CDC guidelines on intimate partner violence
In its guidelines for clinicians, the U.S. Centers for Disease Control and Prevention (CDC) lists these concerns about intimate partner violence (IVP):
- 1.5 million women in the U.S. are thought to be affected by IVP each year.
- 324,000 pregnant women are thought to experience IVP each year.
- IVP may be more common during pregnancy than many of the other conditions for which pregnant women are routinely screened.
- Unintended pregnancy, delayed prenatal care, alcohol, and drug use, and smoking may contribute to IVP during pregnancy.
Health effects on women
According to the Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Violence Prevention, "Victims of IPV may experience numerous health-related consequences. Physical consequences range from bruises and pain to broken bones, pregnancy complications, and chronic disorders of the nervous and circulatory systems. IPV is one of the major contributors to injuries for women and long-term, adverse health-related effects persist after the violence has stopped. Effects on mental health include depression, anxiety, suicidal behavior, and post-traumatic stress disorder. Additionally, a history of IPV is associated with adverse health behaviors, such as substance abuse and risky sexual behaviors."
Study of intimate partner violence and children
Clinical psychologist and psychology professor at Michigan State University, Alytia Levendosky has seen enough domestic violence to fear the damage isn’t limited to the adults in a difficult relationship. Her latest study of domestic violence indicates its negative effects begin in the womb. Furthermore, exposure to this form of violence before birth produces psychological symptoms of trauma during a child’s first year of life.
Levendosky enlisted 182 mothers between 18 and 34 years of age for her study which analyzed the effects of these factors:
- The expectant mother’s prenatal abuse by her male partner
- Parenting style
- Maternal age, marital status, and income
- Drug or alcohol use
- Other negative life events
Domestic violence affects children
Findings indicate children who “witnessed” domestic violence from the womb experience a greater degree of behaviors indicating psychological trauma than children born under more peaceful circumstances, including:
- Being easily startled
- Bothered by bright lights and loud noises
- Avoidance of physical contact
- Difficulty experiencing pleasure
In addition, the stress hormone cortisol fuels behaviors of trauma in early childhood. According to a study on the effects of domestic violence on children, “Cortisol is a neurotoxin, so it has damaging effects on the brain when elevated to excessive levels,” such as the levels of prolonged stress a physically or emotionally abused woman may feel during pregnancy. It is possible the cortisol released into the traumatized mother’s bloodstream also increases the cortisol level in the fetal blood supply.
Intimate partner violence goes unreported
Many women do not report IVP voluntarily. According to CDC data, 96% of all pregnant women seek prenatal care, making an average of 12 or 13 prenatal care visits during a pregnancy. These numbers demonstrate an ideal opportunity to screen for IVP.
Identifying intimate partner violence (IPV) in healthcare settings is becoming the standard of care. The Brief Inpatient Screen (BIS) was designed to assess recent emotional, physical, and sexual abuse in a general inpatient medical-surgical setting and compared to the Composite Abuse Scale (CAS).
In a study where researchers matched “cases” (inpatients screening BIS-positive) to up to four “controls” (inpatients screening BIS-negative.) Forty-six female hospital inpatients ages 18–64 years completed a self-administered survey. The sensitivity and specificity of the BIS and its subscales were compared to the CAS. We examined the performance of the BIS when used as a verbal screen versus an anonymously written screen.
Turn your old cellphone into a lifeline for abuse victims
Domestic violence is a form of bullying that takes many forms. The abuser likely guards the woman’s contact with outsiders. The abuser may also closely monitor the woman’s money if she’s allowed any money at all. Cellphones and other electronic communication devices provide the perfect opportunity to monitor a woman’s contact around the clock. She may want to reach out for help but is afraid of accelerated violence if the abuser finds evidence of her doing so.
A nonprofit organization called Secure The Call, based in Maryland, collects old and unwanted cell phones. It recycles phones that can no longer be used, keeping them out of landfills. Those that can still be used are wiped clean of the previous user’s personal data and converted into free 911-only phones for senior citizens and victims of domestic violence. The free phones are then distributed nationwide via police departments, women’s shelters, senior centers, and similar facilities.
As a 911-only phone, no service contract is needed. Simply keep the phone charged up so it’s usable as needed. Victims of IVP will receive instructions on how to keep the phone hidden from their abuser.
- "Domestic Abuse May Affect Children in the Womb." Michigan State University Today. Michigan State University Board of Trustees, 16 Dec. Web. 3 Jan. 2015.
- "Intimate Partner Violence During Pregnancy, A Guide for Clinicians: Screen Show and Lecture Notes Slides 1–10." CDC/Centers for Disease Control and Prevention. US Department of Health and Human Services, 15 Apr. 2013. Web. 3 Jan. 2015.
- Laurie, Anna R et al. “Validity of the brief inpatient screen for intimate partner violence among adult women” Women & health vol. 52,7 (2012): 679-99.
- Secure The Call. SecuretheCall.org, 2012. Web. 3 Jan. 2015.