Document Detail


Pregnancy complications in women with childhood sexual abuse experiences.
MedLine Citation:
PMID:  20955870     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: Childhood 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.
METHODS: The 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.
RESULTS: Women 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).
CONCLUSION: Therefore, health care providers should adapt prenatal care to the specific needs of women exposed to CSA.
Authors:
Brigitte Leeners; Ruth Stiller; Emina Block; Gisela Görres; Werner Rath
Publication Detail:
Type:  Journal Article     Date:  2010-06-11
Journal Detail:
Title:  Journal of psychosomatic research     Volume:  69     ISSN:  1879-1360     ISO Abbreviation:  J Psychosom Res     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376333     Medline TA:  J Psychosom Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  503-10     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Inc. All rights reserved.
Affiliation:
Department of Gynecology and Obstetrics, University Hospital Zurich, Zurich, Switzerland. Brigitte.Leeners@usz.ch
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