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Published in: BMC Pregnancy and Childbirth 1/2014

Open Access 01-12-2014 | Research article

Struggling to survive for the sake of the unborn baby: a grounded theory model of exposure to intimate partner violence during pregnancy

Authors: Hafrún Finnbogadóttir, Anna-Karin Dykes, Christine Wann-Hansson

Published in: BMC Pregnancy and Childbirth | Issue 1/2014

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Abstract

Background

Intimate partner violence (IPV) during pregnancy is a serious matter which threatens maternal and fetal health. The aim of this study was to develop a grounded theoretical model of women’s experience of IPV during pregnancy and how they handle their situation.

Method

Ten interviews with women who had experience of being exposed to IPV during pregnancy were analyzed using the grounded theory approach.

Results

The core category ‘Struggling to survive for the sake of the unborn baby’ emerged as the main concern of women who are exposed to IPV during pregnancy. The core category also demonstrates how the survivors handle their situation. Also, three sub-core categories emerged, ‘Trapped in the situation’ demonstrates how the pregnant women feel when trapped in the relationship and cannot find their way out. ‘Exposed to mastery’ demonstrates the destructive togetherness whereby the perpetrator’s behavior jeopardizes the safety of the woman and the unborn child. ‘Degradation process’ demonstrates the survivor’s experience of gradual degradation as a result of the relationship with the perpetrator. All are properties of the core category and part of the theoretical model.

