March of Dimes Page
March of Dimes Home Page

Simmons Ballroom 3
Tuesday, October 30, 2007: 11:30 AM-12:30 PM

D7: D-7 Intimate partner violence, contraception and preconception care: Challenges and innovative responses of the health care system

Intimate partner violence (IPV) impacts the provider-patient-interaction on preconception care in a variety of ways. Women who experience IPV may not have control over reproductive health decisions. Birth control sabotage, a partner’s unwillingness to use condoms, and forced sex places them at risk of unplanned pregnancies, sexually transmitted infections, including HIV. They are more likely to use tobacco, alcohol, and illicit substances, but may feel less able or be less willing to change their risk-increasing behaviors. Furthermore, physical and emotional abuse during pregnancy may cause miscarriages or adverse birth outcomes. We will discuss recent data on the prevalence, co-morbidities, and health care costs of IPV in childbearing women and describe a successful approach which has been implemented in a large health plan . The "systems model approach" which builds on already existing resources and the quality improvement measures used to sustain this effort will be described. Finally, we will describe how the impact of IPV on preconception and contraceptive choices can be addressed in the provider-patient-interaction.
Learning Objectives: At the end of the session, participants will 1) have an increased understanding of IPV as a preconception care issue that should be routinely included in screening and care and 2) be able to name successful practices for improving IPV sercives in the heatlh care setting.

Moderator:H. Thiel de Bocanegra
11:30 AMDomestic Violence Prevention, a Best Practice
Brigid McCaw
12:00 PMPsychological Impact of DV in the Acceptance of Preconception Care Advice
Priya Batra

The 2nd National Summit on Preconception Health and Health Care of CDC