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W487 INTIMATE PARTNER VIOLENCE – A WAKE UP CALL
Poster presentations / International Journal of Gynecology & Obstetrics 119S3 (2012) S531–S867
Methods: To execute the studied purposes a questionnaire was used. Moreover, all responders underwent mammography examination in the Department of Radiology of the Institute of Rural Health in Lublin. Results from mammography were correlated to questionnaire results. Results: The results showed that female rural dwellers (79.3%) more frequent than female citizens (58.9%) have admitted to ignore risk factors of breast cancer morbidity. The remaining female rural dwellers have indicated genetic factors as those, which bring the highest risk of breast cancer morbidity (58.5%), and subsequently, they have indicated other factors including smoking (37.8%), environmental contamination (17.7%), hormonal drugs (17.1%), stress (15.8%), and bad diet (12.8%). The respondents from the country and city, in majority, have awareness of necessity of a regular mammography examination, however, it is not translated to a precise prophylactic activity. More than half of the examined female rural dwellers have never had a mammography examination, and 70% of them have never performed a breast ultrasonography. Conclusions: This results could assist primary care providers in recommending the best education strategy. W486 EVALUATION OF AVAILABILITY OF PROPHYLACTIC BREAST EXAMINATION AMONG FEMALE RURAL DWELLERS M. Florek-Luszczki2 , A. Haratym-Maj1 . 1 Department of Public Health, Institute of Rural Health, Lublin, Lublin, Poland; 2 Department of Pathophysiology, Institute of Rural Health, Lublin, Lublin, Poland Objectives: The aim of this study was to gain information on obstacles that may be encountered by female rural dwellers in availability of specialist medical examination of breast. Materials: Evaluation was performed among 402 female inhabitants from the rural areas of Lublin voivodeship. The control group consisted of 100 female citizens from Lublin area. Age of the examined women ranged from 35 to 70 years and over. Methods: In this study a questionnaire was used. Moreover, all responders underwent mammography examination in the Department of Radiology of the Institute of Rural Health in Lublin. Results from mammography were correlated to the survey results. Results: The results showed that female rural dwellers more frequent than female citizens have faced to various obstacles which, in their opinion, make this medical examination impossible. Among the reported obstacles, first of all, there were some organizational obstacles (i.e., long distance from their dwellingplace to the center of specialist medical examination, lack of referral for examination) and economic obstacles (i.e., financial difficulties, which make difficult or impossible their arrival to the center offering the specialist medical examination and limit possibility of use of commercial diagnostic services). Every third women living in country, renounces mammography or ultrasonography examination, because of the fear of examination or its results. Conclusions: Despite higher education of respondents from the city, and their higher knowledge on prophylactic breast examination and its significance, an anxiety/fear obstacle was the most frequently indicated as a main cause of renouncement from examination (67.5% responders) W487 INTIMATE PARTNER VIOLENCE – A WAKE UP CALL S. Jain1 , K. Guleria1 , B. Gupta1 , N. Vaid1 . 1 Obstetrics and Gynaecology, University College of Medical Sciences and GTB Hospital, Delhi, India Objectives: Intimate partner violence is defined as actual or threat of physical, sexual, psychological or emotional harm by the current or former partner or spouse. It has a variable prevalence worldwide. We wish to present an extreme form of physical and sexual abuse by a male partner by piercing his wife’s labia with plastic rings. The present case also highlights risk factors for domestic violence in form of illiteracy, poverty, alcohol use, infidelity, gender norms and acceptance to violence.
