Tuesday, January 15, 2008

Pregnancy and Domestic Violence

When I was pregnant, I went to the doctor approximately 2,000 times. OK, not that often, but I went a lot. Blood tests, ultrasounds, check ups. The staff asked me how I was feeling. They asked about my mood, if I felt movement, what I was eating and how much. I was screened for genetic diseases and one day when my blood pressure was a tad high, they sent me to L&D for monitoring. Those things are all important, because depression, malnutrition, pre-eclampsia and gestational diabetes can all be harmful to baby and mother.

But the one thing I was never asked about was my relationship with my husband, and since the leading cause of death among pregnant women is homicide, shouldn't questions about domestic violence be a part of prenatal care?

I went to the doctor yesterday and took my laptop along in case there was a long wait. Instead of catching up on emails and blogging though, I spent my time in the waiting area watching the news piece about the manhunt for Marine Cpl. Cesar Laurean, who is the prime suspect in the murder of 20-year-old Maria Lauterbach, another Marine who was, you guessed it, pregnant.

Most people have heard of Laci Peterson, whose husband was convicted of killing her and their unborn son in 2002, or Jessie Davis, the 9-months-pregnant Ohio woman whose boyfriend is awaiting trial for her 2007 murder. But how many more victims never make it on the news?

As I sat there in the doctor's office, I felt incredibly sad for Lauterbach's family. But there's something else. I'm angry. Hopping mad, furious, so angry I could spit.

Consider these statistics on domestic violence from a battered woman's shelter in Connecticut:

  • Nearly 1/3 of American women report being abused by a boyfriend or husband at some point in their lives.
  • Forty percent of teenage girls age 14 to 17 report knowing someone who has been battered by their boyfriend.
  • 60% of battered women are beaten while they are pregnant.
  • Up to 50% of homeless women and children are fleeing domestic violence.
  • 70% of men who abuse their female partners also abuse their children.
  • Family violence costs the nation 5-10 billion dollars annually in medical expenses.

When I was in high school, there was a girl in the band who frequently came to class with bruises on her face. I heard through the grapevine that she was in an abusive relationship. She came to school less and less until she finally stopped coming altogether. To this day, I am consumed with guilt that I didn't do something, asked if I could help, gone to a teacher, anything. And I pray that she somehow found the strength to get away and that she is okay.

I keep thinking about all these women, dead at the hands of someone they thought they could trust, and I wonder, "What if that was my daughter?" Who is looking out for our girls? Why is this senseless violence allowed to continue? What can I do to make a difference?

For starters, I'll be contacting my legislators, urging them to create better laws to protect women at risk, and stiffer penalties for men who abuse their partners and children. And I would love suggestions from anyone who can point me in the right direction to help. Because I don't want my daughter to be a victim, and I don't want anyone else's daughter to be either.

13 comments:

Anonymous said...

I used different practices for my pregnancies and it was always asked. Also they had posters up on the bulletin boards and in the bathrooms with toll free numbers to call. Information on domestic violence was regularly in the paperwork I received. It already IS part of good prenatal care. I think your doctor office is to blame, not the legislators.

Anonymous said...

Anon, I had the same experience. I was asked often (by nurses and the doctor) and there were posters in each exam room as well as the bathroom. Also pamphlets.

I think this blogger's doctor's office dropped the ball.

MommyK said...

It doesn't count, anon, if comments come from the same IP address.

Regardless of whether or not my personal doctor's office provided counseling for domestic violence, it's clear that enough isn't being done to prevent it in the first place. Otherwise there wouldn't be so many dead pregnant women to blog about.

Jen said...

Over the course of my 5 pregnancies, I've seen 2 different OB's and 2 midwives. Only one ever asked about this, but there were posters, etc in the bathroom.

My best friend was killed at the hands of her husband in 2005. Her stepfather says part of the reason she didn't come forward to get help from friends, family, and police until it has escalated out of control was because of the tremendous shame she felt for being victimized in this way.

I hope your friend from HS is OK.

Jane said...

My dad was a probation officer and he said the numbers were startling on not only the number of women who go back to spouses who abused them but also the number who were later killed by them. Amazing that women don't have the self esteem (and support) to move on.

Regarding pregnancy- my doctor is awesome. With both pregnancies and my check-ups, she's made a point to have my husband out of the room and to discuss our relationship. They also have domestic abuse posters and hotline numbers posted in the restroom in the office (which is for women only). Maybe as a practice (with both doctors women), they're more sensitive to this? Regardless, I think it's awesome.

Betina said...

15 years ago, I thought I had married my soulmate. Then I became pregnant and he became jealous and controlling. He made me quit my job, took away my credit cards and cash, limited the time I spent with my family, and accompanied me to all my doctor appointments. While there was a poster on the wall about abuse, the doctor never brought the subject up, and never asked my husband to leave the room.

I had no money, no place to go, and no idea about what to do, so it took another five years before I finally left him, and even then, he continued to harrass me. He followed me everywhere, waited outside my daughter's school, painted grafitti on my car. I can tell you that a restraining order isn't worth the paper it is written on.

Every time I hear another story about a Laci Peterson or a Jessie Davis, I thank the Lord that I got away before he killed me.

Thank you for this post, for pointing out the gaps in the system and the lack of continuity among the law to help and prevent domestic violence. You can help by keeping a close eye on all your friends and family. All I needed to get away was someone to confide in when they asked.

Terina said...

there was a story (that i will get you the link to) about a man who gunned down his wife (she did have a restraining order on him) in front of their church. i have been kind of following the news stories online about the marine. partly my interest comes from being military. the other part is that i'm horrified that men do this. i don't remember about my doctors office when i had my first, and my second was in germany, and there just aren't the same hotlines that they have in the states. now, off to find that link for you...

Terina said...

http://www.deseretnews.com/article/1,5143,695243705,00.html

there is the link to the story i was talking about. she wasn't pregnant, but they did have children together...

kenady said...

Thanks for bringing this to all of your readers' attention. Often times I go about my business and never really stop to think what can I do to make a difference for someone who has gone through an abusive relationship, etc. I never paid attention at the doctor's office, but will the next time I go. And because people just go on about their business is probably one of the main reasons this type of behavior continues and these tragedies we see on the news continue to occur. I guess those of us who are fortunate enough to be here and to be alive should stop going about our business and do something. We have a safe house here in Charleston that harbors battered women and their children as they get back on their feet; it is always looking for donations. There's no better time than the present to get involved. Thanks again, Mommy K, for posting about this.

Erin said...

My doctor's office also screened for domestic violence when I was pregnant but I think the bigger downfall is the system itself. Its well known that restraining orders and other such tools are basically useless in the face of a man (or woman for that matter) who truely is on a mission to hurt someone. You're so right that something needs to be done to close the loop holes and make it easier for women to get the help they need without feeling shamed because they have to ask for it or being afraid that it will only make their partner even angrier and make the entire situation worse.

Anonymous said...

The first two comments were not made by the same person. This is off topic, but there are dozens of ways to change an IP address, you can even download simple programs online to do so. Those #'s mean nothing.

Back to the topic, I'm glad to read most other doctors also screen for domestic violence. Many are trained in ways to notice non-verbal cues as well, which is important. I think if there is no mention of it at an office, you as a patient should absolutely bring it up to the staff, it is an important issue that should not be ignored. And I agree with Jane, unfortunately sometimes it boils down to the woman's self-esteem... which is very sad.

Seren said...

How do YOU know that the first two comments weren't made by the same person?

Kiki said...

I'll post about this on mine, the story is too long for the comment area.
Great post thanks for bringing it up!