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Intimate Partner Violence and Trauma Informed Care in Pregnancy
Published in Vincenzo Berghella, Maternal-Fetal Evidence Based Guidelines, 2022
Johanna Quist-Nelson, Amy Weil
The WHO defines IPV as “any behavior within an intimate relationship that causes physical, psychological, or sexual harm to those in the relationship” [5]. An intimate partner may be a spouse, boyfriend/girlfriend, dating partner, or ongoing sexual partner [6]. Some examples of IPV are included in Table 24.1 although other examples of IPV do exist.
Human immunodeficiency virus (HIV)
Published in Hung N. Winn, Frank A. Chervenak, Roberto Romero, Clinical Maternal-Fetal Medicine Online, 2021
Richard Basilan, William Salzer
The CDC recommends HIV screening for all patients aged 13 to 64 in health-care settings (18). Repeat HIV testing should be offered at least annually to women who use injection drugs, have had an STD in the past year, have had more than one sexual partner since their most recent HIV test, engage in sexual intercourse in exchange for drugs or money, or are partners of injection drug users or HIV-infected persons. Opt-out screening, in which the patient is notified that HIV testing be performed as a routine part of gynecologic and obstetric care unless she declines, should be performed (19). HIV-uninfected women with a known HIV (+) partner should be counseled regarding the risk for acquiring the infection and should have a second HIV test during the third trimester, before 36 weeks if possible. If such a patient presents in labor without a second HIV test, a rapid test should be done. Suspicion for acute seroconversion should prompt both rapid HIV testing and checking for plasma HIV RNA levels (20).
Paper 4
Published in Aalia Khan, Ramsey Jabbour, Almas Rehman, nMRCGP Applied Knowledge Test Study Guide, 2021
Aalia Khan, Ramsey Jabbour, Almas Rehman
Which one of the following is not a recognised risk factor forchlamydia infection? Age under 25 yearsUndergoing termination of pregnancyBarrier contraceptionUse of the oral contraceptive pillNew sexual partner
No expiration date: a qualitative inquiry of sexuality after 50
Published in Sexual and Relationship Therapy, 2023
Jennifer Jo Connor, Abby Girard, Alex Iantaffi, Sarah Wiljamaa, Sara Mize
Having a social network is another aspect of healthy aging. A sexual partner is one means of maintaining a social life. This does not look the same for all older adults. For example, some participants spoke to growing old together with a long-term partner, reflecting on the special bond this can create, while others reflected on challenges and benefits of being single or dating later in life. Sex can be a means of showing love within a relationship and many view sex as necessary for the health of long-term relationships (Elliott & Umberson, 2008; Hinchliff & Gott, 2004). Participants in long-term relationships spoke to being intentional in order to maintain a sexual relationship and the need to prioritize sexual intimacy. A component of being intentional is adapting to changes, such as creating intimacy through non-penetrative sexual touch. Hinchliff and Gott (2004) also found that older adults no longer prioritized penetrative sex. Those who continued to have penetrative sex typically needed to adapt their behaviors for health concerns.
“What does it matter?” Young sexual minority men discuss their conversations with sexual partners about HPV vaccination
Published in Journal of American College Health, 2023
Molly A. Malone, Amy L. Gower, Paul L. Reiter, Dale E. Kiss, Annie-Laurie McRee
In contrast to their lack of communication around HPV vaccination, men in our study were in agreement about maintaining open dialogue with sexual partners about sexual health in general. Sexual partner communication has been shown to increase protective behaviors, like condom use.17 For example, adolescents who discuss safer sex have been found to be more likely to use condoms,17,35 and humanimmunodeficiencyvirus (HIV) prevention interventions that include a safer-sex communication skills training component can increase the frequency of sexual partner communication about safe sex, and increased frequency of condom use.36 Additionally, consistent with other research demonstrating that partner type (e.g., serious vs. casual) factors into discussions about sexual health between partners. YSMM in our study indicated that discussions about HPV vaccine may be more likely to happen between more serious, long-term partners compared to more casual partners.37
Norms, Trust, and Backup Plans: U.S. College Women’s Use of Withdrawal with Casual and Committed Romantic Partners
Published in The Journal of Sex Research, 2022
Christie Sennott, Laurie James-Hawkins
Withdrawal – or “pulling out” – is rarely conceptualized as an effective or legitimate method of contraception. The family planning community largely dismisses the method and medical providers rarely discuss withdrawal as a viable contraceptive option for women and their partners (Arteaga & Gomez, 2016; Higgins & Smith, 2016; Higgins & Wang, 2015). Indeed, women who rely on withdrawal for pregnancy prevention report facing stigma and shame from health providers and peers (Laris et al., 2021). However, evidence suggests that women themselves often do not consider withdrawal a “real” method and therefore rarely mention it when asked about their contraceptive methods unless they are specifically prompted (Arteaga & Gomez, 2016; Jones et al., 2009). These circumstances have led to an incomplete understanding of the prevalence of withdrawal for pregnancy prevention as well as the dynamics – such as norms about gender and sexuality and gendered power dynamics – that factor into how women and their sexual partners make decisions about its use.