O&G Cases · Professional practice — family and domestic violence, advocacy and safety
Disclosure of family violence in pregnancy — communication and safety station
Communication and safety station on a family and domestic violence disclosure in pregnancy. Exercises the WHO LIVES first-line response, lethality risk assessment with non-fatal strangulation, woman-led safety planning, the documentation and confidential-flag standard, the referral to specialist advocacy, and the separate mandatory child-protection obligation. The eight published RANZCOG oral domains apply.
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Target exams
Station brief
Format. Communication and safety station, approximately 12 minutes. You are the obstetric registrar. The assessor plays the patient. A social worker is available by phone. The assessor will run the clock, observe the conversation, and feed prompts as the woman responds. [1]
Candidate instruction. Respond to the woman's disclosure. Demonstrate the first-line response, assess her risk of lethal violence, help her build a safety plan, explain your documentation and referral, and address the welfare of her child. Speak to her directly — the communication is the assessment. [1]
You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Obstetrics & Gynaecology fellowship atlas.
References5Show ledgerHide ledger
- [1]World Health Organization Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines World Health Organization, 2013.Source
- [2]Campbell JC, Webster DW, Glass N The danger assessment: validation of a lethality risk assessment instrument for intimate partner femicide J Interpers Violence, 2009.PMID 18667689
- [3]Glass N, Laughon K, Campbell J, et al. Non-fatal strangulation is an important risk factor for homicide of women J Emerg Med, 2008.PMID 17961956
- [4]Rivas C, Ramsay J, Sadowski L, et al. Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse Cochrane Database Syst Rev, 2015.PMID 26632986
- [5]Royal Australian and New Zealand College of Obstetricians and Gynaecologists Family and Domestic Violence eLearning Module and Clinical Guideline RANZCOG, 2024.Source