Reproductive Life Planning for Battered Women

Monday, 18 November 2013

Fuqin Liu, PhD, RN
Donna Scott Tilley, PhD
College of Nursing, Texas Woman's University, Denton, TX

Learning Objective 1: describe battered women's perceptions of reproductive life planning

Learning Objective 2: discuss the challenges of following a reproductive life plan unique to battered women

Introduction: Growing evidence indicates that battered women have more difficulties achieving optimal preconception health, which refers to the health before pregnancy.  One effective preconception health promotion strategy is to have a reproductive life plan, which is a set of personal goals about having or not having children. The purpose of this qualitative study was to: 1) describe battered women’s perceptions about reproductive life planning; and 2) describe battered women’s experiences with reproductive health following establishment of a reproductive life plan.

Method: This was a feasibility study. Twenty nine reproductive aged women who do not have a reproductive life plan participated in the study.  All participants screened positive for intimate partner violence (IPV) on the Behavioral Risk Factor Surveillance IPV Module. We interviewed the participants about their perceptions of reproductive life planning, then assisted them to develop a reproductive life plan. Participants completed a questionnaire via PsychData three months post interview.

Results: Of all the participants, 41% had given birth, and the remaining 59% all reported the desire to have at least one child.  We identified four major themes in relation to the concept of reproductive life planning: a) uncertainty of the father’s presence, b) worry of the financial burden, c) sense of insecurity in the relationship, and d) concerns for child’s safety.  Participants expressed the fear to disclose their reproductive life plans to their past or current abusive partner. Participants described unique challenges to follow their reproductive life plan.

Conclusion and Implications: All participants in this study either had children or were interested in having children. Their experience as a victim of IPV impacted their view of what reproductive life planning entails. Healthcare providers should evaluate the dynamics of the abusive relationship while assisting battered women to develop an achievable and realistic reproductive life plan.