A conceptual re-evaluation of reproductive coercion: centring intent, fear and control
- PMID: 33906687
- PMCID: PMC8077849
- DOI: 10.1186/s12978-021-01143-6
A conceptual re-evaluation of reproductive coercion: centring intent, fear and control
Abstract
Background: Reproductive coercion and abuse (RCA) is a hidden form of violence against women. It includes behaviours intended to control or dictate a woman's reproductive autonomy, for the purpose of either preventing or promoting pregnancy.
Main text: In this commentary, we argue that there is a lack of conceptual clarity around RCA that is a barrier to developing a robust evidence base. Furthermore, we suggest that there is a poor understanding of the way that RCA intersects with other types of violence (intimate partner violence; sexual violence) and-as a result-inconsistent definition and measurement in research and healthcare practice. To address this, we propose a new way of understanding RCA that centres perpetrator intent and the presence of fear and/or control. Recommendations for future research are also discussed.
Conclusion: We suggest that IPV and SV are the mechanisms through which RCA is perpetrated. In other words, RCA cannot exist without some other form of co-occurring violence in a relationship. This has important implications for research, policy and healthcare practice including for screening and identification of women in reproductive healthcare settings.
Keywords: Family violence; Intimate partner violence; Reproductive autonomy; Reproductive coercion; Sexual violence; Women.
Conflict of interest statement
The authors declare no competing interests.
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References
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- Clark LE, Allen RH, Goyal V, Raker C, Gottlieb AS. Reproductive coercion and co-occurring intimate partner violence in obstetrics and gynecology patients. Am J Obstet Gynecol. 2014;210(1):42.e1–8. - PubMed
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