Charmaine Power

The Effects of Domestic Violence on the Formation of Relationships Between Women and Their Babies: “I Was Too Busy Protecting My Baby to Attach”

Until now, research into the effects of domestic violence on the formation of relationships between women and their babies has been from an attachment theory perspective. The research reported in this article takes a different approach. Innovative qualitative research methods are used to uncover knowledge about the formation of such relationships from the lived experiences of sixteen women who have mothered babies while enduring domestic violence. Analysis of the findings in this study identifies domestic violence constitutes an environment of sustained hostility where women respond with maternal protectiveness to maximise their babies’ physical and psychological safety whether or not they had attained a secure relationship. However, women recognize domestic violence constricts space to form close mother/baby relationships. Supported by these findings, this research suggests policy and practice concerned with relationships between women and babies subjected to domestic violence address protectiveness and space to attach. The article concludes with suggestions for further research.

Changing patterns in women seeking terminations of pregnancy: A trend analysis of data from one service provider 1996–2006

Objectives: The purpose of this study was to assess emerging trends in five characteristics: age, first ever pregnancy, contraception at time of conception, contraception choices post‐operatively and referral source of women presenting for a termination of pregnancy (1996–2006) from a southern service in Adelaide, South Australia.

Domestic Violence and the Place of Fear in Mother/Baby Relationships: “What Was I Afraid Of ? Of Making It Worse.”

It should come as no surprise that when women who have raised babies in domestic violence come together to discuss the formation of relationships with their babies they raise issues of fear. Yet in current attachment studies about the formation of relationships between women and their babies, knowledge of fear based in lived experiences is undervalued. This article draws on a qualitative study of such experiences to explore ways in which fear impacted on 16 women and their babies. From this study it is discerned that fear impacts in diverse ways on women, babies, and their relationships with each other. Women’s experiences show that fear is a complex emotion that cannot be understood outside of context, relations, and subjectivity. Furthermore, fear can be the motivation for protection, whereby actions by women are in the interests of safety of their babies. These insights look beyond attachment theory to the manifestations of and responses to fear identified by women who have raised babies while enduring domestic violence.

A systematic review of trend studies of women seeking termination of pregnancy

AIMS AND OBJECTIVES This article reports a systematic review of trend studies (1995-2006) which answers five questions: What are the patterns of: 1 Age of women seeking termination of pregnancy; 2 First ever pregnancy ending in a termination; 3 Contraception usage at the time of conception; 4 Contraception chosen immediately postoperatively; and 5 Referral sources to termination of pregnancy services. BACKGROUND Fertility patterns are changing and there is evidence to indicate that the numbers of older women conceiving for the first time are increasing. At the same time, there are new methods of contraception widely available. Little is known about the implications of these changes on termination patterns. DESIGN An extensive electronic search of databases such as CINAHL, MEDLINE In-Process (OVID) and was conducted from January 1995-June 2006 for trend studies in pregnancy terminations. METHODS Articles chosen were based on trend studies greater than five years, contained primary quantitative research and official government statistical reports. RESULTS Results of the search showed age that was unable to be compared because of the many variations in measurements and time periods, and there was only limited research worldwide of trends in contraception at the time of conception in relation to a termination of pregnancy. Additionally, there were no studies worldwide in the past 11 years, which specifically examined trends in the characteristics of the number of first-ever pregnancies which ended in a termination, contraception choices postoperative to a termination of pregnancy, or referral source to a termination of pregnancy provider. CONCLUSION Little is reported in the literature on trends in the five characteristics related to pregnancy termination. RELEVANCE TO CLINICAL PRACTICE Evidence about the changing patterns of women seeking pregnancy termination is needed to inform policy and practice, and to ensure that health promotion strategies are underpinned by accurate information that reflects the needs of the populations of women in relation to their reproductive health.

