Domestic violence during pregnancy: Midwives׳ experiences

Mauri, Elisa Marta; Nespoli, Antonella; Persico, G; Zobbi, Virna Franca

doi:10.1016/j.midw.2015.02.002

Cited by 48 publications

(105 citation statements)

References 33 publications

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“…They said that they used all their midwifery skills when talking to women, and this helped them be sensitive when they communicated about difficult topics. Mauri et al support this in a qualitative study where the participating midwives highlighted the importance of being sensitive, listening and paying attention to the women when detecting violence [39]. Midwives in Norway are used to asking about sensitive topics like smoking, body weight, alcohol and mental health [22], and the participants in our study expressed that they sometimes used those topics as a tool to make it easier to ask about violence.…”

Section: Discussionmentioning

confidence: 54%

‘It is a difficult topic’ – a qualitative study of midwives´ experiences with routine antenatal enquiry for intimate partner violence

Henriksen

Garnweidner-Holme

Thorsteinsen

et al. 2017

BMC Pregnancy Childbirth

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BackgroundIntimate partner violence (IPV) during pregnancy may jeopardize maternal and fetal health (IJFWM 49:159-164, 2004; IJGO 133:269-276, 2016). In recognition of the significant public health impact of IPV, the Norwegian Directorate of Health issued new guidelines in 2014, which recommend that health professionals routinely ask all women in antenatal care about their exposure to violence. The objective of this study was to gain an in-depth understanding of midwives’ experiences with routine enquiry for intimate partner violence during the antenatal period.MethodsThe study had a qualitative design. Individual semi-structured interviews with eight midwives providing antenatal care at eight Mother and Child Health Centres (MCHC) in Norway were conducted. Graneheim and Lundmans method of content analysis inspired the analysis.ResultsThree main themes emerged: Midwives do ask about violence; It can be a challenge; and Factors that make it easier to ask. All midwives enquired, but not on a regular basis, about violence. The midwives’ personal interest in the topic was an important factor that made it easier for them to ask about violence. Lack of time, fear of not knowing how to deal with a positive answer and lack of organizational support were barriers to asking pregnant women about their experiences of violence.ConclusionMidwives were aware of the guidelines and made some efforts to implement them. However, further education and organisational support is needed to enable midwives to routinely ask all pregnant women about IVP.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-017-1352-2) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 54%

‘It is a difficult topic’ – a qualitative study of midwives´ experiences with routine antenatal enquiry for intimate partner violence

Henriksen

Garnweidner-Holme

Thorsteinsen

et al. 2017

BMC Pregnancy Childbirth

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“…Domestic violence is a global problem and a major public health issue in most countries occurring in all socioeconomic classes (1). Although applied to violence against children and the elderly, it often refers to violence against the wife.…”

Section: Introductionmentioning

confidence: 99%

The Effect of a Supportive-Educational Intervention on Maternal-Fetal Attachment of Pregnant Women Facing Domestic Violence: A Randomized Controlled Trial

Khalili

Navaee

Shakiba

et al. 2020

Iran J Psychiatry Behav Sci

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Background:One of the consequences of violence during pregnancy is impaired mother-fetus attachment. Objectives: The present study aimed at determining the effect of supportive-educational intervention on maternal-fetal attachment in pregnant women facing domestic violence. Methods: The current study was conducted on 100 pregnant women subjected to domestic violence by their husbands. The subjects were selected using convenience sampling method and were randomized to the intervention and control groups. The intervention group received four sessions of individual supportive-educational intervention, while the control group were provided with routine care during the same period. Data were collected using the Cranley maternal-fetal attachment scale in the two groups and analyzed by statistical tests eight weeks after the intervention. Results: After the intervention, the mean maternal-fetal attachment score was significantly higher in the intervention group than the control group (80.36 ± 6.75 vs. 65.50 ± 6.78; P = 0.0001). Conclusions:The study results showed that supportive-educational intervention was effective in promoting maternal-fetal attachment. Therefore, it was recommended that such interventions be integrated in the prenatal care programs of pregnant women facing domestic violence.

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“…and, lack of confidence in appropriately responding to disclosure when this occurs (Baird et al, 2015;Bradbury-Jones and Broadhurst, 2015;Finnbogadóttir and Dykes, 2012;Lees et al, 2013;Mauri et al, 2015;McCosker-Howard et al, 2005). Lack of training appears to be the common theme from pre-registration curricular (Bradbury-Jones and Broadhurst, 2015;Lees et al, 2013) to limited preparation prior to implementing screening programs (Finnbogadóttir and Dykes, 2012;McCosker-Howard et al, 2005) and, reduced opportunity for ongoing practice development (Mauri et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

‘ Asking the hard questions ’: Improving midwifery students’ confidence with domestic violence screening in pregnancy

Smith

Wight

Homer

2018

Nurse Education in Practice

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Domestic violence is a global public health issue. Midwives are ideally placed to screen for, and respond to, disclosure of domestic violence. Qualified midwives and midwifery students report a lack of preparedness and low levels of confidence in working with women who disclose domestic violence. This paper reports the findings from an education intervention designed to increase midwifery students' confidence in working with pregnant women who disclose domestic violence. An authentic practice video and associated interactive workshop was developed to bring the 'woman' into the classroom and to provide role-modelling of exemplary midwifery practice in screening for and responding to disclosure of domestic violence. The findings demonstrated that students' confidence increased in a number of target areas, such as responding appropriately to disclosure and assisting women with access to support. Students' confidence increased in areas where responses needed to be individualised as opposed to being able to be scripted. Students appreciated visual demonstration (video of authentic practice) and having the opportunity to practise responding to disclosures through experiential learning. Given the general lack of confidence reported by both midwives and students of midwifery in this area of practice, this strategy may be useful in supporting midwives, students and other health professionals in increasing confidence in working with women who are experiencing domestic violence.

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Domestic violence during pregnancy: Midwives׳ experiences

Cited by 48 publications

References 33 publications

‘It is a difficult topic’ – a qualitative study of midwives´ experiences with routine antenatal enquiry for intimate partner violence

‘It is a difficult topic’ – a qualitative study of midwives´ experiences with routine antenatal enquiry for intimate partner violence

The Effect of a Supportive-Educational Intervention on Maternal-Fetal Attachment of Pregnant Women Facing Domestic Violence: A Randomized Controlled Trial

‘ Asking the hard questions ’: Improving midwifery students’ confidence with domestic violence screening in pregnancy

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