Journey from Domestic Violence to Safe Birth: A Case Study

Introduction: Domestic violence and abuse (DVA) during pregnancy poses significant risks to both maternal and fetal health, including physical injuries, miscarriage, preterm birth, low birth weight, and stillbirth. Exposure to physical, emotional, sexual or economic abuse during pregnancy not only endangers the mother’s health but also compromises the well-being and development of the unborn child. Every woman deserves a pregnancy journey marked by dignity, security, and care, where both she and her child can thrive without the threat of violence. Incidence of DVA increases in pregnancy in 30% cases. Timely intervention is critical to identify the women at risk and ensure safe pregnancies. We present a case report of one such survivor of DVA who received care at our crisis centre and had a successful outcome. Case Details: This study presents the case of Priya (name changed), 28-year-old woman who experienced emotional, financial, and physical abuse during her pregnancy. This was picked up in her antenatal period and she was referred to the Raahat crisis centre (catering to survivors of DVA). Priya received counselling, medical care, and family interventions that facilitated accountability and behavioural change among her abusers. She was provided with continuity of care by obstetrician and midwife during her pregnancy and childbirth. Through this comprehensive support, she was able to navigate her pregnancy safely and give birth to her child in a secure and supportive environment. This case highlights the importance of targeted interventions in enabling survivors of DVA to achieve safe births and positive maternal and child outcomes. Conclusion: Her journey is a testament that with timely identification, individualised intervention and collaborative care in pregnancy, survivors of DVA can reclaim their strength and have a positive birthing experience.