Ob-gyns sound alarm on "contraceptive sabotage"



NEW YORK |
Wed Jan 23, 2013 4:59pm EST

NEW YORK (Reuters Health) – Doctors should ask teen girls and women either their partners are perplexing to force them to get profound or differently “reproductively coercing” them, according to a organisation of ob-gyns.

That could embody pressuring women to have sex – presumably but a condom or other birth control, forcing them to continue (or end) a pregnancy or intentionally exposing them to intimately transmitted infections, according to The American College of Obstetricians and Gynecologists (ACOG).

“What we’re articulate about is specific to women and girls’ ability to contracept, to control their reproductive health,” pronounced Jay Silverman, who studies assault opposite women during a University of California, San Diego School of Medicine.

“What we’ve found is that many masculine partners are some-more actively concerned than we would have suspicion in unequivocally restraint women and girls’ ability to do that, as a form of control that’s partial of a incomparable design of assault opposite women and girls,” combined Silverman, who wasn’t partial of a ACOG committee.

One investigate of a National Domestic Violence Hotline found a fourth of callers had gifted reproductive coercion.

“All a opposite forms of assault and duress of women and girls from masculine partners are formed in a desert to control their lives, physically and otherwise,” Silverman said. “They also feel entitled to confirm either she’s going to get profound or not.”

The Centers for Disease Control and Prevention reports tighten to 3 in 10 U.S. women have gifted rape, stalking or earthy assault by a partner. Other studies advise as many as half of women will knowledge psychological charge from an insinuate partner during some indicate in their lives.

OFFERING ‘SAFE SPACE’

Earlier this month, a government-backed U.S. Preventive Services Task Force called on doctors to shade women of childbearing age for domestic assault and impute those who need it to involvement services.

“I consider this is a really common problem – it’s intensely underreported,” pronounced Dr. Eduardo Lara-Torre, a member of a ACOG cabinet from a Virginia Tech Carilion School of Medicine, of reproductive coercion.

In cases of reproductive duress or “contraceptive sabotage,” a ob-gyn organisation pronounced doctors can assistance women obtain protected and concealable birth control, such as puncture preventive pills finished in plain envelopes or intrauterine inclination with embellished strings.

Doctors can also give women reserve cards, hotline numbers and referrals to domestic assault services, according to a cabinet opinion published in Obstetrics Gynecology.

“For this sold scenario, (doctors need to) be means to offer them a protected space to plead it, series one… as good as offer them alternatives and strategies so they don’t get sabotaged,” Lara-Torre told Reuters Health

In addition, he said, doctors should “offer them assistance and assistance, including shelters, for whatever else they competence need.”

Silverman concluded that doctors and other hospital staff should ask women and girls about reproductive coercion, generally when they come to a bureau for contraception.

“It is impossibly critical that these are issues that are asked about, since if we don’t know a context in that a lady is attempting to contracept, afterwards we are not mostly giving her a collection to be effective to do that,” he told Reuters Health.

“It might be that she needs a long-acting control process that her partner has no control over and might not be means to detect.”

SOURCE: bit.ly/s3TyE Obstetrics Gynecology, online Jan 23, 2013.

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