Conclusion

The theoretical model “Struggling to survive for the sake of the unborn baby” highlights survival as the pregnant women’s main concern and explains their strategies for dealing with experiences of violence during pregnancy. The findings may provide a deeper understanding of this complex matter for midwives and other health care providers. Further, the theoretical model can provide a basis for the development and implementation of prevention and intervention programs that meet the individual woman’s needs.
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Literature
2.
go back to reference Engnes K, Liden E, Lundgren I: Experiences of being exposed to intimate partner violence during pregnancy. Int J Qual Stud Health Well-being. 2012, 7: 10-3402/qhw.v7i0.11199. Epub 2012 Mar 15CrossRefPubMedCentral Engnes K, Liden E, Lundgren I: Experiences of being exposed to intimate partner violence during pregnancy. Int J Qual Stud Health Well-being. 2012, 7: 10-3402/qhw.v7i0.11199. Epub 2012 Mar 15CrossRefPubMedCentral
3.
go back to reference Edin KE, Dahlgren L, Lalos A, Hogberg U: “Keeping up a front”: narratives about intimate partner violence, pregnancy, and antenatal care. Violence Against Women. 2010, 16 (2): 189-206.CrossRefPubMed Edin KE, Dahlgren L, Lalos A, Hogberg U: “Keeping up a front”: narratives about intimate partner violence, pregnancy, and antenatal care. Violence Against Women. 2010, 16 (2): 189-206.CrossRefPubMed
4.
go back to reference Brown SJ, McDonald EA, Krastev AH: Fear of an intimate partner and women’s health in early pregnancy: findings from the Maternal Health Study. Birth. 2008, 35 (4): 293-302.CrossRefPubMed Brown SJ, McDonald EA, Krastev AH: Fear of an intimate partner and women’s health in early pregnancy: findings from the Maternal Health Study. Birth. 2008, 35 (4): 293-302.CrossRefPubMed
5.
go back to reference Janssen PA, Holt VL, Sugg NK, Emanuel I, Critchlow CM, Henderson AD: Intimate partner violence and adverse pregnancy outcomes: a population-based study. Am J Obstet Gynecol. 2003, 188 (5): 1341-1347.CrossRefPubMed Janssen PA, Holt VL, Sugg NK, Emanuel I, Critchlow CM, Henderson AD: Intimate partner violence and adverse pregnancy outcomes: a population-based study. Am J Obstet Gynecol. 2003, 188 (5): 1341-1347.CrossRefPubMed
6.
go back to reference Jasinski JL: Pregnancy and domestic violence: a review of the literature. Trauma Violence Abuse. 2004, 5 (1): 47-64.CrossRefPubMed Jasinski JL: Pregnancy and domestic violence: a review of the literature. Trauma Violence Abuse. 2004, 5 (1): 47-64.CrossRefPubMed
7.
go back to reference Boy A, Salihu HM: Intimate partner violence and birth outcomes: a systematic review. Int J Fertil Womens Med. 2004, 49 (4): 159-164.PubMed Boy A, Salihu HM: Intimate partner violence and birth outcomes: a systematic review. Int J Fertil Womens Med. 2004, 49 (4): 159-164.PubMed
8.
go back to reference Sharps PW, Laughon K, Giangrande SK: Intimate partner violence and the childbearing year: maternal and infant health consequences. Trauma Violence Abuse. 2007, 8 (2): 105-116.CrossRefPubMed Sharps PW, Laughon K, Giangrande SK: Intimate partner violence and the childbearing year: maternal and infant health consequences. Trauma Violence Abuse. 2007, 8 (2): 105-116.CrossRefPubMed
9.
go back to reference Shoffner DH: We don’t like to think about it: intimate partner violence during pregnancy and postpartum. J Perinat Neonatal Nurs. 2008, 22 (1): 39-48.CrossRefPubMed Shoffner DH: We don’t like to think about it: intimate partner violence during pregnancy and postpartum. J Perinat Neonatal Nurs. 2008, 22 (1): 39-48.CrossRefPubMed
10.
go back to reference Chambliss LR: Intimate partner violence and its implication for pregnancy. Clin Obstet Gynecol. 2008, 51 (2): 385-397.CrossRefPubMed Chambliss LR: Intimate partner violence and its implication for pregnancy. Clin Obstet Gynecol. 2008, 51 (2): 385-397.CrossRefPubMed
11.
go back to reference Garcia-Moreno C, Jansen H, Ellsberg M, Heise L, Watts C: WHO Multi-Country study on women’s health and domestic violence against women. 2005, Geneva: World Health Organization Garcia-Moreno C, Jansen H, Ellsberg M, Heise L, Watts C: WHO Multi-Country study on women’s health and domestic violence against women. 2005, Geneva: World Health Organization
12.
go back to reference Hedin LW, Grimstad H, Moller A, Schei B, Janson PO: Prevalence of physical and sexual abuse before and during pregnancy among Swedish couples. Acta Obstet Gynecol Scand. 1999, 78 (4): 310-315.CrossRefPubMed Hedin LW, Grimstad H, Moller A, Schei B, Janson PO: Prevalence of physical and sexual abuse before and during pregnancy among Swedish couples. Acta Obstet Gynecol Scand. 1999, 78 (4): 310-315.CrossRefPubMed
13.
go back to reference Stenson K, Heimer G, Lundh C, Nordstrom ML, Saarinen H, Wenker A: The prevalence of violence investigated in a pregnant population in Sweden. J Psychosom Obstet Gynaecol. 2001, 22 (4): 189-197.CrossRefPubMed Stenson K, Heimer G, Lundh C, Nordstrom ML, Saarinen H, Wenker A: The prevalence of violence investigated in a pregnant population in Sweden. J Psychosom Obstet Gynaecol. 2001, 22 (4): 189-197.CrossRefPubMed
14.
go back to reference Lundgren E, Heimer G, Westerstrand J, Kalliokoski AM: Captured Queen Men’s violence against women in “equal” Sweden - a prevalence study. 2002, Åström tryckeri AB: Anonymous Umeå, 57-66. 1 Lundgren E, Heimer G, Westerstrand J, Kalliokoski AM: Captured Queen Men’s violence against women in “equal” Sweden - a prevalence study. 2002, Åström tryckeri AB: Anonymous Umeå, 57-66. 1
16.
go back to reference Yost NP, Bloom SL, McIntire DD, Leveno KJ: A prospective observational study of domestic violence during pregnancy. Obstet Gynecol. 2005, 106 (1): 61-65.CrossRefPubMed Yost NP, Bloom SL, McIntire DD, Leveno KJ: A prospective observational study of domestic violence during pregnancy. Obstet Gynecol. 2005, 106 (1): 61-65.CrossRefPubMed
17.
go back to reference Garcia-Moreno C, Heise L, Jansen HA, Ellsberg M, Watts C: Public health. Violence against women. Science. 2005, 310 (5752): 1282-1283.CrossRefPubMed Garcia-Moreno C, Heise L, Jansen HA, Ellsberg M, Watts C: Public health. Violence against women. Science. 2005, 310 (5752): 1282-1283.CrossRefPubMed