S863
Materials: Mrs. S, 45 yrs old lady resident of a remote village in Rajasthan, India presented to the hospital for medicolegal examination. She was married to a farmer for past 30 years who was a chronic alcoholic and had five children. He had been physically abusing her since marriage and would not let her go out anywhere alone, not even to the toilet! He also had extra marital relationship with his sister in law. The situation went to an extreme around one year back when he forcibly injected her with some sedative. He then pierced her perineum with multiple ~2 cm diameter rings all around the introitus (Fig. 1). This was in order to prevent her from having sexual intercourse with anyone else and bear the punishment of her deeds. He had removed and reinserted the rings four times in last one year. He even threaded the rings and would pull them to inflict pain. They were both illiterate and belonged to low socioeconomic status. When the situation became unbearable, she along with her relatives reported the matter to police who brought her to the hospital. Rings were removed with a surgical cutter. She was given antibiotics and tetanus toxoid injection and discharged in a stable condition after two days. The case is still under jurisdiction. Conclusions: Often health sector is the first point of contact with such victims. Health care personnel should be able to identify abuse early. They should maintain confidentiality and provide them with necessary treatment, guidance and referral to appropriate authorities.
Figure 1. Labial rings.
W488 EMOTIONAL INTELLIGENCE IN THE VICTIMIZED PREGNANT DUE TO DOMESTIC VIOLENCE IN ALZAHRA HOSPITAL OF TABRIZ – IRAN, 2008–2011 B. Ghasemi1 , R. Sadegh1 , V. Gorbanzadeh1 , S. Ahmadian Herisi1 , A. Ebadi1 , S. Nagipoor1 , N. Ahmadian1 , M. Poozeshi1 , A. Mirzaaei1 , F. Asrbar1 . 1 treatment affaire, medical sciences university of tabriz, Tabriz, east azarbyjan, Iran, Islamic Republic of Objectives: Domestic violence in pregnancy is a serious and common problem which happens in all cultures. The violence effects on pregnant women are more critical than other factors, because in addition to physical and mental consequences on pregnancy, it affects on the health of coming baby. Lack of knowledge and information about incidence, reasons and outcomes of domestic violence prevents this problem. Increasing public awareness about domestic violence and influencing factors is part of the duties of health organization. Materials: In this descriptive-correlative study, first violence questionnaires were completed by all the pregnant referred to Alzahra hospital. Then, those questionnaires showing domestic violence were selected (105 people). Methods: Emotional intelligence questionnaire was completed by victims. After analyzing two questionnaire scores, correlation between emotional intelligence and domestic violence in general, and also physical, sexual, economic and mental violence types were evaluated.
Methods: To execute the studied purposes a questionnaire was used. Moreover, all responders underwent mammography examination in the Department of Radiology of the Institute of Rural Health in Lublin. Results from mammography were correlated to questionnaire results. Results: The results showed that female rural dwellers (79.3%) more frequent than female citizens (58.9%) have admitted to ignore risk factors of breast cancer morbidity. The remaining female rural dwellers have indicated genetic factors as those, which bring the highest risk of breast cancer morbidity (58.5%), and subsequently, they have indicated other factors including smoking (37.8%), environmental contamination (17.7%), hormonal drugs (17.1%), stress (15.8%), and bad diet (12.8%). The respondents from the country and city, in majority, have awareness of necessity of a regular mammography examination, however, it is not translated to a precise prophylactic activity. More than half of the examined female rural dwellers have never had a mammography examination, and 70% of them have never performed a breast ultrasonography. Conclusions: This results could assist primary care providers in recommending the best education strategy. W486 EVALUATION OF AVAILABILITY OF PROPHYLACTIC BREAST EXAMINATION AMONG FEMALE RURAL DWELLERS M. Florek-Luszczki2 , A. Haratym-Maj1 . 