This study evaluated whether incorporation of an abuse assessment protocol into the routine procedures of the prenatal clinics of a large urban public health department led to increased referral for and assessment, identification, and documentation of abuse.
Evaluation was conducted at 3 matched prenatal clinics serving a total of 12 000 maternity patients per year.
Two clinics used the abuse protocol and 1 did not.
An audit was performed at the clinics on a randomly selected sample of 540 maternity patient charts for the 15 months after the protocol was introduced.
Ninety-six percent of the patients represented in the sample were Latina.
At the clinics using the protocol, abuse assessment increased form 0 to 88%. Detection of abuse increased from 0.8% to 7%. There were no changes at the comparison clinic.
Incorporation of abuse assessment protocol into the routine procedures of public health department prenatal clinics increases the assessment, identification, and documentation of and referral for abuse among pregnant women.
An abuse protocol should be a routine part of maternity care.
Mots-clés Pascal : Dépistage, Etats Unis, Amérique du Nord, Amérique, Homme, Gestation, Maternité(établissement), Admission hôpital, Questionnaire, Femme maltraitée, Violence, Victimologie
Mots-clés Pascal anglais : Medical screening, United States, North America, America, Human, Pregnancy, Obstetrics clinics, Hospital admission, Questionnaire, Woman abuse, Violence, Victimology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0437477
Code Inist : 002B18F01. Création : 22/03/2000.