[...]... acute-care and office-based settings [4–8,18–23] Accordingly, the American College of Obstetrics and Gynecology (ACOG) recommends routine screening at annual exams, family planning visits, and preconception visits [29,94,95] Routine screening for IPV is also endorsed by the Society of Obstetricians and Gynecologists of Canada, the American Medical Association, the American Academy of Family Physicians, and. .. reporting ever receiving some type of injury and 9% reporting a severe injury [6,11] IPV is truly an obstetrics gynecology emergency as 50% of murdered women are killed by a current or previous partner Murder is among the five most common causes of death for women ages 15 to 34 and is the leading cause of maternal mortality [12,13] The scope of the problem The definition of IPV, also known as domestic violence,... advocacy services and other resources should be provided and, if available, the services of a social worker should be offered Many victims of IPV indicate that legal information would also be helpful and so reporting of IPV to the police and orders of protection should also be discussed [98,135,136] Mandatory reporting Many states have injury reporting requirements for assault-related injuries and for injuries... support for mandatory reporting with 44% to 68% of women with a history of abuse opposing mandatory reporting that does not allow for consideration of patients wishes [139,140] In states with mandatory reporting, if a patient objects, it is important to ask why, to try to address any concerns, and to relay the patient’s objections and reasons to the authorities In many states, the witnessing of IPV by a child... cognitive behavioral therapy, mandatory counseling, and rigorous monitoring, have not proven effective Therefore, the main focus of the intervention should be helping the patient recognize the abuse and providing assistance to leaving [144,145] Executing interventions is out of the hands of the medical provider and access to advocacy, shelters, and response from the legal system varies by community In addition,... associated with sexual and emotional abuse, and cost of care increased both for women currently experiencing abuse and for those who reported a history of IPV [79] The maternal sequelae of IPV during pregnancy include maternal morbidity from injuries, exacerbation of medical conditions due to restricted access, depression, and mortality because pregnant women are more likely to die as victims of femicide than... mortgage payments and frequent moves, because of the inability to obtain affordable housing or lack of own housing [91] Housing ramifications can be severe as 50% to 60% of homeless women report a history of IPV [92,93] Diagnosing IPV Whom to screen? With a lifetime prevalence of 25% to 60% and a 21% lifetime risk of injury, women who are currently victims of IPV and those who have previously been abused... use of recombinant human coagulation factor VIIa JAMA 2006;295:293–8 Obstet Gynecol Clin N Am 34 (2007) 367–388 Intimate Partner Violence Jennifer Gunter, MD Department of Obstetrics/ Gynecology, Kaiser Northern California, 2238 Geary Boulevard, San Francisco, CA 94115, USA Intimate partner violence (IPV) is a pattern of psychological, economic, and sexual coercion of one partner in a relationship by. .. other that is punctuated by physical assaults or credible threats of bodily harm [1,2] It is a universal health crisis affecting women of every economic, social, cultural, and racial background The World Health Organization (WHO) Multi-Country Study of Women’s Health and Domestic Violence Against Women indicates that the lifetime prevalence of IPV varies significantly by country and region, ranging from... used by these devices can limit the amount of particulate matter in the blood to be reinfused to a concentration equal to that of maternal venous blood [18–20] Although the use of cell salvage systems has been shown to be safe and potentially life-saving, they are unfortunately still underused in obstetrics because of the theoretical risk of AFE [18,21,22] The obstetric literature contains hundreds of . issue of the Obstetrics and Gynecology Clinics of North America, guest edited by Henry Galan, MD, pertains to emergencies that can occur in obstetrics and. possible for the next mom and unborn baby that we encounter. Henry L. Galan, MD Department of Obstetrics and Gynecology University of Colorado at Denver Health