1 Department of Public Health, Institute of Rural Health, Lublin, Lublin, Poland; 2 Department of Pathophysiology, Institute of Rural Health, Lublin, Lublin, Poland Objectives: The aim of this study was to gain information on obstacles that may be encountered by female rural dwellers in availability of specialist medical examination of breast. Materials: Evaluation was performed among 402 female inhabitants from the rural areas of Lublin voivodeship. The control group consisted of 100 female citizens from Lublin area. Age of the examined women ranged from 35 to 70 years and over. Methods: In this study a questionnaire was used. Moreover, all responders underwent mammography examination in the Department of Radiology of the Institute of Rural Health in Lublin. Results from mammography were correlated to the survey results. Results: The results showed that female rural dwellers more frequent than female citizens have faced to various obstacles which, in their opinion, make this medical examination impossible. Among the reported obstacles, first of all, there were some organizational obstacles (i.e., long distance from their dwellingplace to the center of specialist medical examination, lack of referral for examination) and economic obstacles (i.e., financial difficulties, which make difficult or impossible their arrival to the center offering the specialist medical examination and limit possibility of use of commercial diagnostic services). Every third women living in country, renounces mammography or ultrasonography examination, because of the fear of examination or its results. Conclusions: Despite higher education of respondents from the city, and their higher knowledge on prophylactic breast examination and its significance, an anxiety/fear obstacle was the most frequently indicated as a main cause of renouncement from examination (67.5% responders) W487 INTIMATE PARTNER VIOLENCE – A WAKE UP CALL S. Jain1 , K. Guleria1 , B. Gupta1 , N. Vaid1 . 1 Obstetrics and Gynaecology, University College of Medical Sciences and GTB Hospital, Delhi, India Objectives: Intimate partner violence is defined as actual or threat of physical, sexual, psychological or emotional harm by the current or former partner or spouse. It has a variable prevalence worldwide. We wish to present an extreme form of physical and sexual abuse by a male partner by piercing his wife’s labia with plastic rings. The present case also highlights risk factors for domestic violence in form of illiteracy, poverty, alcohol use, infidelity, gender norms and acceptance to violence.
S863
Materials: Mrs. S, 45 yrs old lady resident of a remote village in Rajasthan, India presented to the hospital for medicolegal examination. She was married to a farmer for past 30 years who was a chronic alcoholic and had five children. He had been physically abusing her since marriage and would not let her go out anywhere alone, not even to the toilet! He also had extra marital relationship with his sister in law. The situation went to an extreme around one year back when he forcibly injected her with some sedative. He then pierced her perineum with multiple ~2 cm diameter rings all around the introitus (Fig. 1). This was in order to prevent her from having sexual intercourse with anyone else and bear the punishment of her deeds. He had removed and reinserted the rings four times in last one year. He even threaded the rings and would pull them to inflict pain. They were both illiterate and belonged to low socioeconomic status. When the situation became unbearable, she along with her relatives reported the matter to police who brought her to the hospital. Rings were removed with a surgical cutter. She was given antibiotics and tetanus toxoid injection and discharged in a stable condition after two days. The case is still under jurisdiction. Conclusions: Often health sector is the first point of contact with such victims. Health care personnel should be able to identify abuse early. They should maintain confidentiality and provide them with necessary treatment, guidance and referral to appropriate authorities.
Figure 1. Labial rings.
W488 EMOTIONAL INTELLIGENCE IN THE VICTIMIZED PREGNANT DUE TO DOMESTIC VIOLENCE IN ALZAHRA HOSPITAL OF TABRIZ – IRAN, 2008–2011 B. Ghasemi1 , R. Sadegh1 , V. Gorbanzadeh1 , S. Ahmadian Herisi1 , A. Ebadi1 , S. Nagipoor1 , N. Ahmadian1 , M. Poozeshi1 , A. Mirzaaei1 , F. Asrbar1 . 1 treatment affaire, medical sciences university of tabriz, Tabriz, east azarbyjan, Iran, Islamic Republic of Objectives: Domestic violence in pregnancy is a serious and common problem which happens in all cultures. The violence effects on pregnant women are more critical than other factors, because in addition to physical and mental consequences on pregnancy, it affects on the health of coming baby. Lack of knowledge and information about incidence, reasons and outcomes of domestic violence prevents this problem. Increasing public awareness about domestic violence and influencing factors is part of the duties of health organization. Materials: In this descriptive-correlative study, first violence questionnaires were completed by all the pregnant referred to Alzahra hospital. Then, those questionnaires showing domestic violence were selected (105 people). Methods: Emotional intelligence questionnaire was completed by victims. After analyzing two questionnaire scores, correlation between emotional intelligence and domestic violence in general, and also physical, sexual, economic and mental violence types were evaluated.