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Case 91 - A 30-Year-Old at 25 Weeks’ Gestation Presents after a Fall with Back Pain and Bruising

from Section 11 - Psychosocial Considerations

Published online by Cambridge University Press:  08 April 2025

Peter F. Schnatz
Affiliation:
The Reading Hospital, Pennsylvania
D. Yvette LaCoursiere
Affiliation:
University of California, San Diego
Christopher M. Morosky
Affiliation:
University of Connecticut School of Medicine
Jonathan Schaffir
Affiliation:
The Ohio State University College of Medicine
Vanessa Torbenson
Affiliation:
Mayo Clinic Alix School of Medicine
David Chelmow
Affiliation:
Virginia Commonwealth School of Medicine
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Summary

Intimate partner violence is common amongst pregnant patients. It is associated with late entry to prenatal care, increased rates of preterm birth, depression, PTSD, and substance use during pregnancy. The USPTF supports screening of reproductive age individuals and ACOG supports the screening of all pregnant people. Screening is recommended at the beginning of pregnancy, during each trimester, and in the postpartum period to ensure those affected can be referred to resources for support. There are many validated screening tools but it is most important that patients are screened in private and they know their responses are confidential. Healthcare workers play an important role in helping to detect intimate partner violence and providing a safe healing environment for patients affected by intimate partner violence.

Type
Chapter
Information
Pregnancy Complications
A Case-Based Approach
, pp. 286 - 288
Publisher: Cambridge University Press
Print publication year: 2025

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References

CDC. Fast Facts: Preventing Intimate Partner Violence. Intimate Partner Violence. www.cdc.gov/intimate-partner-violence/about/index.html?CDC_AAref_Val=https://www.cdc.gov/violenceprevention/intimatepartnerviolence/index.html (accessed November 12, 2024).Google Scholar
WHO. Violence against Women. www.who.int/news-room/fact-sheets/detail/violence-against-women (accessed June 7, 2023).Google Scholar
Responding to Intimate Partner Violence and Sexual Violence against Women: WHO Clinical and Policy Guidelines. Geneva: WHO, 2013. www.ncbi.nlm.nih.gov/books/NBK174254/ (accessed June 7, 2023).Google Scholar
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Drexler, KA, Quist-Nelson, J, Weil, AB. Intimate Partner Violence and Trauma-Informed Care in Pregnancy. Am J Obstet Gynecol MFM. 2022;4(2):100542.CrossRefGoogle ScholarPubMed
Lutgendorf, MA. Intimate Partner Violence and Women’s Health. Obstet Gynecol. 2019;134(3):470480.CrossRefGoogle ScholarPubMed
Feder, GS, Hutson, M, Ramsay, J, et al. Women Exposed to Intimate Partner Violence: Expectations and Experiences When They Encounter Health Care Professionals: A Meta-analysis of Qualitative Studies. Arch Intern Med. 2006;166(1):2237.Google ScholarPubMed

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