Obstetric Outcomes of Mothers Previously Exposed to Sexual Violence

Autor: Agnes Gisladottir, Arna Hauksdóttir, Thor Aspelund, Miguel Angel Luque-Fernandez, Berglind Gudmundsdottir, Ragnheidur I. Bjarnadottir, Sven Cnattingius, Unnur Valdimarsdóttir, Bernard L. Harlow, Eyrun Jonsdottir
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Pediatrics
Physiology
Maternal Health
Iceland
Social Sciences
Poison control
lcsh:Medicine
Criminology
Pathology and Laboratory Medicine
Vascular Medicine
Body Mass Index
Rape and Sexual Assault
Labor and Delivery
0302 clinical medicine
Sociology
Pregnancy
Medicine and Health Sciences
030212 general & internal medicine
Young adult
Child
lcsh:Science
030219 obstetrics & reproductive medicine
Multidisciplinary
Sexual violence
Obstetrics
Pregnancy Outcome
Obstetrics and Gynecology
Physiological Parameters
Obstetric Procedures
symbols
Female
Crime
Research Article
Adult
medicine.medical_specialty
Adolescent
Surgical and Invasive Medical Procedures
Hemorrhage
Young Adult
03 medical and health sciences
symbols.namesake
Signs and Symptoms
medicine
Humans
Adults
Poisson regression
Cesarean Section
business.industry
Sex Offenses
Body Weight
lcsh:R
Biology and Life Sciences
medicine.disease
Age Groups
Relative risk
People and Places
Birth
Women's Health
Population Groupings
lcsh:Q
Sex offense
business
Body mass index
Zdroj: PLoS ONE, Vol 11, Iss 3, p e0150726 (2016)
PLoS ONE
ISSN: 1932-6203
Popis: BACKGROUND: There is a scarcity of data on the association of sexual violence and women's subsequent obstetric outcomes. Our aim was to investigate whether women exposed to sexual violence as teenagers (12-19 years of age) or adults present with different obstetric outcomes than women with no record of such violence. METHODS: We linked detailed prospectively collected information on women attending a Rape Trauma Service (RTS) to the Icelandic Medical Birth Registry (IBR). Women who attended the RTS in 1993-2010 and delivered (on average 5.8 years later) at least one singleton infant in Iceland through 2012 formed our exposed cohort (n = 1068). For each exposed woman's delivery, nine deliveries by women with no RTS attendance were randomly selected from the IBR (n = 9126) matched on age, parity, and year and season of delivery. Information on smoking and Body mass index (BMI) was available for a sub-sample (n = 792 exposed and n = 1416 non-exposed women). Poisson regression models were used to estimate Relative Risks (RR) with 95% confidence intervals (CI). RESULTS: Compared with non-exposed women, exposed women presented with increased risks of maternal distress during labor and delivery (RR 1.68, 95% CI 1.01-2.79), prolonged first stage of labor (RR 1.40, 95% CI 1.03-1.88), antepartum bleeding (RR 1.95, 95% CI 1.22-3.07) and emergency instrumental delivery (RR 1.16, 95% CI 1.00-1.34). Slightly higher risks were seen for women assaulted as teenagers. Overall, we did not observe differences between the groups regarding the risk of elective cesarean section (RR 0.86, 95% CI 0.61-1.21), except for a reduced risk among those assaulted as teenagers (RR 0.56, 95% CI 0.34-0.93). Adjusting for maternal smoking and BMI in a sub-sample did not substantially affect point estimates. CONCLUSION: Our prospective data suggest that women with a history of sexual assault, particularly as teenagers, are at increased risks of some adverse obstetric outcomes. Language: en
Databáze: OpenAIRE
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