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dc.contributor.authorSchei, Berit
dc.contributor.authorLukasse, Mirjam
dc.contributor.authorRyding, Elsa Lena
dc.contributor.authorCampbell, Jacquelyn
dc.contributor.authorKarro, Helle
dc.contributor.authorKristjansdottir, Hildur
dc.contributor.authorLaanpere, Made
dc.contributor.authorSchroll, Anne-Mette
dc.contributor.authorTabor, Ann
dc.contributor.authorTemmerman, Marleen
dc.contributor.authorVan Parys, An-Sofie
dc.contributor.authorWangel, Anne-Marie
dc.contributor.authorSteingrimsdottir, Thora
dc.date.accessioned2014-09-05T13:32:57Z
dc.date.available2014-09-05T13:32:57Z
dc.date.issued2014
dc.date.submitted2014
dc.identifier.citationPLoS ONE 2014, 9 (1):e87579en
dc.identifier.issn1932-6203
dc.identifier.pmid24498142
dc.identifier.doi10.1371/journal.pone.0087579
dc.identifier.urihttp://hdl.handle.net/2336/325910
dc.descriptionTo access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files.en
dc.description.abstractThe main aim of this study was to assess whether a history of abuse, reported during pregnancy, was associated with an operative delivery. Secondly, we assessed if the association varied according to the type of abuse and if the reported abuse had been experienced as a child or an adult.
dc.description.abstractThe Bidens study, a cohort study in six European countries (Belgium, Iceland, Denmark, Estonia, Norway, and Sweden) recruited 6724 pregnant women attending routine antenatal care. History of abuse was assessed through questionnaire and linked to obstetric information from hospital records. The main outcome measure was operative delivery as a dichotomous variable, and categorized as an elective caesarean section (CS), or an operative vaginal birth, or an emergency CS. Non-obstetrically indicated were CSs performed on request or for psychological reasons without another medical reason. Binary and multinomial regression analysis were used to assess the associations.
dc.description.abstractAmong 3308 primiparous women, sexual abuse as an adult (≥ 18 years) increased the risk of an elective CS, Adjusted Odds Ratio 2.12 (1.28-3.49), and the likelihood for a non-obstetrically indicated CS, OR 3.74 (1.24-11.24). Women expressing current suffering from the reported adult sexual abuse had the highest risk for an elective CS, AOR 4.07 (1.46-11.3). Neither physical abuse (in adulthood or childhood <18 years), nor sexual abuse in childhood increased the risk of any operative delivery among primiparous women. Among 3416 multiparous women, neither sexual, nor emotional abuse was significantly associated with any kind of operative delivery, while physical abuse had an increased AOR for emergency CS of 1.51 (1.05-2.19).
dc.description.abstractSexual abuse as an adult increases the risk of an elective CS among women with no prior birth experience, in particular for non-obstetrical reasons. Among multiparous women, a history of physical abuse increases the risk of an emergency CS.
dc.description.sponsorshipEuropean Commission for Freedom, Security, and Justice, Brussels, Belgium JLS/2006/DAP-1/242/W30-CE-0120887/00-87 Norwegian Research Council/204292en
dc.language.isoenen
dc.publisherPublic Library Scienceen
dc.relation.urlhttp://dx.doi.org/10.1371/journal.pone.0087579en
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3909197/en
dc.rightsopenAccessen
dc.subjectOfbeldi gegn konumen
dc.subjectKynbundið ofbeldien
dc.subjectKynferðislegt ofbeldien
dc.subjectMeðgangaen
dc.subjectFæðingen
dc.subjectÁhættumaten
dc.subjectÍslanden
dc.subjectSvíþjóðen
dc.subjectBelgíaen
dc.subjectDanmörken
dc.subjectNoreguren
dc.subjectEistlanden
dc.subject.meshPregnancy Outcomeen
dc.subject.meshCesarean Section*en
dc.subject.meshLabor, Induceden
dc.subject.meshSex Offenses*en
dc.subject.meshAdulten
dc.subject.meshEmergency Medical Services*en
dc.subject.meshEuropean Unionen
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshMedical Records*en
dc.subject.meshPregnancyen
dc.subject.meshRisk Factorsen
dc.titleA history of abuse and operative delivery--results from a European multi-country cohort study.en
dc.typeArticleen
dc.contributor.departmentDepartment of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway ; Department of Obstetrics and Gynaecology, St.Olav's University Hospital, Trondheim, Norway. 2Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway ; Department of Health, Nutrition and Management, Oslo and Akershus University College of Applied Sciences, Oslo, Norway. 3Department of Women's and Children's Health, Division of Obstetrics and Gynaecology, Karolinska Institutet/University Hospital, Stockholm, Sweden. 4John Hopkins University, School of Nursing, Baltimore, Maryland, United States of America. 5Department of Obstetrics and Gynaecology, University of Tartu, Tartu, Estonia. 6Department of Obstetrics and Gynaecology, Landspitali University Hospital, Reykjavik, Iceland ; Directorate of Health, Reykjavik, Iceland. 7Centre of Fetal Medicine, Department of Obstetrics, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. 8Centre of Fetal Medicine, Department of Obstetrics, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark ; Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark. 9Department of Obstetrics and Gynaecology, Ghent University Hospital, Ghent, Belgium. 10Malmö University, Faculty of Health and Society, Malmö, Sweden. 11Department of Obstetrics and Gynaecology, Landspitali University Hospital, Reykjavik, Iceland ; Primary Health Care of the Capital Area, Centre of Development, Reykjavik, Iceland.en
dc.identifier.journalPloS oneen
dc.rights.accessOpen Accessen
refterms.dateFOA2018-09-12T13:40:02Z
html.description.abstractThe main aim of this study was to assess whether a history of abuse, reported during pregnancy, was associated with an operative delivery. Secondly, we assessed if the association varied according to the type of abuse and if the reported abuse had been experienced as a child or an adult.
html.description.abstractThe Bidens study, a cohort study in six European countries (Belgium, Iceland, Denmark, Estonia, Norway, and Sweden) recruited 6724 pregnant women attending routine antenatal care. History of abuse was assessed through questionnaire and linked to obstetric information from hospital records. The main outcome measure was operative delivery as a dichotomous variable, and categorized as an elective caesarean section (CS), or an operative vaginal birth, or an emergency CS. Non-obstetrically indicated were CSs performed on request or for psychological reasons without another medical reason. Binary and multinomial regression analysis were used to assess the associations.
html.description.abstractAmong 3308 primiparous women, sexual abuse as an adult (≥ 18 years) increased the risk of an elective CS, Adjusted Odds Ratio 2.12 (1.28-3.49), and the likelihood for a non-obstetrically indicated CS, OR 3.74 (1.24-11.24). Women expressing current suffering from the reported adult sexual abuse had the highest risk for an elective CS, AOR 4.07 (1.46-11.3). Neither physical abuse (in adulthood or childhood <18 years), nor sexual abuse in childhood increased the risk of any operative delivery among primiparous women. Among 3416 multiparous women, neither sexual, nor emotional abuse was significantly associated with any kind of operative delivery, while physical abuse had an increased AOR for emergency CS of 1.51 (1.05-2.19).
html.description.abstractSexual abuse as an adult increases the risk of an elective CS among women with no prior birth experience, in particular for non-obstetrical reasons. Among multiparous women, a history of physical abuse increases the risk of an emergency CS.


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