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 |
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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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