"The issue is you have got a busy family practice, and doctors screen these women and women get emotional and then you don't have anything to offer them," he said. There could also be a big risk that a woman's abuse gets worse because her boyfriend or husband finds resources that the doctor gave her, such as numbers to call for support, and beats her, Zolotor explained.
However, "there is a really important new piece of evidence that screening works that is one of the most important questions for moving the needle on screening," Zolotor noted.
This evidence comes from six studies included in the review that evaluated the effect of interventions to help women who screen positive for domestic violence.
One study in particular screened more than 1,000 pregnant black women in the D.C. area during their prenatal care visits. It gave half of the women experiencing abuse counseling sessions before and after they gave birth.
The study found that women who received therapy had less domestic violence during and after pregnancy and also gave birth to healthier babies.
"I think the ultimate recommendation from the task force ought to be something like we should screen and/but we need to develop adequate resources to refer women to for interventions," Zolotor said.
The studies of interventions in the review offered structured help, such as sessions with a therapist or home visits, but not all areas have these resources. "In my area, I might be able to give you a telephone number to call for help when you are having problems," Zolotor said.
However, every state has a domestic violence coalition and programs with domestic violence advocates who can help women with a number of issues, such as planning safe ways to get out of an abusive situation, getting child care and finding a job, said Fern Gilkerson, a health education specialist with the Pennsylvania Coalition Against Domestic Violence in Harr
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