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Intimate Partner Violence During Pregnancy, A Guide for Clinicians:
Suggestions for Use of the Screen Show |
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The American College of Obstetricians and Gynecologists (ACOG)/Centers for
Disease Control and Prevention (CDC) screen show on intimate partner
violence during pregnancy is designed as a training tool for clinicians to
increase understanding of the important role they can play in identifying,
preventing, and reducing intimate partner violence. The screen show also
emphasizes the critical window of opportunity that prenatal care provides
for the screening and referral of pregnant women.
The screen show is designed as an
introductory or supplementary learning tool. It alone is probably not a
sufficient intervention to change clinical practice. In a recent review of
the literature on interventions to increase screening in clinical
settings, Waalen and associates found that one-time, didactic training
sessions do not significantly increase screening by clinicians. Rather,
the literature points to the potential success of programs that offer
training sessions, such as this screen show, in conjunction with other
reinforcing and enabling strategies, including role-playing, periodic discussions at staff meetings, staffing changes, and institutional
support. The literature also indicates that periodic, repeated training
sessions may help maintain increased levels of screening for violence in
clinical settings.
The effectiveness of screening in clinical
settings also will be greatly enhanced if links to community violence
prevention and intervention services are in place and strong. We encourage
you to contact local violence prevention advocates to develop a network
for referral of patients whose lives are affected by violence.
Along with this screen show, we have provided
a bibliography and resource lists. Using these supporting materials can
enrich the content presented in the screen show.
Target
Audiences
- Obstetrics and gynecology residents as
part of a lecture series, independent study, department conference,
Grand Rounds
- ACOG Fellows and Junior Fellows,
attendees seeking continuing medical education at a local society
meeting, attendees at hospital department meetings
- Third-year medical students on
obstetric-gynecologic clinical rotation as part of their lecture
series
- First- and second-year medical students
for whom the content is integral to courses such as "Introduction
to Clinical Medicine" and "Medical Ethics"
- Other health care providers, including
emergency department personnel, dentists, nurse-midwives, nurse
practitioners, and mental health care providers
Learning
Objectives
- To place the emerging knowledge about
the definition, epidemiology, and demography of intimate partner
violence around the time of pregnancy into a clinical context
- To encourage and support the physician's
routine inquiry about violence of all patients in the office, clinic,
and hospital
- To identify the presenting symptoms and
signs of an abused woman through history taking and physical
examination
- To formulate an action plan with
immediate support for an abused woman returning to an unsafe
environment
- To identify the components of long-term
support and intervention available to abused women in the local
community
- To facilitate an abused woman's
consideration of and access to local community services and agencies
- To create an office environment that
helps women learn more about violence
Length
of Presentation
This lecture can range from 30 to 60
minutes, according to the audience and the objectives for the audience.
Date last reviewed:
03/21/2006
Content source: Division
of Reproductive Health,
National Center for Chronic
Disease Prevention and Health Promotion
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PRAMS
A surveillance project of CDC and state health departments. PRAMS collects state-specific,
population-based data on maternal attitudes and experiences prior to, during
and immediately following pregnancy.
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