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Obstetric Outcomes of Mothers Previously Exposed to Sexual Violence.

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Authors
Gisladottir, Agnes
Luque-Fernandez, Miguel Angel
Harlow, Bernard L
Gudmundsdottir, Berglind
Jonsdottir, Eyrun
Bjarnadottir, Ragnheidur I
Hauksdottir, Arna
Aspelund, Thor
Cnattingius, Sven
Valdimarsdottir, Unnur A
Issue Date
2016

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Obstetric Outcomes of Mothers Previously Exposed to Sexual Violence. 2016, 11 (3):e0150726 PLoS ONE
Abstract
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.
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).
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.
Our prospective data suggest that women with a history of sexual assault, particularly as teenagers, are at increased risks of some adverse obstetric outcomes.
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To 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. This article is open access.
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http://dx.doi.org/ 10.1371/journal.pone.0150726
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4805168/
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Archived with thanks to PloS one
ae974a485f413a2113503eed53cd6c53
10.1371/journal.pone.0150726
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