Domestic violence in the clinical practice of gynecologists and obstetricians

Authors: Bauerová A.;  Nosková P.
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny 1. LF UK a VFN v Praze
Published in: Ceska Gynekol 2022; 87(1): 62-66
Category: Case Report, Review Article


The issue of domestic violence is neglected in current medical practice and the dia­gnosis associated with it thus escapes the attention of medical professionals. In this case report, we demonstrate rare and typical diseases of abused women, which should become warning signs for physicians (red flags) and lead them to screen domestic violence and intervene early. Failure to recognize domestic abuse as the cause of chronic health problems leads to lasting consequences and economically and personally burdens the health care system. Healthcare professionals of all specialties encounter abused women during their clinical practice and can thus actively participate in the prevention of domestic violence. However, it is women of reproductive age who are most at risk, so educating gynecologists and obstetricians on this issue is crucial. The aim of this article with a case study is to demonstrate the syndrome of a battered woman, its recognition and the possibility of immediate and brief intervention.


Domestic violence – chronic subdural hematoma – postdural puncture headache


1. Bauerová A, Nosková P, Bláha J. Shaken adult syndrom nebo neurologická komplikace epidurální anestézie? Anest intenziv Med 2021; 32 (1): 52–54. doi: 10.36290/aim.2021.002.

2. Isono N, Santou K, Ueda M et al. Acute subdural haematoma accompanied by anorexia nervosa. BMJ Case Rep 2019; 12 (9): e231156. doi: 10.1136/bcr-2019-231156.

3. Grans L. The Istanbul convention and the positive obligation to prevent violence. Hum Rights Law Rev 2018; 18 (1): 133–155. doi: 10.1093/hrlr/ngx041.

4. Violence against women: an EU-wide survey. European Union: European Agency for Fundamental Rights Rights. 2014 [online]. Available from: https: //

5. Kunc K et al. Ekonomické dopady domácího násilí v ČR. Praha: proFem 2012.

6. Coker AL, Smith PH, Bethea L et al. Physical health consequences of physical and psychological intimate partner violence. Arch Fam Med 2000; 9 (5): 451–457. doi: 10.1001/archfami. 9.5.451.

7. McFarlane J, Parker B, Soeken K. Abuse during pregnancy: associations with maternal health and infant birth weight. Nurs Res 1996; 45 (1):  37–42. doi: 10.1097/00006199-199601000-00007.

8. Zaheen Z, Aqeel F, Assad GM et al. Fetomaternal outcome after physical domestic violence during pregnancy. Prof Med J 2020; 27 (1):  104–114. doi: 10.29309/tpmj/2019.27.01.3515.

9. Campbell JC. Health consequences of intimate partner violence. Lancet 2002; 359 (9314):  1331–1336. doi: 10.1016/S0140-6736 (02) 08336-8.

10. Cokkinides VE, Coker AL, Sanderson M et al. Physical violence during pregnancy: maternal complications and birth outcomes. Obstet Gynecol 1999; 93 (5 Pt 1): 661–666. doi: 10.1016/s0029-7844 (98) 00486-4.

11. Rachana C, Suraiya K, Hisham AS et al. Prevalence and complications of physical violence during pregnancy. Eur J Obstet Gynecol Reprod Biol 2002; 103 (1): 26–29. doi: 10.1016/ S0301-2115 (02) 00022-2.

12. Kristrová V, Lanhghansová H, Matiaško M. Legislativní ochrana obětí trestných činů před druhotnou viktimizací a práva oběti na soukromí během trestního řízení. Projekt Posí­lení ochrany lidských práv obětí trestných činů. Brno: Liga lidských práv 2007.

13. Svoboda M, Heretik A. Extrémna agresia I. Forenzná psychológia vraždy. Čes a Slov Psychiatr 2000; 96: 291–292.

14. Vavroňová M, Hronová M. Šetření organizace ROSA. Praha: Organizace ROSA 2011.

15. Ulrich YC, Cain KC, Sugg NK et al. Medical care utilization patterns in women with dia­gnosed domestic violence. Am J Prev Med 2003; 24 (1): 9–15. doi: 10.1016/S0749-3797 (02) 00 577-9.

16. Hokr Miholová P, Ondrušková J, Dohnal D. Ekonomické dopady domácího násilí v oblasti zdraví. Praha: proFem 2016.

17. Vaničková E, Hanáček J, Krpálková J et al. Domácí a genderově podmíněné násilí, Manuál pro lékaře. Praha: 3. LF UK 2017.

18. Rosacentrum. 2021 [online]. Dostupné na: informace-pro-zeny/ dulezite-kontakty.

Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Article was published in

Czech Gynaecology

Issue 1

2022 Issue 1

Most read in this issue
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account