Navigation Links
Many Women Victims of 'Contraceptive Sabotage,' Experts Say

By Amy Norton
HealthDay Reporter

WEDNESDAY, Jan. 23 (HealthDay News) -- Obstetricians and gynecologists should screen women and teens for signs that their partner is sabotaging their birth control, forcing them to have unprotected sex or otherwise trying to control their reproductive choices, says a leading group of U.S. doctors.

The American College of Obstetricians and Gynecologists (ACOG) lays out guidelines for detecting sexual and reproductive "coercion" -- which it calls an under-recognized form of violence against women -- in the February issue of the journal Obstetrics & Gynecology.

"Most ob/gyns are probably unfamiliar with sexual and reproductive coercion as an entity and probably don't ask about it," said Dr. Eve Espey, chairwoman of the ACOG's Committee on Health Care for Underserved Women.

The abuse includes hiding or destroying a woman's birth control method of choice; poking holes in a condom or removing it during sex; coercing a woman to carry out or end a pregnancy against her will through violence or threats; and intentionally exposing her to a sexually transmitted disease.

It's not clear how common this type of abuse is, Espey said. One study of teenagers on public assistance found that of those who said they were victims of any type of domestic violence, two-thirds said it included birth-control sabotage.

"It's hard to determine the prevalence of this form of abuse, and it's understood that most [domestic] violence is under-reported," Espey said.

A 2011 government survey found that one in four U.S. women has been physically abused by a partner.

"Given how prevalent [domestic] violence is, reproductive coercion is probably not uncommon," Espey said.

Rita Smith, executive director of the National Coalition Against Domestic Violence, praised the ACOG's move. Encouraging doctors to regularly ask women about such abuse is "a great addition to women's health care needs," Smith said.

"Chronic health care issues can be avoided, and women can manage the needs of their families and themselves much better if their reproductive decisions are not interfered with by an abuser," Smith said.

The ACOG said doctors should ask women about potential reproductive coercion when they screen for domestic violence in general -- something ob/gyns already know to ask about, Espey said.

Futures Without Violence, a nonprofit organization based in San Francisco, has developed wallet-sized "safety cards" with information on reproductive coercion that doctors can give to women. Doctors also can use those cards as a starting point for talking to their patients, said Rebecca Levenson, a senior policy analyst at Futures Without Violence.

The term "reproductive coercion" was coined several years ago after researchers began recognizing it as a distinct form of violence that some women suffer independent of other types of abuse, Levenson explained.

She said the ACOG is on the "cutting edge" in making its new recommendations, and it is important for ob/gyns to specifically ask about reproductive coercion because they can help women directly.

Espey agreed. Giving a woman a birth-control method that is not obvious to her abuser is one way.

"For example, an IUD with the strings cut off would protect against pregnancy but would not be felt by the partner during intercourse," Espey explained.

IUDs, or intrauterine devices, are implanted in the uterus, where they release small amounts of either copper or the hormone progestin to prevent pregnancy. Espey said the copper IUD might be preferable for women who are victims of abuse because they do not usually keep a woman from menstruating, and some abusers monitor their partner's periods.

Espey said the takeaway for women is that they have the right to decide whether and when to have children, and what to do about an unplanned pregnancy.

"Most women involve their partners in these decisions, but in some circumstances, it is unsafe to do so," Espey said. "If a woman feels that she is experiencing reproductive coercion, there is help."

More information

Learn more about preventing partner abuse from the National Coalition Against Domestic Violence.

SOURCES: Eve Espey, M.D., chairwoman, American College of Obstetricians and Gynecologists Committee on Health Care for Underserved Women; Rita Smith, executive director, National Coalition Against Domestic Violence, Denver; Rebecca Levenson, senior policy analyst, Futures Without Violence, San Francisco; February 2013 Obstetrics & Gynecology

Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Panel recommends changing name of common disorder in women
2. US Drug Watchdog Now Urges Transvaginal Mesh Product Failure Victims Who Have Had A Unsuccessful Revision Surgery To Call Them For The Names Of The Best Women Attorneys
3. US Drug Watchdog Now Urges Transvaginal Mesh Product Failure Victims Who Have Been Ignored By Their Doctor To Call Them For The Names Of The Best Possible Women Lawyers
4. Task Force Urges Routine Screening of Women for Domestic Violence
5. Celebrity MD Dr. S. Mark McKenna Launches Sleek New Weight Loss App for Women –
6. "I feel like a woman again." -- Ruth Swissa Has Created a Product that Temporarily and Permanently Restores Women's Sense of Self
7. Some Women Who Dont Need Deodorant Use It Anyway
8. Being Boss at Home May Undermine Womens Ambition at Work: Study
9. US Drug Watchdog Now Urges All Victims Of The Transvaginal Mesh Product Failure To Call Them For The Names Of Top Attorneys-Who Are All Women-Don't Get Ignored Any Longer
10. Dr. Jonathan Zaidan MD and Debbie Henry NP-C Collaborate to Provide Pelvic Pain Management at Women’s Excellence in Endometriosis near Rochester, MI
11. How are middle-aged women affected by burnout?
Post Your Comments:
Related Image:
Many Women Victims of 'Contraceptive Sabotage,' Experts Say
(Date:11/26/2015)... ... 26, 2015 , ... Patients at Serenity Point Recovery, a ... on Thanksgiving Day to share the things that they are most grateful for ... YouTube channel, patients displayed what they wrote on index cards, describing the things ...
(Date:11/26/2015)... ... November 26, 2015 , ... CognisantMD and Cambridge Memorial ... in the Waterloo region. Using the Ocean Platform, family physicians can now order ... electronic medical record (EMR) without the need for redundant patient entry or an ...
(Date:11/26/2015)... ... November 26, 2015 , ... The Catalent Applied Drug ... need to integrate dose form selection in early phase drug development. The first ... supporting and bringing together the UK’s emerging life sciences companies, corporate partners, and ...
(Date:11/26/2015)... ... ... PRMA Plastic Surgery is updating their record books yet again with an ... breast reconstruction surgery! , “What an accomplishment for the PRMA team, says Dr. ... an honor to have served all of these women.” , PRMA is one of ...
(Date:11/26/2015)... ... November 26, 2015 , ... ... retro-fused, self-animating trailer titles with ProTrailer: Vintage. This newly styled ProTrailer pack comes ... titles work with any font, giving users limitless opportunities to stylize and create ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... PUNE, India , November 26, ... --> --> ... Research Report" and "Investigation Report on ... 2019 and 2021 forecasts data and ... library. . ...
(Date:11/26/2015)... , November 26, 2015 ... the addition of the  "2016 Future ... European Cell Surface Marker Testing Market: ...  report to their offering.  --> ... addition of the  "2016 Future Horizons ...
(Date:11/25/2015)... -- The American Academy of Pediatrics (AAP), American Congress ... of Dimes cheered today,s signature into law of ... 2015 (S.799), which takes much-needed strides to ... drugs, such as opioids, and to improve their ... have worked together leading advocacy efforts for its ...
Breaking Medicine Technology: