Introduction:

Women have health needs that vary according to their life course and intimate partner violence.

Objective:

To identify the contextual characteristics in which prenatal care is provided to women with intimate partner violence.

Materials and Methods:

A qualitative ethnographic study based on participant-focused observation was conducted throughout childbirth preparation course sessions and waiting rooms in five healthcare institutions in Cali, Colombia. Results: The following three dimensions were identified in the care context: (a) envi ronment where care is provided, (b) power relations and (c) care dynamics. Findings suggest a traditional context in prenatal care with a predominance of a biomedical model.

Results:

three dimensions were identified regarding the care context: (a) The Environment where the Care is provided, (b) Power Relationships and (c) Dynamics of Care. The results show a traditional context in prenatal care with a predominance of a biomedical model.

Discussion:

The findings show the complexity of care in health institutions and a traditional context in prenatal care with a predominance of a biomedical model.

Conclusions:

During sessions held between women and healthcare personnel, intimate partner violence was not identified as the relationship was measured by a lack of knowledge of their needs, vertical relationships, power and non-assertive communication. For the adoption of support and accompaniment actions, it is necessary to recognize the importance of healthcare with a gender, differential and intersectional approach. In addition, in favor of women's autonomy and dignity, it is necessary to strengthen the culture of respect and empathy towards users.

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