مقاله انگلیسی رایگان در مورد آمادگی برای پاسخگویی به IPV در تنظیمات Ob-Gyn – هینداوی 2018

Intimate partner violence (IPV) is a serious, preventable public health concern. The Centers for Disease Control and Prevention (CDC) defines IPV as physical violence, sexual violence, stalking, and/or psychological aggression by a current or former intimate partner [1]. In the United States, approximately 4.8 million women are physically assaulted each year by an intimate partner [2], and 42.4 million women (35.6%) are victims of rape, physical assault, and/or stalking by an intimate partner in their lifetime [3]. IPV has serious health consequences, including physical injury, psychological trauma, chronic health problems, and death [3–5]. For women, IPV is most prevalent among those of reproductive age and contributes to gynecological disorders, pregnancy complications, unintended pregnancy, and sexually transmitted infections [6]. Given these serious health consequences and the threat to women’s safety, the Institute of Medicine recommends that all women be screened and counseled for IPV [7]. Obstetriciangynecologists (ob-gyns), who serve a vital role in women’s healthcare, have a unique opportunity to identify and support women experiencing IPV. Annual prevalence of IPV in obgyn settings has been estimated to be 12.7% [8].The American College of Obstetricians and Gynecologists (ACOG) recommends that ob-gyns screen all patients for IPV periodically at routine, family planning, preconception, prenatal (at least once per trimester), and postpartum visits [9]. Guidelines for response to IPV disclosure emphasize the importance of assessing the patient’s immediate safety, developing a safety plan with the patient and offering information about appropriate community resources and referrals [9]. Physician screening increases rates of IPV identification [10, 11], which enables physicians to offer patients counseling interventions as well as referral to community resources. Benefits of counseling interventions include improved quality of life, improved birth outcomes, reduced IPV for new mothers, decreased pregnancy coercion, and fewer violence-related injuries [11]. Improved health outcomes for women confer positive benefits for children, families, and communities.