Women's Perceptions of Maternity Care Responses to Domestic and Family Violence and Abuse: A Systematic Review and Meta-Synthesis of Qualitative Studies.

Abstract

Domestic and family violence (DFV) disproportionately affects women in the perinatal period. Routine DFV screening is known to improve DFV identification, however, it is crucial to understand women's views of routine DFV inquiry and their post-disclosure needs specific to the maternity care setting. The aim of this qualitative meta-synthesis was to explore perinatal women's perceptions and experiences of routine DFV screening and post-disclosure practices in antenatal care. Comprehensive searches of seven relevant databases and subsequent hand searches were conducted in September 2023 and April 2025 for primary qualitative peer-reviewed journal articles published in English from 2013 onward. Fourteen articles were included in this review. Data derived from semi-structured interviews within included articles were thematically analyzed and synthesized by two independent reviewers. Review findings evidence that women were generally in favor of routine antenatal DFV screening, preferably within a midwifery continuity of care model. Women emphasized the need for a trusting relationship with their screening professional and impressed the need for supportive post-disclosure services. Further research examining the distinct perspectives and needs of refugee and minority groups on the topic, as well as the longer-term outcomes of routine DFV screening and post-disclosure interventions, is required. Findings of this review may guide future funding and policy decisions around routine screening in maternity services to improve disclosure and outcomes for women experiencing DFV.