{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T16:19:02Z","timestamp":1759421942311,"version":"3.44.0"},"reference-count":28,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2014,4,22]]},"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To measure the prevalence of domestic violence (DV) experienced by women seeking termination of pregnancy (TOP) in a UK abortion clinic.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A cross-sectional anonymous questionnaire survey of all women aged over 16\u2005years accessing a TOP clinic in inner London between 20 May 2012 and 2 July 2012. The main outcome measures were: distribution of questionnaires, response rate, lifetime prevalence of abuse, past-year prevalence of physical and sexual abuse, prevalence of physical abuse during current pregnancy, relationship of lifetime abuse to number of terminations, and receptivity to DV services.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Questionnaires were distributed to 46% (383\/828) of women accessing the clinic. Response rate was 50% (190\/383). Lifetime prevalence of abuse was 16%. Past-year prevalence of physical abuse was 11% and sexual abuse was 4%. Prevalence of physical abuse during the current pregnancy was 4%. Prevalence of lifetime abuse was lower in women having a first termination (12%) versus one (20%) or two or more previous terminations (24%), although this was not statistically significant (<jats:italic>p<\/jats:italic>=0.192). The majority (75%) of participants expressing an opinion on the possibility of having a support service for DV in the abortion clinic setting were positive, unrelated to their personal experience, but some concerns were raised about implementation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>In order to provide effective support for women, services require a needs assessment of their local population. Asking women presenting for abortion about DV, even anonymously, is challenging but feasible. Future work should be directed to women's unmet safety needs.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jfprhc-2013-100843","type":"journal-article","created":{"date-parts":[[2014,5,21]],"date-time":"2014-05-21T00:08:56Z","timestamp":1400630936000},"page":"128-133","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Domestic violence in a UK abortion clinic: anonymous cross-sectional prevalence survey"],"prefix":"10.1136","volume":"41","author":[{"given":"Silvia","family":"Motta","sequence":"first","affiliation":[{"name":"Midwife, Community Midwifery, Guy's and St Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loveday","family":"Penn-Kekana","sequence":"additional","affiliation":[{"name":"Research Fellow, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Bewley","sequence":"additional","affiliation":[{"name":"Professor of Complex Obstetrics, Women's Health Academic Centre, King's College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,5,20]]},"reference":[{"key":"2025090510275788000_41.2.128.1","unstructured":"Home Office. 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The Confidential Enquiry Into Maternal and Child Health (CEMACH). Saving Mothers\u2019 Lives: Reviewing Maternal Deaths to Make Motherhood Safer \u2013 2003\u20132005. The Seventh Report on Confidential Enquiries into Maternal Deaths in the United Kingdom. London, UK: CEMACH, 2007."},{"key":"2025090510275788000_41.2.128.17","unstructured":"Taskforce on the Health Aspects of Violence Against Women and Children. Report from the Domestic Violence Sub-group. Responding to Violence Against Women and Children \u2013 the Role of the NHS. 2010. http:\/\/fflm.ac.uk\/upload\/documents\/1268670156.pdf [accessed 18 March 2014]."},{"key":"2025090510275788000_41.2.128.18","unstructured":"National Institute for Health and Care Excellence. 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