Intimiate partner violence Flashcards
What is intimate partner violence?
Threatening or controlling behavior inflicted on one person by another person in a intimate relationship
How can intimate partner violence affect pregnancy?
Increase risk of miscarriage
Increase risk of fetal injury from abdominal trauma
Increase risk of weight loss during pregnancy
Increase risk of preterm birth
Increase risk of low birth weight
Increase risk of substance use
Increase risk of depression, anxiety, PTSD
Increase risk of fetal death
Maternal death
What does ACOG recommend regarding screening for intimate partner violence?
Screening at all preventive health care visit, initial OB visit, every trimester, postpartum
What is a recommended screening tool for intimate partner violence?
RADAR
R= Routinely screen every patient
A= Ask about IPV directly, kindly nonjudmentally
D= Document findings
A= Assess the patient safety
R= Review options and provide referral
Remember to create a safety plan
What resources should be provided to patients that disclose intimate partner violence?
Information for shelters, hotlines and other resources
SAFETY PLAN
What are components of a safety plan?
- Having a bag packed and stored in a safe place
- Having a copy or original personal documents ready
- Hiding extra car and house keys
- Having a code with family and friends
- Having a plan of where to go
What should you do if a minor is involved in intimate partner violence?
Mandated to report as child abuse
What is the reporting mandates in your state?
What is postpartum blues?
Mild depressive symptoms that are self limited up to 2 weeks postpartum
What is postpartum depression?
Depressive symptoms that last longer that 2 weeks and are affecting functionality and quality of life
How do you diagnose postpartum depression
Need to latest have loss of interest or pleasure or a depressed mood along with 4 other symptoms for at least 2 weeks in duration that is a change from previous function
What are symptoms of postpartum depression?
Depressed mood
Loss of interest
Inability to concentrate
Feelings of guilt or worthlessness
Loss of appetite
Weight loss
Insomnia
Fatigue
Psychomotor retardation or agitation
Suicidal thoughts or ideations
What are risk factors for postpartum depression?
History of depression
Depression during pregnancy
Family history of depression
Intimate partner violence
No social or financial support
Unwanted pregnancy
Adverse pregnancy outcome
How do you manage postpartum depression?
Zoloft 50mg daily
What side effects do you discuss with patient?
GI disturbance= abdominal pain, nausea
Suicidal or homicidal ideations
insomnia
Sexual dysfunction
