Reproductive coercion and abuse.

Abstract

This chapter considers deliberate attempts to interfere with a woman’s reproductive autonomy in the setting of intimate partner or family relationships. Relevant decisions are those about whether to start, continue or terminate a pregnancy. Reproductive coercion and abuse is a common behaviour, and there is some overlap with intimate partner violence. But its presence is often not admitted by the woman to herself, let alone disclosed to professionals. A common phenomenon is contraceptive sabotage: this includes resistance to use of condoms, piercing condoms, jettisoning contraceptive supplies, forcibly removing devices or lying about having had a vasectomy. In some cultural settings, other family members are involved in coercion and abuse. Some women reassert their autonomy by using contraceptive methods that are concealable. Research on reproductive coercion and abuse is in its early stages. Methods of detection and response are not well developed, but health professionals should be aware of the possibility that a woman in their care may be experiencing reproductive coercion and abuse. So far, little is known about the motivation of perpetrators or possible therapeutic options.