Coping strategies for domestic violence against pregnant female adolescents: integrative review

Macedo, Cibele Monteiro; Miura, Paula Orchiucci; Barrientos, Dora Mariela Salcedo; Lopes, Gisele Almeida; Egry, Emiko Yoshikawa

doi:10.1590/0034-7167-2017-0682

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Revista Brasileira de Enfermagem

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REVIEW • Rev. Bras. Enferm. 71 (suppl 1) • 2018 • https://doi.org/10.1590/0034-7167-2017-0682 copy

Coping strategies for domestic violence against pregnant female adolescents: integrative review

Estrategias de enfrentamiento de la violencia doméstica contra adolescentes embarazadas: revisión integrativa

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To investigate and analyze in the scientific literature coping strategies for domestic violence against pregnant female adolescents.

Method:

This is an integrative literature review, conducted from July to August 2017 on LILACS, SciELO and PubMed, using the descriptors and the MeSH terms: confrontation, violence, adolescent, pregnant women, prenatal care.

Result:

The sample comprised 9 articles that were organized and characterized according to year, country of study and coping strategy used. The main forms of coping involved the active search for cases and the primary care approach with all family members.

Conclusion:

Individualized prenatal care, the change in professional training and networking activities were pointed out as important components of the strategies for coping with violence against pregnant adolescents.

Descriptors:
Strategies; Domestic Violence; Adolescent; Pregnancy; Public health

Title	Year / Country	Design	Interventions	Outcomes
Experience of intimate partner violence among young pregnant women in urban slums of Kathmandu Valley, Nepal: a qualitative study.	2016 - Nepal	Qualitative - In-depth interview	Educating women, economic independence of young women, prohibition to identify the gender of the fetus during pregnancy and establishing separate institutions within the community to deal with violence against young pregnant women.	The diversity in the design and implementation of culturally and socially acceptable interventions can be effective to deal with violence against young pregnant women.
The efficacy of an intimate partner violence prevention program with high-risk adolescent girls: a preliminary test.	2012 - USA	Cross-sectional	Intervention program	Short programs to prevent IPV^* * IPV - Intimate Partner Violence; can be targeted to selected groups of adolescents at high risk.
Pregnancy and intimate partner violence: how do rural, low-income women cope?	2011 - USA	Cross-sectional	_	Universal tracking for IPV^* * IPV - Intimate Partner Violence; on pregnant women, investigation of the development of maternal identity during pregnancy and improved access to resources for rural and low-income women.
Escaping the triple trap: coping strategies of pregnant adolescent survivors of domestic violence in Mulago hospital, Uganda.	2007 - Uganda	Qualitative - In-depth interview	_	The coping strategies employed were analyzed, such as: minimizing the damage (decreasing impact and severity of violence, withdrawal), physical or social withdrawal, search for help and retaliation (combat).
Enfrentamento da violência infligida pelo parceiro íntimo por mulheres em área urbana da Região Nordeste do Brasil	2012 - Brazil	Cross-sectional	_	The primary social network (family and friends) was the most sought after by women to break the violent cycle. The results point to the need for greater divulging of support services and the importance of the expansion and qualification of the service network (police, justice, health, psychosocial assistance), so these can better accommodate and support the women, providing them with effective support to break away from the situation of IPV^* * IPV - Intimate Partner Violence; .
Violência intrafamiliar: a experiência dos profissionais de saúde nas Unidades de Saúde da Família de São Joaquim do Monte, Pernambuco	2012 - Brazil	Cross-sectional	_	The FHS^ FHS - Family Health Strategy. assists on the enclosing of the phenomenon; actions are based on identification, referrals and notifications.
Welcoming and resignifying life experiences in a group with teenage mothers in risk of sexual abuse	2012 - Brazil	Experience report	Grupo Operativo	This group contributed to the female adolescents, so they could restore part of their self-confidence and hope to face the transformations of their everyday life, even if it was necessary to go through periods of suffering and darkness for that.
Complicações obstétricas, eventos estressantes, violência e depressão durante a gravidez em adolescentes atendidas em unidade básica de saúde	2010 - Brazil	Cross-sectional	_	The results strengthen the idea that the investigation of risk factors, diagnosis and treatment of depression must be an integral part of prenatal care to pregnant female adolescents.
Experiência do cuidado materno e amamentação sob a ótica de mulheres vítimas de violência conjugal	2010 - Brazil	Qualitative - Exploratory	_	The study points to the need of considering the woman as the protagonist of the nursing care model in breastfeeding by building listening spaces that include attention to marital violence, as well as different means of support.

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[1] CORRESPONDING AUTHOR: Cibele Monteiro Macedo E-mail: cibele.macedo@usp.br