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WIFE ASSAULT AND THE HEALTH CARE PROFESSION• Almost one-half (45%) of wife assault cases resulted in physical injury to women• The most frequent type of injuries reported were bruises (90%) followed by cuts, scratchesand burns (33%), broken bones (12%) and fractures (11%).• 10% of abused women stated that they suffered internal injuries and miscarriages.• 21% of women abused by a marital partner were assaulted during pregnancy• 40% of the women who reported being abused by their marital partners while they werepregnant stated that the abuse began during their pregnancy• Approximately four in ten women (543,000 women) who were injured by a marital partnersaw a doctor or nurse for medical attention• One in four women who were assaulted by their partners told a doctor about their experienceStatistics from Violence Against Women Survey, Statistics Canada, November 1993. Reportedin "Wife Assault: The Findings of a National Survey", Rodgers, Karen. Juristat Service, Bulletin,Vol 11, No.9. Canadian Centre for Domestic Statistics, March 1994.42
FACTS ON WIFE ABUSE AND PREGNANCY• Women who are abused by their male partner may be abused during their pregnancy (21% ofwomen who were abused reported being physically and/or sexually assaulted duringpregnancy) 1• Pregnancy is a high-risk time for the onset of physical or sexual abuse by a male partner.(40% of women who were assaulted during their pregnancy reported that the assault beganduring their pregnancy.)2• Many women live in a situation in which they must cope with high levels of stress andanxiety brought on by their partner’s continuous emotional abuse. This stress affects theirmental and physical health and therefore may negatively impact their pregnancy.• Approximately one-quarter (25%) of ever married women who were assaulted by theirpartner reported using alcohol or medication to help them cope with the situation. If theabused women using these substances are pregnant, then their health and the future health oftheir children are at risk. 3• An American study found that abused women were more likely to begin prenatal care late intheir pregnancies. (25% of abused adolescent women and 20% of abused adult women in thisstudy did not begin care until the final three months of pregnancy). 4• During pregnancy, assaults become focussed on the woman's breasts, abdomen and genitals.• These assaults can result in placental separation, antepartum hemorrhage, fetal fractures,rupture of the uterus, liver or spleen and preterm babies.• Many abused women are sexually assaulted by their partners. Sexual assault could haveserious health implications for pregnant women, especially when it occurs during thepostpartum period.• Pregnant women who have been abused are at increased risk of having low birth weightinfants (12.5% verses 6.6%).5References:1. The Canadian Centre for Justice Statistics. Juristat Service Bulletin, Wife Assault: The Finding: of aNational Survey, Karen Rodgers. Vol 14. no.9, March 1994. p.12.2. The Canadian Centre for Justice Statistics, Ibid.3. The Canadian Centre for Justice Statistical, p.11, Ibid.4. Parker B, McFarlane J. et al "Physical and Emotional Abuse in Pregnancy: A Comparison of Adultand Teenage Women, Nursing Research. Vol 42, No.3, p 173-177 May/June 1993.5. Cited In, Sampells C, Petersen B, Mullard T and Darley D, Abuse Among Pregnant WomenChoosing Certified Nurse-Midwife or Physician Providers, Journal of Nurse-Midwifery, Vol 37,No.4, July/August 1992, p.270.43
Page 1 and 2: WORKING WITH BATTERED WOMEN:A HANDB
Page 3 and 4: DOMESTIC VIOLENCE AND HEALTH CARE P
Page 7 and 8: Why do men abuse?One side of the dy
Page 9: • Faith: some religious groups ma
Page 13 and 14: Information Means ChoicesBecause le
Page 15 and 16: PRINCIPLES OF INTERVENTION• Domes
Page 17 and 18: MYTH: Women provoke violence.FACT:
Page 19 and 20: Woman Abuse Screening Tool (WAST)1.
Page 21 and 22: What To Do When A Patient Discloses
Page 23 and 24: Difficult SituationsThere are a num
Page 25 and 26: Physical Indicators/Symptoms1. In E
Page 27 and 28: II.ASSESSMENT/EXAMINATION• Perfor
Page 29 and 30: • After the photographs are taken
Page 31 and 32: IV.SAFETY PLANNING/PROTECTIONAssess
Page 33 and 34: FOR YOUR PROTECTION1. Write down im
Page 35 and 36: Obtaining Legal Protection• Initi
Page 37 and 38: BATTERED WOMEN'S SHELTERSBattered w
Page 39 and 40: APPENDIX BABUSE AND THE SASKATCHEWA
Page 41 and 42: G. WHAT SENTENCE WILL HE RECEIVE IF
Page 43: References1. Statistics Canada, The

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