کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
949829 926788 2010 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Pregnancy complications in women with childhood sexual abuse experiences
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی روانپزشکی بیولوژیکی
پیش نمایش صفحه اول مقاله
Pregnancy complications in women with childhood sexual abuse experiences
چکیده انگلیسی

ObjectiveChildhood sexual abuse (CSA) has an estimated prevalence of 20% and has a constantly growing list of known long-term consequences on physical as well as psychological health which may also influence obstetrical care attributed to it. However, scientific data on the association of CSA and pregnancy are sparse. Therefore, the study investigated pregnancy complications in women exposed to CSA.MethodsThe study was designed as a cohort study comparing 85 women exposed to CSA with 170 matched unexposed women. CSA was identified by interview using modified questions from Wyatt [Child Abuse Negl 9 (1985) 507–519]. Data on pregnancy complications were collected by questionnaire and based on entries in a booklet (Mutterpass) in which all relevant data on pregnancy are documented at each prenatal consultation for any women attending prenatal care in Germany. Statistical analysis was performed with chi square, Fisher's Exact Test, and multiple logistic regression analysis to control the association between CSA and pregnancy complications for confounders significant in univariate analysis, i.e., physical abuse, other adverse experiences during childhood, abuse during pregnancy, substance abuse, and occupation.ResultsWomen exposed to CSA were significantly more often hospitalized during pregnancy (41.2%/19.4%; OR 2.91, CI 1.64–5.17). They presented more often complications such as premature contractions (38.8%/20%; OR 2.54 CI 1.43–4.51), cervical insufficiency (25.9%/9.4%; OR 3.36, CI 1.65–6.82), and premature birth (18.8%/8.2%; OR 2.58, CI 1.19–5.59).ConclusionTherefore, health care providers should adapt prenatal care to the specific needs of women exposed to CSA.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Psychosomatic Research - Volume 69, Issue 5, November 2010, Pages 503–510
نویسندگان
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