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Domestic Violence and Pregnancy

 
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cpeedahsa
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Joined: 21 Apr 2007
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PostPosted: Sat May 26, 2007 1:34 am    Post subject: Domestic Violence and Pregnancy Reply with quote

The following statements regarding domestic violence are correct:

1) The lifetime prevalence for a woman is about 10-15%
2) In pregnancy it tends to be directed towards breast and abdomen.
3)It is less likely to occur during the postpartum period than during pregnancy.
4) A woman is less likely to disclose experiences of domestic violence when asked direct questions about it.
staff identify about 60%.
5) Among injured women, accident and emergency staff identify about 60%.


Higher rates of domestic violence are found among
6) Teenagers.
7) Married wotnen over 35 years of age.

Domestic violence may be the underlying problem in
8)Abruption.
9) Ectopic pregnancy.
10) Non-specific abdominal pain


Last edited by cpeedahsa on Sat May 26, 2007 2:14 pm; edited 1 time in total
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rpwalavalkar
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PostPosted: Sat May 26, 2007 10:02 am    Post subject: Reply with quote

ashadeep,

can you post fewer mcqs at a time as in my experience when we have a list they get answered only as a true and false and most people don't try and discuss the topic.

cheers
raj
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Dr Miss. Raj Walavalkar MBBS MRCOG
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rpwalavalkar
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PostPosted: Sat May 26, 2007 10:03 am    Post subject: Reply with quote

p.s -- really good ones though. i am keen to see how the group answers.

r
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cpeedahsa
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PostPosted: Sat May 26, 2007 12:14 pm    Post subject: Reply with quote

rpwalavalkar wrote:
can you post fewer mcqs at a time as in my experience when we have a list they get answered only as a true and false and most people don't try and discuss the topic. cheers
raj



Raj, I was actually trying to post a 100 MCQs atleast Laughing Laughing Laughing Smile - somehow and with great difficulty tried to stop myself where I did last night.
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EMAK
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Joined: 26 Nov 2006
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PostPosted: Sat May 26, 2007 1:37 pm    Post subject: Reply with quote

1) The lifetime prevalence for a woman is about 10-15%.... Question
2) In pregnancy it tends to be directed towards breast and abdomen..False
3)It is less likely to occur during the postpartum period than during pregnancy. .False
4) A woman is less likely to disclose experiences of domestic violence when asked direct questions about it...True

5) Among injured women, accident and emergency staff identify about 60%....True Exclamation Question
Higher rates of domestic violence are found among
6) Teenagers. ..True
7) Married wotnen over 35 years of age...False

Domestic violence may be the underlying problem in
8)Abruption. ..True
9) Ectopic pregnancy..False Exclamation Question not sure
10) Non-specific abdominal pain ..True
==========================
Raj. note is correct about solving it as T or F because they are many but as this subject appear in last exam, so not need taht attention I think.

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cpeedahsa
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PostPosted: Sat May 26, 2007 3:28 pm    Post subject: Re: Domestic Violence and Pregnancy Reply with quote

1)The lifetime prevalence for a woman is about 10-15%- False (It is around 25-30%)
TOG 2001 -Domestic violence in Pregnancy
Quote:
Epidemiological studies of domestic violence in the UK have found the lifetime prevalence of doiiiestic violence to be 1 in 3-4 women and annual prevalence rates of 1 in 9-10 women.


2) In pregnancy it tends to be directed towards breast and abdomen.-True
Quote:
Studies suggest that pregnancy often triggers domestic violence or exacerbates a pre-existing problem, although it can also be associated with a reduction in violence. Moreover, the pattern of violence may change, witli assaults directed to the abdomen, breasts and genitals.


3)It is less likely to occur during the postpartum period than during pregnancy.-False
TOG
Quote:
Women appear to be at greater risk of violence during the postpartum period


4)A woman is less likely to disclose experiences of domestic violence when asked direct questions about it.-False
TOG
Quote:
in the absence of direct questioning, women do not volunteer information about experiences of domestic violence due to embarrassment and shame.
which means with direct questioning women are more likely to disclose experiences

5) Among injured women, accident and emergency staff identify about 60%. -False(20-30%)
TOG
Quote:
In the USA, similar findings have been reported in emergency rooms, with up to a third of female trauma patients identlfied as suffering from domestic violence.


Higher rates of domestic violence are found among
6) Teenagers. -True(Ref:TOG) (some references quote otherwise?),
7) Married women over 35 years of age. -False/True? (Reference?-Not sure)

Domestic violence may be the underlying problem in
8)Abruption. -True
9) Ectopic pregnancy. -False
10) Non-specific abdominal pain-True
TOG
Quote:
Domestic violence during pregnancy has been associated with placental abruption, chorioamnionitis, stillbirth, miscarriage, low-birth-weight infants and premature lab0ur. Abdominal trauma during pregnancy may lead to fetal fractures and rupture of the mother’s uterus, liver or spleen and in extreme cases the violence may result in maternal or fetal death

BJOG
Quote:
Of the 15 presenting symptoms reported by the
women, lower abdominal pain, dysmenorrhoea, dyspareunia, smear abnormalities, cancer worries and bowel
symptoms were significantly more common complaints in the group who reported domestic violence


Ref:
1)Loraine J Bacchus, Susan Bewley, Gillian Mezey . Domestic violence and pregnancy. Obstet Gynaecol (Lond) 2001 3: 56-59
2)http://www.acog.org/publications/patient_education/bp083.cfm
3)Domestic violence: prevalence and association with gynaecological symptoms. BJOG October 2004, Vol. 111, pp. 1128–1132R. John, J.K. Johnson, S. Kukreja, M. Found, S.W. Lindow

I somehow could not find any recent references. Can anybody help with more recent references?


Last edited by cpeedahsa on Sun May 27, 2007 11:42 am; edited 2 times in total
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rpwalavalkar
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PostPosted: Sat May 26, 2007 3:55 pm    Post subject: Reply with quote

cpeedahsa wrote:
Raj, I was actually trying to post a 100 MCQs atleast Laughing Laughing Laughing Smile - somehow and with great difficulty tried to stop myself where I did last night.



Shocked Wink

r
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EMAK
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PostPosted: Sun May 27, 2007 6:29 am    Post subject: Reply with quote

Good work Cspeed.
I need to ask nick, does these figures still valis as TOG/ Vol 1 is a little bit far= 1998 or 1999 Question
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Nick Raine-Fenning
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PostPosted: Sun May 27, 2007 1:56 pm    Post subject: Reply with quote

They look fine to me and remember the exam is at least 3 years old!

I would cross reference these figures against those in the Confidential Enquiry however as these are probably the ones that will be used in the exam.

Cpeedahsa - post s many as you want but as Raj says do so in smaller batches to encourage discussion. I would also wait longer (maybe 4-5 days or longer) to answer as this will have the same effect. We still do not have that many active participants and maybe a longer waiitng period will bring more out of hiding! Smile Great work though as always.
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