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Sexual Health Sexual Health Society
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EDITORIAL

Reproductive coercion and abuse in Australia: what do we need to know?

Allison Carter https://orcid.org/0000-0003-2151-2622 A B C * , Deborah Bateson D E and Cathy Vaughan F
+ Author Affiliations
- Author Affiliations

A Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia.

B Australian Human Rights Institute, UNSW Sydney, Sydney, NSW, Australia.

C Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.

D Family Planning New South Wales, Sydney, NSW, Australia.

E Speciality of Obstetrics, Gynaecology and Neonatology, University of Sydney, Sydney, NSW, Australia.

F Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Vic., Australia.

* Correspondence to: acarter@kirby.unsw.edu.au

Handling Editor: Marian Pitts

Sexual Health 18(5) 436-440 https://doi.org/10.1071/SH21116
Submitted: 24 June 2021  Accepted: 11 August 2021   Published: 4 November 2021

© 2021 The Author(s) (or their employer(s)). Published by CSIRO Publishing

Abstract

Reproductive coercion and abuse refers to patterns of controlling and manipulative behaviours used to interfere with a person’s reproductive health and decision-making. Unintended pregnancy, forced abortion or continuation of a pregnancy, and sexually transmissible infections all may result from reproductive coercion, which is closely associated with intimate partner and sexual violence. Clinicians providing sexual and reproductive healthcare are in a key position to identify and support those affected. Yet, reproductive coercion and abuse is not currently screened for in most settings and addressing disclosures poses many challenges. This article discusses what reproductive coercion and abuse is, who it affects, how it impacts, and potential strategies to improve identification and response.

Keywords: contraception, domestic violence, family planning, health systems, partner violence, pregnancy, reproductive coercion and abuse, sexual and reproductive health.


References

[1]  Miller E, Decker MR, Reed E, Raj A, Hathaway JE, Silverman JG. Male partner pregnancy-promoting behaviors and adolescent partner violence: findings from a qualitative study with adolescent females. Ambulatory Pediatr 2007; 7 360–6.
Male partner pregnancy-promoting behaviors and adolescent partner violence: findings from a qualitative study with adolescent females.Crossref | GoogleScholarGoogle Scholar |

[2]  Starrs AM, Ezeh AC, Barker G, Basu A, Bertrand JT, Blum R, et al. Accelerate progress: sexual and reproductive health and rights for all: report of the Guttmacher-Lancet Commission. Lancet 2018; 391 2642–92.
Accelerate progress: sexual and reproductive health and rights for all: report of the Guttmacher-Lancet Commission.Crossref | GoogleScholarGoogle Scholar | 29753597PubMed |

[3]  Miller E, Decker MR, McCauley HL, Tancredi DJ, Levenson RR, Waldman J, et al. Pregnancy coercion, intimate partner violence and unintended pregnancy. Contraception 2010; 81 316–22.
Pregnancy coercion, intimate partner violence and unintended pregnancy.Crossref | GoogleScholarGoogle Scholar | 20227548PubMed |

[4]  Tarzia L, Hegarty K. A conceptual re-evaluation of reproductive coercion: centring intent, fear and control. Reprod Health 2021; 18 87
A conceptual re-evaluation of reproductive coercion: centring intent, fear and control.Crossref | GoogleScholarGoogle Scholar | 33906687PubMed |

[5]  Grace KT, Anderson JC. Reproductive coercion: a systematic review. Trauma Violence Abuse 2018; 19 371–90.
Reproductive coercion: a systematic review.Crossref | GoogleScholarGoogle Scholar | 27535921PubMed |

[6]  Marie Stopes Australia. ‘Hidden forces: a white paper on reproductive coercion in contexts of family and domestic violence – Second edition’. Melbourne: Marie Stopes Australia; 2020.

[7]  Grace KT, Fleming C. A systematic review of reproductive coercion in international settings. World Med Health Policy 2016; 8 382–408.
A systematic review of reproductive coercion in international settings.Crossref | GoogleScholarGoogle Scholar | 28503353PubMed |

[8]  Rowlands S, Walker S. Reproductive control by others: means, perpetrators and effects. BMJ Sex Reprod Health 2019; 45 61–7.
Reproductive control by others: means, perpetrators and effects.Crossref | GoogleScholarGoogle Scholar | 30622127PubMed |

[9]  Park J, Nordstrom SK, Weber KM, Irwin T. Reproductive coercion: uncloaking an imbalance of social power. Am J Obstet Gynecol 2016; 214 74–8.
Reproductive coercion: uncloaking an imbalance of social power.Crossref | GoogleScholarGoogle Scholar | 26314520PubMed |

[10]  Black M, Basile K, Breiding M, Smith S, Walters M, Merrick M, et al. National intimate partner and sexual violence survey: 2010 summary report. Atlanta, GA, USA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2011.

