partner violence and severe maternal morbidity among pregnant and postpartum women in São Paulo, Brazil

Puccia¹,

Mamede²,

Souza³

2018

J. Hum. Growth Dev.

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Intimate partner violence and severe maternal morbidity among pregnant and postpartum women in São Paulo, Brazil J Hum Growth Dev. 2018; 28(2) Open acess AbstractThis article investigates the association between intimate partner violence (IPV) during a current pregnancy and severe maternal morbidity severe maternal morbidity among pregnant and postpartum women cared for in public maternity centers located in São Paulo, Brazil. A total of 109 women who developed Severe maternal morbidity were selected according to criteria adopted by the World Health Organization (WHO). Another 337 women who did not experience any clinical, laboratory or management intercurrences during a current pregnancy and postpartum were selected for the control group. The participants were submitted to a retrospective investigation of IPV using an instrument adapted from the WHO Multi-country Study on Women's Health and Domestic Violence against Women, applied between November 2010 and June 2011. The relationship between the response variable severe maternal morbidity and the exposure variable (IPV) adjusted for the remaining independent variables was assessed through proportions, a chisquare test, a Fisher's exact test, and multiple logistic regression. A prevalence of 12.6% (CI:9.5-15.7) for psychological violence, 7.6% (CI:5.1-10.1) for physical violence and 1.6% (CI:0.4-2.8) for sexual violence were observed during a current pregnancy in both the case and control groups. Although no statistical significance was found between IPV exposure during a current pregnancy and the occurrence of Severe maternal morbidity (p>0.264), we identified factors associated with unfavorable socio-demographic and reproductive conditions in both the women exposed to IPV and those who developed Severe maternal morbidity. Systematic monitoring of Severe maternal morbidity and routine screening of IPV among pregnant women are important measures to reduce maternal morbidity and mortality and to qualify reproductive health care.Keywords: intimate partner violence, battered women, severe acute maternal morbidity, pregnancy complications, maternal health.

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Current Evidence on Perinatal Home Visiting and Intimate Partner Violence

Cited by 57 publications

References 41 publications

Domestic Violence Enhanced Perinatal Home Visits: The DOVE Randomized Clinical Trial

Domestic Violence Enhanced Perinatal Home Visits: The DOVE Randomized Clinical Trial

Coordinated Public Health Initiatives to Address Violence Against Women and Adolescents

Intimate partner violence and severe maternal morbidity among pregnant and postpartum women in São Paulo, Brazil

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