Reproductive coercion and intimate partner violence prevalent among women seeking medical care

http://www.womenandinfants.org/news/Reproductive-coercion-and-intimate-partner-violence-prevalent-among-women-seeking-medical-care.cfm

Enough women experience reproductive coercion – male behavior to control contraception and pregnancy outcomes – that a research team now recommends health care providers address the subjects with their patients and tailor family planning discussions and recommendations accordingly.

Researchers from Women & Infants Hospital of Rhode Island were part of a team that published "Reproductive coercion and co-occurring intimate partner violence in obstetrics and gynecology patients" in a recent issue of the American Journal of Obstetrics and Gynecology.

"Reproductive coercion, co-occurring with intimate partner violence, is prevalent among women seeking general obstetrics and gynecology care," notes Rebecca H. Allen, MD, of Women & Infants. She and Amy S. Gottlieb, MD, of the hospital's Women's Primary Care Center, participated in the study of 641 women ages 18 to 44, along with Chris Raker, ScD, a statistician in the hospital's Division of Research.

Study participants completed anonymous surveys. The survey defined reproductive coercion as:
•Pregnancy coercion, such as a male partner threatening to harm the woman physically or psychologically (with infidelity or abandonment) if she did not become pregnant
•Birth control sabotage, such as flushing oral contraceptive pills down the toilet, intentionally breaking or removing condoms, or inhibiting a woman's ability to obtain contraception

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In addition, reproductive coercion has been associated with intimate partner violence, including threats, physical injury, or sexual abuse. This study is the first to examine both measurements – reproductive coercion and intimate partner violence – in the same relationship.

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