[11]  Hamm M, Evans M, Miller E, Browne M, Bell D, Borrero S. ‘It’s her body’: low-income men’s perceptions of limited reproductive agency. Contraception 2019; 99 111–7.
‘It’s her body’: low-income men’s perceptions of limited reproductive agency.Crossref | GoogleScholarGoogle Scholar | 30336131PubMed |

[12]  Alexander KA, Grace KT, Sacko C, Morgan A, Sanders RA. ‘Having a child meant I had a real life’: childbearing motivations and reproductive coercion among urban socioeconomically disadvantaged Black young men. J Adolesc Health 2018; 62 S18
‘Having a child meant I had a real life’: childbearing motivations and reproductive coercion among urban socioeconomically disadvantaged Black young men.Crossref | GoogleScholarGoogle Scholar |

[13]  Reed S, Miller R, Valenti M. Good gay females and babies’ daddies: Black lesbian community norms and the acceptability of pregnancy. Cult Health Sex 2011; 13 751–65.
Good gay females and babies’ daddies: Black lesbian community norms and the acceptability of pregnancy.Crossref | GoogleScholarGoogle Scholar | 21512921PubMed |

[14]  McCauley HL, Falb KL, Streich-Tilles T, Kpebo D, Gupta J. Mental health impacts of reproductive coercion among women in Côte d’Ivoire. Int J Gynecol Obstet 2014; 127 55–9.
Mental health impacts of reproductive coercion among women in Côte d’Ivoire.Crossref | GoogleScholarGoogle Scholar |

[15]  Clark CJ, Silverman J, Khalaf IA, Ra’ad BA, Al Sha’ar ZA, Al Ata AA, et al. Intimate partner violence and interference with women’s efforts to avoid pregnancy in Jordan. Stud Fam Plann 2008; 39 123–32.
Intimate partner violence and interference with women’s efforts to avoid pregnancy in Jordan.Crossref | GoogleScholarGoogle Scholar | 18678176PubMed |

[16]  Kadir MM, Fikree FF, Khan A, Sajan F. Do mothers-in-law matter? Family dynamics and fertility decision-making in urban squatter settlements of Karachi, Pakistan. J Biosoc Sci 2003; 35 545–58.
Do mothers-in-law matter? Family dynamics and fertility decision-making in urban squatter settlements of Karachi, Pakistan.Crossref | GoogleScholarGoogle Scholar | 14621251PubMed |

[17]  Zeng Y, Hesketh T. The effects of China’s universal two-child policy. Lancet 2016; 388 1930–8.
The effects of China’s universal two-child policy.Crossref | GoogleScholarGoogle Scholar | 27751400PubMed |

[18]  Payne AM.. Motherhood and human rights violations: untold suffering? Austr J Hum Rights 2018; 24 145–61.

[19]  Carter A, Strnadová I, Watfern C, Pebdani R, Bateson D, Loblinzk J, et al. The sexual and reproductive health and rights of young people with intellectual disability: a scoping review. Sex Res Soc Policy 2021; 19
The sexual and reproductive health and rights of young people with intellectual disability: a scoping review.Crossref | GoogleScholarGoogle Scholar |

[20]  Douglas H, Sheeran N, Tarzia L. Reproductive coercion and legal recognition: views of domestic violence support workers and lawyers. Int J Crime, Justice Soc Democracy 2020; 9
Reproductive coercion and legal recognition: views of domestic violence support workers and lawyers.Crossref | GoogleScholarGoogle Scholar |

[21]  Tarzia L, Srinivasan S, Marino J, Hegarty K. Exploring the gray areas between ‘stealthing’ and reproductive coercion and abuse. Womens Health 2020; 60 1174–84.
Exploring the gray areas between ‘stealthing’ and reproductive coercion and abuse.Crossref | GoogleScholarGoogle Scholar |

