Domestic violence – a neglected epidemic in obstetrics and gynaecology training TOG 2017

Question 1

What % of women experience domestic voicelence in UK?

Answer 1

7.1% per year
30% within their lifetime (women)

Question 2

What forms can domestic violence include

Answer 2

Threatening behaviour
Violence
Abuse (psychological, physical, sexual, finical, emotional)

Question 3

What proportion of domestic violence starts in pregnancy?

Answer 3

30%

Question 4

fetal mortality if domestic violence in pregnancy?

Answer 4

16/1000

Question 5

It is estimated, women experience how many episodes of domestic violence before seeking help?

Answer 5

35

Question 6

What proportion will see 5 professionals before seeking support?

Answer 6

85%

Question 7

Complications of domestic violence on pregnancy

Answer 7

• depression
• PTD
• LBW
• Vaginal bleeding
• UTI
• suicide risk
• miscarriage
• IUD
• perinatal mortality
• infant death

Question 8

What proportion of domestic voice report birth ‘reproductive coercion’ - birth control sabotage or forced pregnancy

Answer 8

35%
Double risk of unintended pregnancy
Unwanted termination

Question 9

What type of questions are better at screening for domestic abuse?

Answer 9

Specific questions

‘Because violence against women is so common in our society, I ask all my women patients about partner abuse. Is anyone close to you threatening or hurting you? Is anyone hitting, kicking, choking or hurting you physically? Is anyone forcing you to do something sexually that you do not want to do?’

Question 10

If women discloses she is being abused

Answer 10

Acknowledge her experience - inform not alone, no-one deserves to be abused.

Saftey assessment
- Weapon, threats to skill you, do you feel safe to go home now?

Sign-post to women aid
Referral
Safety planning - place of saftey, make copies of all important documents and keep outside the home

Documentation - not in handheld notes if puts women at risk.