Abused Pregnant Women’s Interactions With Health Care Providers During the Childbearing Year

Lutz, Kristin F.

doi:10.1177/0884217505274580

Cited by 51 publications

(56 citation statements)

References 37 publications

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“…Earlier studies have shown that women hesitated to reveal their experiences because they were embarrassed or afraid to disclose about DV themselves; they feared public scrutiny, being stigmatized as victims, and attitudes and response of the HCPs to DV. Judgmental and insensitive attitudes of HCPs toward them were barriers to disclosure (24–26). …”

Section: Discussionmentioning

confidence: 99%

‘They just walk away’ – women’s perception of being silenced by antenatal health workers: a qualitative study on women survivors of domestic violence in Nepal

Rishal

Joshi

Lukasse

et al. 2016

Global Health Action

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BackgroundDomestic violence during pregnancy has detrimental effects on the health of the mother and the newborn. Antenatal care provides a ‘window of opportunity’ to identify and assist victims of domestic violence during pregnancy. Little is known about the experience, needs, and expectations from the women's perspective in relation to domestic violence in Nepal.ObjectiveOur study aims to explore how women who have experienced domestic violence evaluate their antenatal care and their expectations and needs from health centers.DesignTwelve in-depth interviews were conducted among women who had experienced domestic violence during pregnancy and utilized antenatal care. The women were recruited from two different organizations in Nepal.ResultsWomen in our study concealed their experience of domestic violence due to fear of being insulted, discriminated, and negative attitudes of the health care providers. The women wished that the health care providers were compassionate and asked them about their experience, ensured confidentiality and privacy, and referred them to services that is free of cost.ConclusionsFindings from our study may help the health care providers to change their attitudes toward women survivors of domestic violence. Identifying and assisting these women through antenatal care could result in improved services for them and their newborns.

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Section: Discussionmentioning

confidence: 99%

‘They just walk away’ – women’s perception of being silenced by antenatal health workers: a qualitative study on women survivors of domestic violence in Nepal

Rishal

Joshi

Lukasse

et al. 2016

Global Health Action

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“…Lutz [36] discusses the idea of pregnancy as 'public life’: an external, idealised view of the woman’s life, pregnancy and family [35]. A pregnancy becomes public property once disclosed and made official, for example, by booking for antenatal care.…”

Section: Discussionmentioning

confidence: 99%

Understanding delayed access to antenatal care: a qualitative interview study

Haddrill

Jones

Mitchell

et al. 2014

BMC Pregnancy Childbirth

111

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BackgroundDelayed access to antenatal care ('late booking’) has been linked to increased maternal and fetal mortality and morbidity. The aim of this qualitative study was to understand why some women are late to access antenatal care.Methods27 women presenting after 19 completed weeks gestation for their first hospital booking appointment were interviewed, using a semi-structured format, in community and maternity hospital settings in South Yorkshire, United Kingdom. Interviews were transcribed verbatim and entered onto NVivo 8 software. An interdisciplinary, iterative, thematic analysis was undertaken.ResultsThe late booking women were diverse in terms of: age (15–37 years); parity (0–4); socioeconomic status; educational attainment and ethnicity. Three key themes relating to late booking were identified from our data: 1) 'not knowing’: realisation (absence of classic symptoms, misinterpretation); belief (age, subfertility, using contraception, lay hindrance); 2) 'knowing’: avoidance (ambivalence, fear, self-care); postponement (fear, location, not valuing care, self-care); and 3) 'delayed’ (professional and system failures, knowledge/empowerment issues).ConclusionsWhilst vulnerable groups are strongly represented in this study, women do not always fit a socio-cultural stereotype of a 'late booker’. We report a new taxonomy of more complex reasons for late antenatal booking than the prevalent concepts of denial, concealment and disadvantage. Explanatory sub-themes are also discussed, which relate to psychological, empowerment and socio-cultural factors. These include poor reproductive health knowledge and delayed recognition of pregnancy, the influence of a pregnancy 'mindset’ and previous pregnancy experience, and the perceived value of antenatal care. The study also highlights deficiencies in early pregnancy diagnosis and service organisation. These issues should be considered by practitioners and service commissioners in order to promote timely antenatal care for all women.

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“…Lutz (2005b; Lutz, Curry, Robrecht, Libbus, & Bullock, 2006) underscores how the inconsistency between the experience of abuse and the accepted socio-cultural norms of a two-parent household further alienate battered women from themselves and thus their mothering role. Zeitlin and colleagues (1999) found that abused women ( n =11) in the United States do not bond with their fetus and later their newborn as well as their non-abused counterparts ( n =27).…”

Section: Discussionmentioning

confidence: 99%

Pregnancy and Intimate Partner Violence: How Do Rural, Low-Income Women Cope?

Bhandari

Bullock

Anderson

et al. 2011

Health Care for Women International

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The authors conducted thirty-two in-depth interviews with 20 rural, low-income, women residing in the United States, who were pregnant (n =12) or three months postpartum (n =8) and had experienced intimate partner violence (IPV). Using purposive sampling and the grounded theory method, the authors generated a conceptual model of coping. The urge to protect the unborn baby was the primary influence for participants’ decisions about separating from or permanently leaving an abusive relationship. Implications include universal screening for IPV in child-bearing women, inquiry into maternal identity development during pregnancy, and improved resource access for rural, low-income women.

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Abused Pregnant Women’s Interactions With Health Care Providers During the Childbearing Year

Cited by 51 publications

References 37 publications

‘They just walk away’ – women’s perception of being silenced by antenatal health workers: a qualitative study on women survivors of domestic violence in Nepal

‘They just walk away’ – women’s perception of being silenced by antenatal health workers: a qualitative study on women survivors of domestic violence in Nepal

Understanding delayed access to antenatal care: a qualitative interview study

Pregnancy and Intimate Partner Violence: How Do Rural, Low-Income Women Cope?

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