Midwives’ experiences and challenges in addressing intimate partner violence: A qualitative study at youth clinics in Stockholm

Abstract

Objective

This study aimed to investigate midwives’ experiences of asking adolescents at youth clinics about their experiences of intimate partner violence (IPV).

Methods

This qualitative interview study used semi-structured questions and inductive reflexive thematic analysis. Purposeful sampling focused on midwives working in youth clinics in the Stockholm region. Of the 29 youth clinics approached, nine agreed to participate, resulting in 24 midwives participating. Data were collected through semi-structured interviews and analyzed using reflexive thematic analysis by Braun and Clarke’s six-phase framework.

Results

The findings are presented in three main themes with nine sub-themes. Midwives face challenges in addressing violence, balancing their sense of duty with the need to create a safe environment for youth. Strategies for detecting and asking about IPV varied, with midwives employing different approaches and facing organizational challenges. The need for professional development and clear guidelines was emphasized, highlighting the importance of collegial support and established routines.

Conclusion

Youth clinics are essential for identifying adolescents exposed to violence, with midwives ideally positioned to support those affected by IPV. However, midwives face challenges in inquiring about IPV and require appropriate conditions, including tools, training, time, and clear procedures. Enhanced training and support for midwives could improve the identification and management of IPV. Further research is needed to explore how various tools can facilitate midwives in inquiring about IPV and to understand youths’ perspectives on being asked about violence.