Risk factors and health during pregnancy among women previously exposed to sexual violence.
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Authors
Gisladottir, AgnesHarlow, Bernard L
Gudmundsdottir, Berglind
Bjarnadottir, Ragnheidur I
Jonsdottir, Eyrun
Aspelund, Thor
Cnattingius, Sven
Valdimarsdottir, Unnur A
Issue Date
2014-04
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Acta Obstet Gynecol Scand. 2014, 93 (4):351-8Abstract
To determine whether women exposed to sexual violence in adolescence or adulthood are at increased risk of adverse maternal characteristics during subsequent pregnancies.Register-based cohort study.
Iceland.
We identified 586 women who attended a Rape Trauma Service (RTS) between 1993 and 2008 and all subsequent births of these women up to April 2011 (n = 915). These pregnancies were compared with 1641 randomly selected pregnancies of women who had not attended the RTS and who gave birth during the same calendar month.
Information on maternal smoking, body mass index and illicit drug use was obtained from maternal charts. We used Poisson regression to obtain multivariable adjusted relative risks (aRR) with 95% CI contrasting prevalence of outcomes in the two groups.
Characteristics and risk factors during pregnancy, including maternal smoking, body mass index, weight gain during pregnancy, illicit drug use.
Compared with unexposed women, sexually assaulted women were younger and more often primiparous in subsequent pregnancy, more likely not to be employed (7.8% vs. 4.3%; aRR 2.42, 95% CI 1.49-3.94), not cohabiting (45.6% vs. 14.2%; aRR 2.15, 95% CI 1.75-2.65), smokers (45.4% vs. 13.5%; aRR 2.68, 95% CI 2.25-3.20), and more likely to have used illicit drugs during pregnancy (3.4% vs. 0.4%; aRR 6.27, 95% CI 2.13-18.43). Exposed primiparas were more likely to be obese (15.5% vs. 12.3%; aRR 1.56, 95% CI 1.15-2.12).
Women with a history of sexual violence are more likely to have risk factors during pregnancy that may affect maternal health and fetal development.
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To access publisher's full text version of this article click on the hyperlink at the bottom of the pageAdditional Links
http://dx.doi.org/10.1111/aogs.12331http://onlinelibrary.wiley.com/doi/10.1111/aogs.12331/pdf
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Archived with thanks to Acta obstetricia et gynecologica Scandinavicaae974a485f413a2113503eed53cd6c53
10.1111/aogs.12331
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