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Routine antenatal questioning regarding men’s violence against women: Midwives’ experiences and practice
Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Women's and Children's Health.
Article in journal (Refereed) Submitted
URN: urn:nbn:se:uu:diva-91535OAI: oai:DiVA.org:uu-91535DiVA: diva2:164302
Available from: 2004-04-14 Created: 2004-04-14Bibliographically approved
In thesis
1. Men's Violence against Women – a Challenge in Antenatal Care
Open this publication in new window or tab >>Men's Violence against Women – a Challenge in Antenatal Care
2004 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Mäns våld mot kvinnor – en utmaning inom mödrahälsovården
Abstract [en]

Men’s violence against women is a universal issue affecting health, human rights and gender-equality. In pregnancy, violence is a risk for both the mother and her unborn child.

The overall aims were: to determine the prevalence of such violence in a Swedish pregnant population, to investigate pregnant women’s attitudes to questioning about exposure to violence, and to evaluate experience gained by antenatal care midwives having routinely questioned pregnant women regarding violence.

All women registered for antenatal care in Uppsala, Sweden, during 6 months were assessed regarding acts of violence. The Abuse Assessment Screen (AAS) was used twice during pregnancy and again after delivery when the women were asked an open-ended written question regarding attitudes to questioning about violence. Midwives’ experiences regarding routine assessment were evaluated in focus group discussions.

The AAS questions were answered by 93% (1,038) of those eligible. Physical abuse by a partner or relative during or shortly after pregnancy was reported by 1.3%, and by 2.8% when the year preceding pregnancy was included. Lifetime sexual abuse was reported by 8.1%. Repeated questioning increased the abuse detection rate. Abused women reported more previous ill-health, and women physically abused during pregnancy more pregnancy terminations than did non-abused women. Abuse assessment was found entirely acceptable by 80%, both acceptable and unacceptable/disagreeable by 5% and solely unacceptable/ disagreeable by 3%, while 12% were neural. Abused and non-abused women did not differ regarding disinclination to answer the abuse questions. According to the midwives the delicacy of the subject and the male partners’ presence were the most prominent remaining obstacles to routine determination of violence.

Routines are required to make questioning about violence an integral part of antenatal care. This would necessitate a private appointment for the woman, knowledge among care providers about the nature of men’s violence, and awareness of referral options.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2004. 75 p.
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1334
Obstetrics and gynaecology, physical abuse, sexual abuse, prevalence, assessment, pregnancy, antenatal care, attitudes, nurse- midwife, public health practice, induced abortion, nurse-patient relation, Obstetrik och kvinnosjukdomar
National Category
Obstetrics, Gynecology and Reproductive Medicine
urn:nbn:se:uu:diva-4140 (URN)91-554-5920-X (ISBN)
Public defence
2004-05-05, Rosénsalen, Kvinnokliniken, Akademiska sjukhuset, Uppsala, 09:15
Available from: 2004-04-14 Created: 2004-04-14Bibliographically approved

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