18.
go back to reference Finnbogadottir H, Dykes AK: Midwives’ awareness and experiences regarding domestic violence among pregnant women in southern Sweden. Midwifery. 2012, 28 (2): 181-189.CrossRefPubMed Finnbogadottir H, Dykes AK: Midwives’ awareness and experiences regarding domestic violence among pregnant women in southern Sweden. Midwifery. 2012, 28 (2): 181-189.CrossRefPubMed
19.
go back to reference Taft A, O’Doherty L, Hegarty K, Ramsay J, Davidson L, Feder G: Screening women for intimate partner violence in healthcare settings. Cochrane Database Syst Rev. 2013, 4: CD007007-PubMed Taft A, O’Doherty L, Hegarty K, Ramsay J, Davidson L, Feder G: Screening women for intimate partner violence in healthcare settings. Cochrane Database Syst Rev. 2013, 4: CD007007-PubMed
20.
go back to reference Jahanfar S, Janssen PA, Howard LM, Dowswell T: Interventions for preventing or reducing domestic violence against pregnant women. Cochrane Database Syst Rev. 2013, 2: CD009414-PubMed Jahanfar S, Janssen PA, Howard LM, Dowswell T: Interventions for preventing or reducing domestic violence against pregnant women. Cochrane Database Syst Rev. 2013, 2: CD009414-PubMed
21.
go back to reference Glaser BG: Att göra grundad teori: problem, frågor och diskussion (In English: Doing grounded theory: issues and discussions). 2010, Mill Valley Calif: Växjö: Sociology Press; Thuleducare distributör Glaser BG: Att göra grundad teori: problem, frågor och diskussion (In English: Doing grounded theory: issues and discussions). 2010, Mill Valley Calif: Växjö: Sociology Press; Thuleducare distributör
22.
go back to reference Glaser BG: Theoretical sensitivity: advances in the methodology of grounded theory. 1978, Mill Valley, Calif: Sociology Press Glaser BG: Theoretical sensitivity: advances in the methodology of grounded theory. 1978, Mill Valley, Calif: Sociology Press
24.
go back to reference World Health Organization: Putting women first: Ethical and safety recommendations for research on domestic violence against women. 2001, Geneva, Switzerland: WHO/FCH/GWH/01.1 World Health Organization: Putting women first: Ethical and safety recommendations for research on domestic violence against women. 2001, Geneva, Switzerland: WHO/FCH/GWH/01.1
25.
go back to reference Kramer A: Stages of change: surviving intimate partner violence during and after pregnancy. J Perinat Neonatal Nurs. 2007, 21 (4): 285-295. quiz 296–7CrossRefPubMed Kramer A: Stages of change: surviving intimate partner violence during and after pregnancy. J Perinat Neonatal Nurs. 2007, 21 (4): 285-295. quiz 296–7CrossRefPubMed
26.
go back to reference Lutz KF: Living two lives: a grounded theory of abuse during pregnancy. Commun Nurs Res. 2004, 37: 101-103–9PubMed Lutz KF: Living two lives: a grounded theory of abuse during pregnancy. Commun Nurs Res. 2004, 37: 101-103–9PubMed
27.
go back to reference Lutz KF, Curry MA, Robrecht LC, Libbus MK, Bullock L: Double binding, abusive intimate partner relationships, and pregnancy. Can J Nurs Res. 2006, 38 (4): 118-134.PubMed Lutz KF, Curry MA, Robrecht LC, Libbus MK, Bullock L: Double binding, abusive intimate partner relationships, and pregnancy. Can J Nurs Res. 2006, 38 (4): 118-134.PubMed
28.
go back to reference Landenburger K: A process of entrapment in and recovery from an abusive relationship. Issues Ment Health Nurs. 1989, 10 (3–4): 209-227.CrossRefPubMed Landenburger K: A process of entrapment in and recovery from an abusive relationship. Issues Ment Health Nurs. 1989, 10 (3–4): 209-227.CrossRefPubMed
29.
go back to reference Landenburger KM: Exploration of women’s identity: clinical approaches with abused women. AWHONNS Clin Issues Perinat Womens Health Nurs. 1993, 4 (3): 378-384.PubMed Landenburger KM: Exploration of women’s identity: clinical approaches with abused women. AWHONNS Clin Issues Perinat Womens Health Nurs. 1993, 4 (3): 378-384.PubMed
30.
go back to reference Libbus MK, Bullock LF, Nelson T, Robrecht L, Curry MA, Bloom T: Abuse during pregnancy: current theory and new contextual understandings. Issues Ment Health Nurs. 2006, 27 (9): 927-938.CrossRefPubMed Libbus MK, Bullock LF, Nelson T, Robrecht L, Curry MA, Bloom T: Abuse during pregnancy: current theory and new contextual understandings. Issues Ment Health Nurs. 2006, 27 (9): 927-938.CrossRefPubMed
31.
go back to reference McCosker H, Barnard A, Gerber R: Phenomenographic study of women’s experiences of domestic violence during the childbearing years. Online J Issues Nurs. 2004, 9 (1): 12-PubMed McCosker H, Barnard A, Gerber R: Phenomenographic study of women’s experiences of domestic violence during the childbearing years. Online J Issues Nurs. 2004, 9 (1): 12-PubMed
32.
go back to reference Bergum V, Dossetor J: Relational Ethics; The Full Meaning of Respect. 2005, Hagerstown: University Publishing Group, 1 Bergum V, Dossetor J: Relational Ethics; The Full Meaning of Respect. 2005, Hagerstown: University Publishing Group, 1
33.
go back to reference Miller WR: Motiverande samtal: att hjälpa människor till förändring (In Swedish: Motivational interviewing). 2013, Natur & kultur: Stockholm, 4 Miller WR: Motiverande samtal: att hjälpa människor till förändring (In Swedish: Motivational interviewing). 2013, Natur & kultur: Stockholm, 4
34.
go back to reference Campbell JC, Campbell DW: Cultural competence in the care of abused women. J Nurse Midwifery. 1996, 41 (6): 457-462.CrossRefPubMed Campbell JC, Campbell DW: Cultural competence in the care of abused women. J Nurse Midwifery. 1996, 41 (6): 457-462.CrossRefPubMed
Metadata
Title
Struggling to survive for the sake of the unborn baby: a grounded theory model of exposure to intimate partner violence during pregnancy
Authors
Hafrún Finnbogadóttir
Anna-Karin Dykes
Christine Wann-Hansson
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2014
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/1471-2393-14-293

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