| Pregnancy and Childbirth |
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⢠30% of domestic violence starts in pregnancy. (Lewis and Drife, 2001, 2005; McWilliams and McKiernan, 1993)  ⢠Domestic violence has been identified as a prime cause of miscarriage or still-birth (Mezey, 1997), and of maternal deaths during childbirth (Lewis and Drife, 2001, 2005).  ⢠Between 4 and 9 women in every 100 are abused during their pregnancies and/or after the birth. (Taft, 2002)  ⢠Legally, if a miscarriage is caused by abuse, the assailant can be charged under S.58 of the Offences against the Person Act, âusing an instrument with intent to cause a miscarriage1.  ⢠If a baby is born prematurely as a result of an assault, and then dies, the assailant may be charged with manslaughter2.  1 See Bristol Evening Post 18th December 2004, report on Nycoma Edwards whose assault on his girlfriend led to miscarrying at 4 and half months.  ⢠Within the six weeks following birth, 11 new mothers were known to have been murdered by their male partners during 2000-02, and 14% of all the women who died during or immediately after pregnancy (43 women) had reported domestic violence to a health professional during the pregnancy. (Lewis and Drife, 2005)  ⢠12% of the 378 women whose death was reported to the Confidential Enquiry on Maternal Deaths had voluntarily reported domestic violence to a healthcare professional during their pregnancy. (Lewis and Drife, 2001) None had routinely been asked about domestic violence so this is almost certainly an underestimate.  ⢠One study in the USA found a significant relationship between pregnancy, domestic violence, and suicide: pregnant women who attempt suicide are very likely to have been abused. (Stark and Flitcraft, 1996)  ⢠In one study, 23% of women receiving care on antenatal and postnatal wards had a lifetime experience of domestic violence, and 3% had experienced violence in the current pregnancy. (Bacchus, 2004)  ⢠Routine enquiry about domestic violence in maternity settings is accepted by women, provided it is conducted in a safe confidential environment. A pilot project in Leeds found that 92% of women questioned were in favour of routine enquiry. (Price 2004; Leeds Inter-agency Project, 2005).  |