Women's experiences of domestic and family violence screening during pregnancy
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Creedy, Debra
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North Carolina, USA; Online
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Abstract
Background: Implementing domestic and family violence (DFV) screening, support, and prevention within maternity services is becoming common practice but women's experiences of screening are not routinely evaluated.
Aim: To determine pregnant women's views and experiences of DFV screening by midwives.
Methods: Pregnant women (n = 210) attending an antenatal service were surveyed about their experiences of screening and asked to complete three new measures: Beliefs about DFV Screening; Non-disclosure of DFV; and Midwifery Support.
Results: Most women (92.3% n = 194) reported being asked about DFV during pregnancy by a midwife. Twelve (5.8%) respondents had/were experiencing DFV but not all disclosed during screening. A quarter (24.1% n = 49) had experienced abuse during childhood. The scales were reliable and factor analysis established validity. Women reported positive Beliefs (Mean 35.38, SD 3.63 range 19–40) and views about Midwifery Support (Mean 24.88, SD 3.08 range 18–30). There was less agreement about why some women do not disclose DFV (Mean 21.97, SD 4.27, range 8–30). Lower scores on the Comfort factor of the Beliefs Scale occurred if a woman was abused as a child (t [199] = −2.283, p = .23), or experiencing violence now (t [199] = −2.283, p = .016). Written comments (n = 75) revealed support for screening, but routine enquiry needed to be explained, occur in the context of a trusting relationship and be confidential.
Conclusions: Women value screening, even if DFV is not disclosed. Exploring women's experiences of DFV screening is central to ensuring quality care and responding sensitively if DFV is disclosed.
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Journal of Advanced Nursing
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78
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S1
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Nursing
Life Sciences & Biomedicine
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Baird, K; Creedy, D, Women's experiences of domestic and family violence screening during pregnancy, Journal of Advanced Nursing, 2022, 78 (S1), pp. 19-19