英格兰产妇保健服务中家庭暴力披露数量惊人。根据118个NHS信托中74个提供的数据的三年平均值,英格兰每年约有2万例家庭暴力披露发生在产妇保健服务中1,约占NHS产妇初诊预约的3.3%1。
助产士在识别这些案例中扮演关键角色,却面临巨大压力。皇家助产士学院首席执行官吉尔·沃尔顿指出,"助产士常常是唯一与孕妇有规律且单独接触的专业人士,这使他们独特地能够发现家庭暴力迹象"1。然而,根据Women's Aid外部事务临时负责人维罗妮卡·奥克肖特的表述,助产士需要获得更好的支持和培训,以便了解如何处理这些披露1。
NHS英格兰首席助产官凯特·布林沃思表示,所有NHS产妇和新生儿服务工作人员都接受强制性保障培训,包括如何提出关于虐待的敏感问题的专家培训1。
Approximately 20,000 instances of domestic violence disclosures occur annually within England's maternity health services, according to data drawn from an average across three years provided by 74 of 118 NHS trusts 1. This figure represents 3.3% of all initial maternity appointments across the NHS 1. Midwives, who often serve as the sole healthcare professional with regular private contact with pregnant women, are uniquely positioned to identify signs of abuse, yet they face mounting pressure from heavy workloads, staffing shortages, and insufficient training to adequately respond to and follow up on these disclosures 1.
Gill Walton, chief executive of the Royal College of Midwives, emphasized that "midwives are often the only professional who has regular and private contact with pregnant women, which uniquely enables them to identify signs of domestic abuse" 1. However, support systems remain inadequate. Veronica Oakeshott, interim head of external affairs at Women's Aid, highlighted that midwives require better support and training to understand how to handle these sensitive disclosures 1. The NHS has established mandatory safeguarding training for all maternity and neonatal service staff, according to Kate Brintworth, chief midwifery officer for NHS England, which includes specialized instruction on asking sensitive questions about abuse 1.
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