title: Abuse survivor perspectives on trauma inquiry in obstetrical practice.
abstract: OBJECTIVE
  The objective of this study was to explore abuse survivor perspectives on optimal physician approaches to trauma inquiry in prenatal care.
  
  
  METHODS
  Focus group involving six adult female abuse survivors.
  
  
  RESULTS
  Five themes emerged for framing "safe" trauma inquiry: (1) a clear definition of trauma, (2) clear purpose for inquiry, (3) reassurance that inquiry was routine, (4) confidentiality, and (5) mention of helpful resources other than psychiatric therapy.
  
  
  CONCLUSIONS
  Explaining the purpose of trauma inquiry may be important for effectively engaging abuse survivors in obstetrics.
authors.affiliation: Clinical Center Department of Bioethics, National Institutes of Health, 10 Center Drive, Building 10, Rm 1C118, Bethesda, MD, 20892, USA. amina.white@nih.gov.
authors.forename: Amina
authors.initials: A
authors.lastname: White
authors.affiliation: Clinical Center Department of Bioethics, National Institutes of Health, 10 Center Drive, Building 10, Rm 1C118, Bethesda, MD, 20892, USA.
authors.forename: Marion
authors.initials: M
authors.lastname: Danis
authors.affiliation: National Association of State Mental Health Program Directors, National Center for Trauma Informed Care, 66 Canal Center Plaza, Suite 302, Alexandria, VA, 22314, USA.
authors.forename: Joan
authors.initials: J
authors.lastname: Gillece
mesh_terms: D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D000069586:Adult Survivors of Child Adverse Events / Q000523:psychology*; D002648:Child; D003219:Confidentiality; D005260:Female; D017144:Focus Groups; D006801:Humans; D008875:Middle Aged; D009774:Obstetrics; D009819:Office Visits; D057240:Patient Preference; D010818:Practice Patterns, Physicians'; D011247:Pregnancy; D011295:Prenatal Care / Q000379:methods*; D012017:Referral and Consultation; D014342:Truth Disclosure
keywords: Abuse; Disclosure; Obstetrics; Survivor perspectives; Trauma inquiry