Abused pregnant women's interactions with health care providers during the childbearing year

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Objective: To explore how intimate partner abuse during pregnancy influences women's decisions about seeking care and disclosing abuse and their preferences for health care professionals' responses. Design: A qualitative, grounded theory approach using dimensional analysis. Data were collected via 21 interviews. Setting: Participants were interviewed in their homes, at their prenatal clinic, at a hospital, and at the investigator's office. Participants: A convenience sample of 12 English-speaking women abused during pregnancy. Five participants were recruited from two prenatal clinics in the Pacific Northwest; 7 were recruited via snowball sampling. Results: The grounded theory "living two lives: women's experiences of intimate partner abuse during pregnancy" emerged from the investigation. Abused pregnant women engaged in a process of guarding and revealing their public and private lives. This process affects how women seek and attend prenatal care, their perceptions of health care providers' interventions, and abuse disclosure. Conclusions: Intimate partner abuse profoundly affects women's pregnancies and pregnancy-related decisions. Embarrassment, shame, and fear are common emotions. Pregnant, abused women want health care providers to treat them respectfully and empathetically, to recognize the conflict between their public and private lives, to support their decisions, and to be available to help them. They do not expect or want health care providers to fix their situation.

Original languageEnglish (US)
Pages (from-to)151-162
Number of pages12
JournalJOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
Volume34
Issue number2
DOIs
StatePublished - Mar 2005

Fingerprint

Battered Women
Health Personnel
Pregnant Women
Pregnancy
Northwestern United States
Shame
Prenatal Care
Disclosure
Women's Health
Fear
Emotions
Research Personnel
Interviews
Delivery of Health Care
Intimate Partner Violence

Keywords

  • Domestic violence
  • Intimate partner abuse
  • Obstetric care
  • Postpartum
  • Pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)
  • Maternity and Midwifery
  • Pediatrics
  • Critical Care

Cite this

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abstract = "Objective: To explore how intimate partner abuse during pregnancy influences women's decisions about seeking care and disclosing abuse and their preferences for health care professionals' responses. Design: A qualitative, grounded theory approach using dimensional analysis. Data were collected via 21 interviews. Setting: Participants were interviewed in their homes, at their prenatal clinic, at a hospital, and at the investigator's office. Participants: A convenience sample of 12 English-speaking women abused during pregnancy. Five participants were recruited from two prenatal clinics in the Pacific Northwest; 7 were recruited via snowball sampling. Results: The grounded theory {"}living two lives: women's experiences of intimate partner abuse during pregnancy{"} emerged from the investigation. Abused pregnant women engaged in a process of guarding and revealing their public and private lives. This process affects how women seek and attend prenatal care, their perceptions of health care providers' interventions, and abuse disclosure. Conclusions: Intimate partner abuse profoundly affects women's pregnancies and pregnancy-related decisions. Embarrassment, shame, and fear are common emotions. Pregnant, abused women want health care providers to treat them respectfully and empathetically, to recognize the conflict between their public and private lives, to support their decisions, and to be available to help them. They do not expect or want health care providers to fix their situation.",
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