ACOG Committee Opinion No. 518: Intimate partner violence.
ACOG Committee Opinion No. 518: Intimate partner violence.
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DOI：
10.1097/aog.0b013e318249ff74
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发表时间：
2012-02-01
影响因子：
7.2
通讯作者：
中科院分区：
文献类型：
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作者：
亲密伴侣暴力（IPV）是一个重要但可预防的公共卫生问题，影响着数百万女性，无论其年龄、经济状况、种族、宗教、民族、性取向或教育背景如何。遭受 IPV 的个人可能会产生终生后果，包括情感创伤、持久的身体损伤、慢性健康问题，甚至死亡。尽管所有年龄段的女性都可能感染 IPV，但它在育龄女性中最为常见，会导致妇科疾病、妊娠并发症、意外怀孕和性传播感染，包括人类免疫缺陷病毒 (HIV)。由于医患关系的性质以及在怀孕、计划生育、年度检查和其他女性健康就诊期间发生的许多干预机会，妇产科医生在评估和为经历 IPV 的女性提供支持方面处于独特的地位。美国卫生与公共服务部建议，IPV 筛查和咨询应成为女性预防性健康就诊的核心部分。医生应定期对所有女性进行 IPV 筛查，包括在产科护理期间（第一次产前检查、每三个月至少一次以及产后检查），提供持续的支持，并审查可用的预防和转诊选项。许多社区都有资源可以帮助经历 IPV 的女性。
Intimate partner violence (IPV) is a significant yet preventable public health problem that affects millions of women regardless of age, economic status, race, religion, ethnicity, sexual orientation, or educational background. Individuals who are subjected to IPV may have lifelong consequences, including emotional trauma, lasting physical impairment, chronic health problems, and even death. Although women of all ages may experience IPV, it is most prevalent among women of reproductive age and contributes to gynecologic disorders, pregnancy complications, unintended pregnancy, and sexually transmitted infections, including human immunodeficiency virus (HIV). Obstetrician-gynecologists are in a unique position to assess and provide support for women who experience IPV because of the nature of the patient-physician relationship and the many opportunities for intervention that occur during the course of pregnancy, family planning, annual examinations, and other womens health visits. The U.S. Department of Health and Human Services has recommended that IPV screening and counseling should be a core part of womens preventive health visits. Physicians should screen all women for IPV at periodic intervals, including during obstetric care (at the first prenatal visit, at least once per trimester, and at the postpartum checkup), offer ongoing support, and review available prevention and referral options. Resources are available in many communities to assist women who experience IPV.