[22]  Tarzia L, Maxwell S, Valpied J, Novy K, Quake R, Hegarty K. Sexual violence associated with poor mental health in women attending Australian general practices. Aust NZJ Public Health 2017; 41 518–23.
Sexual violence associated with poor mental health in women attending Australian general practices.Crossref | GoogleScholarGoogle Scholar |

[23]  Price E, Sharman LS, Douglas HA, Sheeran N, Dingle GA. Experiences of reproductive coercion in Queensland women. J Interpersonal Violence 2019; 0886260519846851
Experiences of reproductive coercion in Queensland women.Crossref | GoogleScholarGoogle Scholar |

[24]  Cheng Y, Wilson E, Botfield J, Boerma C, Estoesta J, Peters LJ, et al. Outcomes of routine screening for reproductive coercion in a family planning service. Sex Health 2021;
Outcomes of routine screening for reproductive coercion in a family planning service.Crossref | GoogleScholarGoogle Scholar | 34606741PubMed |

[25]  Miller E, McCauley HL, Tancredi DJ, Decker MR, Anderson H, Silverman JG. Recent reproductive coercion and unintended pregnancy among female family planning clients. Contraception 2014; 89 122–8.
Recent reproductive coercion and unintended pregnancy among female family planning clients.Crossref | GoogleScholarGoogle Scholar | 24331859PubMed |

[26]  Miller E, Jordan B, Levenson R, Silverman JG. Reproductive coercion: connecting the dots between partner violence and unintended pregnancy. Contraception 2010; 81 457–9.
Reproductive coercion: connecting the dots between partner violence and unintended pregnancy.Crossref | GoogleScholarGoogle Scholar | 20472110PubMed |

[27]  Moore AM, Frohwirth L, Miller E. Male reproductive control of women who have experienced intimate partner violence in the United States. Soc Sci Med 2010; 70 1737–44.
Male reproductive control of women who have experienced intimate partner violence in the United States.Crossref | GoogleScholarGoogle Scholar | 20359808PubMed |

[28]  Northridge JL, Silver EJ, Talib HJ, Coupey SM. Reproductive coercion in high school-aged girls: associations with reproductive health risk and intimate partner violence. J Pediatr Adolesc Gynecol 2017; 30 603–8.
Reproductive coercion in high school-aged girls: associations with reproductive health risk and intimate partner violence.Crossref | GoogleScholarGoogle Scholar | 28668360PubMed |

[29]  Willie TC, Alexander KA, Caplon A, Kershaw TS, Safon CB, Galvao RW, et al. Birth control sabotage as a correlate of women’s sexual health risk: an exploratory study. Womens Health Issues 2021; 31 157–163.
Birth control sabotage as a correlate of women’s sexual health risk: an exploratory study.Crossref | GoogleScholarGoogle Scholar | 33218751PubMed |

[30]  Latimer RL, Vodstrcil LA, Fairley CK, Cornelisse VJ, Chow EPF, Read TRH, et al. Non-consensual condom removal, reported by patients at a sexual health clinic in Melbourne, Australia. PLoS One 2018; 13 e0209779
Non-consensual condom removal, reported by patients at a sexual health clinic in Melbourne, Australia.Crossref | GoogleScholarGoogle Scholar | 30586420PubMed |

[31]  Willie TC, Callands TA. Reproductive coercion and prenatal distress among young pregnant women in Monrovia, Liberia. Health Care Women Int 2018; 39 968–74.
Reproductive coercion and prenatal distress among young pregnant women in Monrovia, Liberia.Crossref | GoogleScholarGoogle Scholar | 30148421PubMed |

[32]  Gipson JD, Koenig MA, Hindin MJ. The effects of unintended pregnancy on infant, child, and parental health: a review of the literature. Stud Fam Plann 2008; 39 18–38.
The effects of unintended pregnancy on infant, child, and parental health: a review of the literature.Crossref | GoogleScholarGoogle Scholar | 18540521PubMed |

[33]  Australian Government Department of Health. National Women’s Health Strategy 2020-2030. Canberra: Australian Government Department of Health; 2018.

[34]  Tarzia L. How can we improve the health systems response to reproductive coercion in the Australian context? Safer families centre of research excellence discussion paper #1. Melbourne: The University of Melbourne; 2018.

[35]  Team DVDR. Report 2017–2019. Sydney: Domestic Violence Death Review Team; 2020.

