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Characteristics of physical violence against pregnant women — analysis of medico-legal data and literature review
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Affiliations- Department of Forensic Medicine, Poznan University of Medical Sciences, Poznan, Poland, Poland
- 2nd Division of Gynecological Surgery, Department of Gynecology, Obstetrics, and Gynecological Oncology, Poznan University of Medical Sciences, Poznan, Poland, Poland
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Abstract
Pregnancy is a period which is especially sensitive to physical violence and its aftermath. Subjecting a pregnant woman to violence can have negative effects on both the mother as well as the child. In Poland, there are programs, such as the Blue Card, aimed at protection against violence, however the phenomenon is underestimated. Documentation covering forensic examinations carried out at the request of the police or privately at the Department of Forensic Medicine in Poznan in the years 2015–2020 was analyzed. Out of 7,689 cases, 22 were concluded to meet the criteria of violence against pregnant women. The cases were then further analyzed, consideration of the victim’s age, professional status, relations with the perpetrator, form of physical violence, and medical assistance. The average age of the women at the time of the incident was 31.1 years. In 90.1% of the cases, the perpetrator was a known man, usually a current or former partner. The most common injuries were abrasions and bruises, while the most common locations of injuries were the head, neck, and arms. The most common forms of violence were grappling, kicking, and hitting with an open hand. Over 72% of the women sought medical attention after the incident. There is a need for educational programs concerning the effects of violence during pregnancy and ways to help. Gynecologists and midwives play an especially important role, by having direct contact with the patient, thus being able to quickly identify victims of violence and take actions to secure safe environment for the woman and the child.
Abstract
Pregnancy is a period which is especially sensitive to physical violence and its aftermath. Subjecting a pregnant woman to violence can have negative effects on both the mother as well as the child. In Poland, there are programs, such as the Blue Card, aimed at protection against violence, however the phenomenon is underestimated. Documentation covering forensic examinations carried out at the request of the police or privately at the Department of Forensic Medicine in Poznan in the years 2015–2020 was analyzed. Out of 7,689 cases, 22 were concluded to meet the criteria of violence against pregnant women. The cases were then further analyzed, consideration of the victim’s age, professional status, relations with the perpetrator, form of physical violence, and medical assistance. The average age of the women at the time of the incident was 31.1 years. In 90.1% of the cases, the perpetrator was a known man, usually a current or former partner. The most common injuries were abrasions and bruises, while the most common locations of injuries were the head, neck, and arms. The most common forms of violence were grappling, kicking, and hitting with an open hand. Over 72% of the women sought medical attention after the incident. There is a need for educational programs concerning the effects of violence during pregnancy and ways to help. Gynecologists and midwives play an especially important role, by having direct contact with the patient, thus being able to quickly identify victims of violence and take actions to secure safe environment for the woman and the child.
Keywords
pregnancy; physical violence; domestic violence; safety; prevalence
About this articleTitle
Characteristics of physical violence against pregnant women — analysis of medico-legal data and literature review
Journal
Issue
Article type
Research paper
Published online
2024-04-12
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116
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66
DOI
Pubmed
Keywords
pregnancy
physical violence
domestic violence
safety
prevalence
Authors
Szymon Rzepczyk
Klaudia Dolinska-Kaczmarek
Bartosz Burchardt
Zuzanna Aurast
Dagmara Skowronska
Przemyslaw Halasinski
Aleksandra Bielecka
Czeslaw Zaba
Rafal Moszynski
References (44)- Jedlecka W. Formy i rodzaje przemocy. Przemoc W Prawie Polityce Violence Law Polit. 2017; 13.
- Silva R, Leite F. Violências por parceiro íntimo na gestação. Revista de Saúde Pública. 2020; 54: 97.
- Taillieu T, Brownridge D. Violence against pregnant women: Prevalence, patterns, risk factors, theories, and directions for future research. Aggression and Violent Behavior. 2010; 15(1): 14–35.
- Bo M, Canavese A, Magnano L, et al. Violence against pregnant women in the experience of the rape centre of Turin: Clinical and forensic evaluation. J Forensic Leg Med. 2020; 76: 102071.
