SAFEGAURDING IN OBS&GYNAE Flashcards

Question

What is the difference between FGM and female Genital cosmetic surgery?

Answer 1

FGM is non-consenting minors and is associated with great harm resulting in permenant damage to normal sexual function FGM act stipulates that no offence is committed if an operation is deemed necessary for physical or metal health. This may include cosmetic surgery resulting from distress caused by perception of abnormality - some legal ambiguity around FGCS

Answer 2

Any incident or pattern of incidents controlling, coercive, threatening behaviour, violence or abuse between those aged 16 or over who are, or have been intimate partners or family members regardless of gender or sexuality

Answer 3

Coercive control Psychological or emotional abuse Physical abuse Sexual abuse Financial abuse Harassment Stalking Online or digital abuse

Answer 4

A significant global health issue 35% of worldwide female population have experience some form of violence from their intimate partners or significant others

Answer 5

High social and economic costs Short and long term problems for survivors and their children - physical, mental, sexual and reproductive health Higher rate of miscarriage, premature birth, LBW, foetal injury and death, premature labour and delivery, chorioamnionitis, maternal infections, poor weight gain

Answer 6

1/3rd of cases

Answer 7

Serious violence before pregnancy Feelings of inadequacy Jealousy and controlling behaviour Partner IV drug abuse Low social class Poor education Social deprivation

Answer 8

Higher rate of miscarriages Premature birth and LBW Foetal injury and death Premature labour and delivery Chorioamnionitis and maternal infections Poor weight gain

Answer 9

Late booker or poor attender Repeat minor injury attendance Unexplained admissions Depression, anxiety, self-harm Injuries of different stages STD/UTI/vaginal infection Poor obstetric history Domineering partner

Answer 10

Anxiety and depression Difficulty sleeping Nightmares or flashbacks Bed wetting Temper tantrums Inappropriate behaviour for their age Alcohol/drug use Self harm Physical; Sx Eating disorder Feelings of anger, guilt, insecurity and powerlessness

Answer 11

A piece of legislation that addresses various aspects related to domestic violence and crime Domestic violence protection orders - provides protection to the victims e.g. prohibit the perpetrator from contacting the victim Restraining orders can be imposed for any offence Common assault is an arrestable offence

Answer 12

It was legal and perfectly acceptable for a man to beat his wife providng the stick he uses is not thicker than his thumb

Answer 13

City of London Byelaw: wife beating is prohibited between 22:00 and 07:00 because the noise keeps the neoughborus awake

Answer 14

Past or current circumstances that may lead to any child experiencing serious physical or psychological harm or neglect Previous convictions related to harming children Child protection measures taken regarding existing children, or violence/serious discord in the family environment Past or current circumstances that are likely to lead to an inability to care throughout childhood for any child who may be born, or that are seriously impairing the care of an existing child of the family e..g mental/physical conditions, drug/alcohol abuse, medical history, etc

Answer 15

When there has been a. Gap of 2 or more years in contact between clinic and pt When there is a change of partner When a child has been born to the pt since a previous assessment Where the unit has reason to believe that there has been a significant change in the patient’s medical or social circumstances

Answer 16

shows the network of people around the child or family through a diagram. The child is placed at the centre of the diagram; each person and organisation that forms a part of the child or young person's network is named and placed within a circle.

Answer 17

Children Act 1989

Answer 18

Physical abuse Sexual abuse Psychological abuse Financial abuse

Answer 19

They identified abuse as being cyclical and there being 3 phases that are repeated over time. Each stage ;lasts a different amount of time, with the total cycle taking from just a few hours to over a year The cycle commonly speeds up as time goes on Tension builds -> abuse -> remorse and forgiveness

Answer 20

This involves male attempts to control female fertility In these cases long-acting contraception should be considered

Answer 21

They try to identify early signs of domestic abuse, make decisions for a better life and make domestic abuse socially unacceptable They created a service that provides asssistance, guidance and legal support to victims of domestic abuse . Helps them obtain protective orders such as Non-Molestation orders They can also organise emergency assistance to those facing immediate danger

Answer 22

A service that provides safe temporary accommodation for women and children escaping domestic abuse, support in the community, help with advocacy and support to understand your rights, gender-based violence services, ‘one stop shop’ services

Answer 23

A service that supports domestic violence survivors, campaign for change, educate and inform, conduct research projects on key issues of domestic violence, raise awareness