| BACKGROUNDDV is the violence behavior between family members or persons who have intimate relationship with each other.DV during pregnancy and postpartum includes DV suffered by pregnant women and postpartum women.No matter in or outside China,most DV is from the husband to his wife,as well as DV during pregnancy and postpartum.Health workers are mostly the first or the only persons whom victims look for help.The maternal health care providers can help and communicate with pregnant women during periodic prenatal examination.And DV during pregnancy and postpartum may do harm to health of mothers and fetus/babies.Therefore,maternal health care providers should pay more attention to and responsible for indentifying, dealing and preventing DV during pregnancy and postpartum.According to related literatures,there are no studies on DV during pregnancy and postpartum in Shanghai. Although many researches suggest routinely asking DV during the prenatal examination,there are no laws on health workers dealing with DV and researches on maternal health care service delivery dealing with DV during pregnancy and postpartum.OBJECTIVEThis study is to understand the status of DV during pregnancy and postpartum and maternal health care providers' service delivery related to DV;and to give suggestion to prevent and deal with DV during pregnancy and postpartum.METHODS1.Status of DV during pregnancy and postpartum.We surveyed 200 postpartum women who came for postpartum 42-day examination in Maternal and Child Health Hospital in Jiading District of Shanghai from the beginning of the survey.2.Status of dealing with DV in related service delivery institutions.(1) Maternal health care providers'(including gynecologists,obstetricians and midiwifes) status of dealing with DV:we surveyed maternal health care providers in 8 delivery hospitals. (2) Status of dealing with DV in other institutions:we interviewed 4 DV related workers in Women's Association,police and community. RESULT1.Status of DV during pregnancy and postpartum.We surveyed 205 postpartum women,and received 200 eligible questionnaires.The prevalence of DV was 5.0% and the prevalence of DV during pregnancy and postpartum was 3.0%.All reported DV was mental violence.Single factor analysis showed that DV during pregnancy and postpartum wasn't related to subjects and their partners' demographic characteristics,subjects' status of pregnancy and delivery,as well as subjects' life experience.There were 14 items related to cognition on DV and women's rights in the questionnaire.The last three items in turn which subjects lowly understood were "does 'rape' exist in couples"(the cognitive rate was 33.0%),"May the life value realize when the woman can't be pregnant"(76.0%),and "is the husband cursing the wife a kind of DV"(81.5%).Single factor analysis showed subjects' cognitive score was related to their age,household registration,education,marriage age and income. Ordinal Logistic regression showed that postpartum women with higher education than junior college had higher cognitive score than postpartum women with senior high school education or lower education than junior high school.2.Maternal health care providers'(service providers) status of dealing with DV. We put out 403 questionnaires and received 347 eligible questionnaires.The responsible rate was 86.1%.Minority service providers knew the economic control and sexual violence as types of DV.Most service providers had little knowledge on 10 items about contents of health workers dealing with DV in the questionnaire.Only 1/4 of them thought health workers should take responsible for DV prevention and control, and over 1/3 of them thought the maternal health care providers should take responsible for prevention and control of DV during pregnancy and postpartum. Service providers more agreed with routinely asking injured female patients about DV (48.4%agreed).Single factor analysis showed that service providers who knew more about DV,ever suspected patients as DV victims,or ever asked patients about DV, had more positive attitude towards dealing with DV.3.Status of dealing with DV in other institutions.Law consultation and intercession were the main services in service delivery institutions related to DV of Xuhui District.Trainings about DV received by interviewees were mostly about laws. They thought doctors only did the injury assessment and medical identification in the procedure of DV prevention and control.They didn't receive DV cases refered from doctors.They considered that the cooperation among departments were nice;current laws were difficult to be implemented;and the police should pay more attention on DV prevention and control.CONCLUSION AND SUGGESTIONDV during pregnancy and postpartum existed in Shanghai,and the prevalence was low.Service providers in maternal health care institutions were lack of skills on dealing with DV and were not ready for DV prevention and control.Service delivery institutions faced to DV victims had low capacityr.We suggest improving all people's awareness on DV and DV during pregnancy and postpartum prevention and control, strengthening the network of DV prevention and control,establishing service guideliness of DV prevention and control,enhancing the police's action on DV prevention and control,empowering maternal health care providers to response to DV during pregnancy and postpartum,and training maternal health care providers on knowledge and skills about DV prevention and control.
|
PDF Full Text Request