- Ghoneim HM, Elprince M, Ali TY, et al. Violence and depression among pregnant women in Egypt. BMC Pregnancy Childbirth. 2021; 21(1): 502.
- Murugan V, Holzer KJ, Termos M, et al. Intimate partner violence among pregnant women reporting to the emergency department: findings from a nationwide sample. BMJ Sex Reprod Health. 2021; 47(3): e7.
- Finnbogadóttir H, Dykes AK, Wann-Hansson C. Prevalence of domestic violence during pregnancy and related risk factors: a cross-sectional study in southern Sweden. BMC Womens Health. 2014; 14: 63.
- Jasinski JL. Pregnancy and domestic violence: a review of the literature. Trauma Violence Abuse. 2004; 5(1): 47–64.
- Makara-Studzińska M, Lewicka M, Sulima M, et al. Characteristics of women who have suffered from violence during pregnancy. Polish Annals of Medicine. 2013; 20(2): 106–109.
- Brownridge D, Taillieu T, Afifi T, et al. Child Maltreatment and Intimate Partner Violence Among Indigenous and Non-Indigenous Canadians. Journal of Family Violence. 2016; 32(6): 607–619.
- Martin-de-Las-Heras S, Velasco C, Luna-Del-Castillo Jd, et al. Maternal outcomes associated to psychological and physical intimate partner violence during pregnancy: A cohort study and multivariate analysis. PLoS One. 2019; 14(6): e0218255.
- Rzepczyk S, Dolińska-Kaczmarek K, Burchardt B, et al. Prevalence of Physical Violence in the Medical-Forensic Approach in the Years 2015-2020 in City and Neighboring Municipalities: Perspectives from Poland-Poznań Study. Int J Environ Res Public Health. 2023; 20(4).
- Jurek T. Opiniowanie sądowo-lekarskie w przestępstwach przeciwko zdrowiu. Oficyna Wolters Kluwer Polska, Warszawa 2010: 189.
- Konopka T, Skupień E. Możliwości opiniowania lekarskiego w sprawach o" narażenie na bezpośrednie niebezpieczeństwo utraty życia lub ciężkiego uszczerbku na zdrowiu". Arch Med Sądowej Kryminol. 2008; 58(1).
- Żaba C, Dobosz T, Kis-Wojciechowska M, Kołowski J, Lorkiewicz-Muszyńska D, Marcinkowski JT. Wybrane zagadnienia z medycyny sądowej. Wydawnictwo Naukowe Uniwersytetu Medycznego im. Karola Marcinkowskiego, Poznan 2014.
- Jurek T. Opiniowanie sadowo-lekarskie w przypadkach narazenia na bezposrednie niebezpieczenstwo utraty zycia albo ciezkiego uszczerbku na zdrowiu. Uniwersytet Medyczny im. Piastow Slaskich, Wroclaw 2013.
- Almeida FS, Coutinho EC, Duarte JC, et al. Domestic violence in pregnancy: prevalence and characteristics of the pregnant woman. J Clin Nurs. 2017; 26(15-16): 2417–2425.
- Garcia-Moreno C, Heise L, Jansen H, et al. Violence Against Women. Science. 2005; 310(5752): 1282–1283.
- James L, Brody D, Hamilton Z. Risk factors for domestic violence during pregnancy: a meta-analytic review. Violence Vict. 2013; 28(3): 359–380.
- Bailey BA, Daugherty RA. Intimate partner violence during pregnancy: incidence and associated health behaviors in a rural population. Matern Child Health J. 2007; 11(5): 495–503.
- Berhanie E, Gebregziabher D, Berihu H, et al. Intimate partner violence during pregnancy and adverse birth outcomes: a case-control study. Reprod Health. 2019; 16(1): 22.
- Hill A, Pallitto C, McCleary-Sills J, et al. A systematic review and meta-analysis of intimate partner violence during pregnancy and selected birth outcomes. Int J Gynaecol Obstet. 2016; 133(3): 269–276.
- Coker AL, Sanderson M, Dong B. Partner violence during pregnancy and risk of adverse pregnancy outcomes. Paediatr Perinat Epidemiol. 2004; 18(4): 260–269.
