Ethnicity and domestic abuse: issues for midwives

Abstract

Domestic abuse affects many people in all cultures and across all socio-economic groups, although women make up the majority of the victims. While there is inconclusive evidence that ethnic minorities have an increased rate of abuse, it is believed that those who are vulnerable are more at risk. Stress from poverty or social disadvantage can trigger domestic abuse with immigrant populations having additional risk factors. Furthermore those who face discrimination may find it harder to access help. Pregnancy, while sometimes a trigger for abuse, is also an opportunity for disclosure. Nevertheless for appropriate information and support to be given, midwives need training with good communication and cultural awareness in order to follow up disclosure of domestic abuse. Locally agreed care pathways, appropriate referral to support agencies and a multidisciplinary team approach are also needed. In spite of this there is little research or even information on ethnicity and abuse and there is a pressing need for further knowledge.