What is recommended at each prenatal visit regarding violence?

• A. All pregnant women should be screened for violence and provided with interventions if needed.
• B. Screening is unnecessary during prenatal visits.
• C. Screen only if there are obvious signs of violence.
• D. Screen only after delivery.

Answer: (A)

Universal screening for intimate partner violence at every prenatal visit is recommended. Pregnancy is a time when IPV can be especially dangerous, and identifying it early allows immediate safety planning and access to support services before harm occurs. Use a validated screening tool in private, with empathy and nonjudgmental language, so the patient feels safe to disclose. If the screen is positive, assess danger and lethality, discuss safety options, and connect the patient with appropriate resources such as social work, counseling, shelters, hotlines, and community services. Document the encounter and arrange follow-up at subsequent visits, since risk and circumstances can change over time. Even when there are no obvious signs, continuing routine screening at each visit ensures ongoing support and options are available if violence begins or escalates.