[36]  Wellington M, Hegarty K, Tarzia L. Barriers to responding to reproductive coercion and abuse among women presenting to Australian primary care. BMC Health Serv Res 2021; 21 424
Barriers to responding to reproductive coercion and abuse among women presenting to Australian primary care.Crossref | GoogleScholarGoogle Scholar | 33947381PubMed |

[37]  Tarzia L, Wellington M, Marino J, Hegarty K. ‘A huge, hidden problem’: Australian health practitioners’ views and understandings of reproductive coercion. Qual Health Res 2019; 29 1395–407.
‘A huge, hidden problem’: Australian health practitioners’ views and understandings of reproductive coercion.Crossref | GoogleScholarGoogle Scholar | 30584793PubMed |

[38]  Tarzia L, Wellington M, Marino J, Hegarty K. How do health practitioners in a large Australian public hospital identify and respond to reproductive abuse? A qualitative study. Aust NZJ Public Health 2019; 43 457–63.
How do health practitioners in a large Australian public hospital identify and respond to reproductive abuse? A qualitative study.Crossref | GoogleScholarGoogle Scholar |

[39]  Fisher CA, Rudkin N, Withiel TD, May A, Barson E, Allen B, et al. Assisting patients experiencing family violence: a survey of training levels, perceived knowledge, and confidence of clinical staff in a large metropolitan hospital. Womens Health 2020; 16 1745506520926051
Assisting patients experiencing family violence: a survey of training levels, perceived knowledge, and confidence of clinical staff in a large metropolitan hospital.Crossref | GoogleScholarGoogle Scholar |

[40]  Buchanan F, Humphreys C. Coercive control during pregnancy, birthing and postpartum: women’s experiences and perspectives on health practitioners’ responses. J Family Violence 2021; 36 325–35.
Coercive control during pregnancy, birthing and postpartum: women’s experiences and perspectives on health practitioners’ responses.Crossref | GoogleScholarGoogle Scholar |

[41]  Srinivasan S, Marino J, Hegarty K, Tarzia L. Women’s expectations of healthcare providers in the context of reproductive abuse in Australia. Cult Health Sex 2020; 22 489–503.
Women’s expectations of healthcare providers in the context of reproductive abuse in Australia.Crossref | GoogleScholarGoogle Scholar | 31130070PubMed |

[42]  Children by Choice. Screening to safety. Windsor, Queensland, Australia: Children by Choice; 2020.

[43]  Children by Choice. A resource for enhancing women’s reproductive autonomy. Windsor, Queensland, Australia: Children by Choice; 2021.

[44]  Cappelletti M, Gatimu J, Shaw G. Exposing reproductive coercion: a toolkit for awareness-raising, assessment, and intervention. Atlanta, GA, USA: Feminist Women’s Health Centre, National Coalition against Domestic Violence and National Organization for Men Against Sexism; 2014.

[45]  Family Planning NSW. Reproductive coercion screening and outcomes at a family planning service. Sydney, NSW, Australia: Family Planning NSW; 2020.

[46]  McCauley HL, Silverman JG, Jones KA, Tancredi DJ, Decker MR, McCormick MC, et al. Psychometric properties and refinement of the reproductive coercion scale. Contraception 2017; 95 292–98.
Psychometric properties and refinement of the reproductive coercion scale.Crossref | GoogleScholarGoogle Scholar | 27639927PubMed |

[47]  McGirr SA, Bomsta HD, Vandegrift C, Gregory K, Hamilton BA, Sullivan CM. An examination of domestic violence advocates’ responses to reproductive coercion. J Interpersonal Violence 2020; 35 2082–106.
An examination of domestic violence advocates’ responses to reproductive coercion.Crossref | GoogleScholarGoogle Scholar |

[48]  Alhusen JL, Bloom T, Anderson J, Hughes RB. Intimate partner violence, reproductive coercion, and unintended pregnancy in women with disabilities. Disabil Health J 2020; 13 100849
| 31679950PubMed |

[49]  Gupta J, Falb K, Kpebo D, Annan J. Abuse from in-laws and associations with attempts to control reproductive decisions among rural women in Côte d’Ivoire: a cross-sectional study. BJOG: Int J Obstet Gynaecol 2012; 119 1058–66.
Abuse from in-laws and associations with attempts to control reproductive decisions among rural women in Côte d’Ivoire: a cross-sectional study.Crossref | GoogleScholarGoogle Scholar |