Social Work in the Emergency Department—Implementation of a Domestic and Family Violence Screening Program

Abstract Women who have experienced domestic and family violence use health services more frequently than women who have not. Early identification and intervention by the health system may reduce health problems associated with domestic and family violence and lead to savings for the health sector. This study aimed to evaluate the impact of a new domestic and family violence screening program, which was based on an ecological model and introduced by a social work team in the Emergency Department of a major metropolitan hospital. The evaluation method included an audit of social work case files to assess the effect on referral rates and a survey of Emergency Department staff to obtain perceptions of the impact of the program on the staff and clients. In the 3-month period following the introduction of the program, the rate of referral to social work increased by 213%. Staff agreed that the Emergency Department is an appropriate place to ask about domestic and family violence, under certain conditions. Findings suggest that an ecological social work model provides an approach to screening for domestic and family violence that not only contributes to increased identification and supportive client interventions but may also contribute to more sustainable systemic change.

Family Law as a determinant of child health and welfare: Shared parenting, breastfeeding and the best interests of the child

Abstract Breastfeeding is the optimal nutrition for infants and requires the infant and mother to spend significant time together. In July 2006 the Australian Government introduced the Family Law Amendment (Shared Parental Responsibility) Act 2006 (Cth) (the Shared Parental Responsibility Act 2006) which puts in place a legal presumption of shared parental responsibility for children after separation and which emphasises ‘equal time’ parenting arrangements. The expectation of ‘equal time’ or substantial and significant parenting arrangements becomes problematic when considering breastfed children. Decisions about parenting of children under the Family Law Act 1975 (Cth) are required to be made with the ‘best interests of the child’ as the paramount consideration; a central tenet of the Act which remains in place following the Shared Parental Responsibility Act 2006. There appears to be a tension in determining the best interests of the child in cases where children are breastfed and their father is seeking equal or substantial shared care arrangements. This article begins a discussion about the decisions regarding ‘shared parenting’ of breastfed children that do not always appear to be in the best interests of children’s health and well-being. Two cases from an on-going study to investigate breastfeeding women’s experiences of the implementation of the Act will be used to illustrate that the court made decisions for breastfeeding mothers are not consistent and compromise the ability of women to continue breast feeding. The paper argues that the Shared Parental Responsibility Act 2006, and the decisions made, can work at a macro-level to produce social and health disparities for these children. Further questions are raised about the best interests of children when domestic violence and/or abuse are present. The impact of this new law on the continued breastfeeding of very young children is an unacknowledged consequence and a public health concern.

Rhetoric to practice: the challenge of collaboration of academe and industry.

Community health nursing is a complex practice that encompasses nurses working in many diverse settings. This article discusses the development of a project which focused on better preparation of students for potential employment in community settings. The formation of the working team and the development of the curriculum is outlined. A focus is given to the linking of primary health care principles in the teaching and facilitation of students within hospital and community settings. Comprehensive conclusions cannot be made yet from the projects preliminary findings. However, the process of collaboration has demonstrated several issues. These will have an impact on everyone who has been part of this project, and the issues are discussed in this article. The article provides an overview of the first year of collaboration of a 4-year project.

Termination of pregnancy and the over 30s: what are trends in contraception use 1996–2006?

There is a shift in fertility patterns with more women commencing childbearing over 30 years of age. Little is known about trends in contraception use by women in this age group seeking a termination of pregnancy. This research presents a trend analysis to determine if there were significant changes in trends in contraception use pre- and post-termination of pregnancy for women over 30 years of age from 1996 to 2006 in South Australia. Data were collected from 1996 to 2006 from a service in South Australia. Data were examined using simple linear regression. At the time of conception, 53% of women reported using some form of contraception. Additionally, there was a significant decline in women using natural family planning methods at conception. Post-operatively, there was a significant decline in hormone methods being chosen, and a significant increase in women not using any contraception. Women over 30 years of age used contraception at the time of conception pre- and post-operatively of having a pregnancy terminated over the 10 year period of the study. Health promotion activities need to be further developed to cater for this age group and to take into consideration changing fertility patterns.