- Maciel MNA, Blondel B, Saurel-Cubizolles MJ. Physical Violence During Pregnancy in France: Frequency and Impact on the Health of Expectant Mothers and New-Borns. Matern Child Health J. 2019; 23(8): 1108–1116.
- Lipsky S, Holt VL, Easterling TR, et al. Impact of police-reported intimate partner violence during pregnancy on birth outcomes. Obstet Gynecol. 2003; 102(3): 557–564.
- Brownridge DA, Taillieu TL, Tyler KA, et al. Pregnancy and intimate partner violence: risk factors, severity, and health effects. Violence Against Women. 2011; 17(7): 858–881.
- Duchesne S, Donnadieu AC, Chariot P, et al. Screening for domestic violence during pregnancy follow-up: evaluation of an intervention in an antenatal service. Arch Womens Ment Health. 2021; 24(2): 293–301.
- Foy R, Nelson F, Penney G, et al. Antenatal detection of domestic violence. Lancet. 2000; 355(9218): 1915.
- Howard LM, Oram S, Galley H, et al. Domestic violence and perinatal mental disorders: a systematic review and meta-analysis. PLoS Med. 2013; 10(5): e1001452.
- Miura A, Fujiwara T. Intimate Partner Violence during Pregnancy and Postpartum Depression in Japan: A Cross-sectional Study. Front Public Health. 2017; 5: 81.
- Murray AL, Kaiser D, Valdebenito S, et al. The Intergenerational Effects of Intimate Partner Violence in Pregnancy: Mediating Pathways and Implications for Prevention. Trauma Violence Abuse. 2020; 21(5): 964–976.
- Alhusen JL, Ray E, Sharps P, et al. Intimate partner violence during pregnancy: maternal and neonatal outcomes. J Womens Health (Larchmt). 2015; 24(1): 100–106.
- Rachana C, Suraiya K, Hisham AS, et al. Prevalence and complications of physical violence during pregnancy. Eur J Obstet Gynecol Reprod Biol. 2002; 103(1): 26–29.
- Donovan BM, Spracklen CN, Schweizer ML, et al. Intimate partner violence during pregnancy and the risk for adverse infant outcomes: a systematic review and meta-analysis. BJOG. 2016; 123(8): 1289–1299.
- El Kady D, Gilbert WM, Xing G, et al. Maternal and neonatal outcomes of assaults during pregnancy. Obstet Gynecol. 2005; 105(2): 357–363.
- Cheng D, Horon IL. Intimate-partner homicide among pregnant and postpartum women. Obstet Gynecol. 2010; 115(6): 1181–1186.
- Heaman MI. Relationships between physical abuse during pregnancy and risk factors for preterm birth among women in Manitoba. J Obstet Gynecol Neonatal Nurs. 2005; 34(6): 721–731.
- Mogos MF, Araya WN, Masho SW, et al. The Feto-Maternal Health Cost of Intimate Partner Violence Among Delivery-Related Discharges in the United States, 2002-2009. J Interpers Violence. 2016; 31(3): 444–464.
- Janssen PA, Holt VL, Sugg NK, et al. Intimate partner violence and adverse pregnancy outcomes: a population-based study. Am J Obstet Gynecol. 2003; 188(5): 1341–1347.
- Yost NP, Bloom SL, McIntire DD, et al. A prospective observational study of domestic violence during pregnancy. Obstet Gynecol. 2005; 106(1): 61–65.
- Englert-Golon M, Smolarek N, Burchardt B, et al. A case of cervical cancer diagnosed during pregnancy. Clinical and Experimental Obstetrics & Gynecology. 2019; 46(6): 1005–1006.
- Shapiro GD, Fraser WD, Frasch MG, et al. Psychosocial stress in pregnancy and preterm birth: associations and mechanisms. J Perinat Med. 2013; 41(6): 631–645.
- Radtke KM, Ruf M, Gunter HM, et al. Transgenerational impact of intimate partner violence on methylation in the promoter of the glucocorticoid receptor. Transl Psychiatry. 2011; 1(7): e21.
- Cao-Lei L, Laplante D, King S. Prenatal Maternal Stress and Epigenetics: Review of the Human Research. Current Molecular Biology Reports. 2016; 2(1): 16–25.
