Obstetric Outcomes of Mothers Previously Exposed to Sexual ViolenceReportar como inadecuado




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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.



Autor: Agnes Gisladottir , Miguel Angel Luque-Fernandez, Bernard L. Harlow, Berglind Gudmundsdottir, Eyrun Jonsdottir, Ragnheidur I. Bja

Fuente: http://plos.srce.hr/



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