intimate partner violence Flashcards

1
Q

what is the annual prevalence of intimate partner violence in Canada?

A

-6-8%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how many women in Canada have experienced at least one incident of physical or sexual violence since the age of 16?

A

half, of these 25% was by an intimate partner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

of Canadian women who reported being abused by their partner during pregnancy, how many stated the violence began during pregnancy?

A

40%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

how many women reported being victimized by partner while pregnant?

A

over 63 000, which is 11% of female spousal abuse vicitms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what percentage of pregnant women may be affected by abuse during pregnancy?

A

26% aka more than 1/4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

of pregnant or newly postpartum women with substance dependancies, how many reported having at least one abusive relationships?

A

70% with 45% reporting being abused during current pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what can be negative impacts related to intimate partner violence during pregnancy?

A
  • delayed or less prenatal care
  • increased stress and/or depression
  • less weight gain
  • increased substance use/abuse
  • increased physical and sexual health complaints
  • preterm birth
  • low birthweight
  • SGA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

how high is the rate of violence for indigenous women compared to non-indigenous in MB/SK?

A

57.2% for indigenous, 18.5% for non-indigenous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how much more likely is an indigenous woman to be killed by their partner than a non-indigenous woman?

A

8 times more likely

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what assessment findings could indicate abuse?

A
  • injuries inconsistent with explaination
  • report of vague, non-specific health concerns
  • changing story with different interviews/interviewers
  • painful vaginal examinations
  • anxious behavior (crying, sighing, minimizing statements, searching eye contact or no eye contact)
  • comments alluding to emotional abuse
  • comments about abused “friend”
  • behaving afraid of partner or deferring/checking responses with partner
  • partner may be focused on themselves/their needs rather than her injuries, labour, or concerns
  • woman may have difficulty following recommended treatment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are some things to avoid when abuse is suspected in a pregnant patient?

A
  • avoid referrals without permission
  • avoid contact with police without permission
  • avoid speaking to abuser regarding abuse
  • avoid prescribing inappropriate medications or recommending treatment plans that are difficult to adhere to or would keep woman in unsafe conditions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are some ways health care providers can build trust with patients who may be suffering abuse?

A
  • assure confidentiality and privacy
  • receive explicit and informed consent for all referrals and consultations
  • validate woman’s experiences
  • believe her
  • respect right not to disclose
  • respect right to leave (and return) to abusive relationship
  • do not pressure her to make changes she is unable to or as of yet unwilling to make
  • be non-judgemental and open
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what kind of screening for intimate partner violence is effect?

A
  • no one tool has been found to be ideal, but how a practitioner asks and asking seems to be most important!
  • most women will not spontaneously disclose, but will choose to disclose when asked directly
  • should be routine part of prenatal care
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are some ways to empower a woman who may be in an abusive relationship?

A
  • provide information
  • ensure she can make decisions without judgement from staff
  • acknowledge woman’s expertise in knowing what is best for her and her children’s safety
  • recognize diversity
  • be aware of available and appropriate resources
  • ensure opportunity to speak alone in confidence
  • if partner will not leave, find a private moment
  • demonstrate comfort and knowledge about discussing abuse - provide info and resources, have them openly available
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are some general principles for dealing with disclosure of abuse?

A
  • be supportive when abuse is disclosed
  • link health concerns with abuse and other health impacts
  • assess to minimize potential barriers to care
  • provide information about community and legal services
  • encourage and help develop safety plan with woman
How well did you know this?
1
Not at all
2
3
4
5
Perfectly