Phil B.FontanarosaMD, Deputy EditorStephen J.LurieMD, PhD, Fishbein Fellow
To the Editor: One element disregarded in Dr Grimes'1 discussion was the possibility of domestic violence. One in 4 women will experience domestic violence in their lifetimes, and it is estimated that 2.1 million American women are raped, physically assaulted, or both.2 Neither Dr Daley nor Dr K discussed this possibility with the patient, although the woman stated, regarding her partner, "Emotionally we have no time for each other." Such a statement should be followed by questions regarding the possibility of domestic violence. For domestic violence to be confronted and reduced, it is imperative that physicians recognize the potential for domestic violence, even in what appears to be a stable, long-term relationship.
Wingert GM. Abortion and Unplanned Pregnancy. JAMA. 2000;283(12):1566. doi:10.1001/jama.283.12.1566-JLT0322-11-1