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dc.contributor.authorGisladottir, Agnes
dc.contributor.authorLuque-Fernandez, Miguel Angel
dc.contributor.authorHarlow, Bernard L
dc.contributor.authorGudmundsdottir, Berglind
dc.contributor.authorJonsdottir, Eyrun
dc.contributor.authorBjarnadottir, Ragnheidur I
dc.contributor.authorHauksdottir, Arna
dc.contributor.authorAspelund, Thor
dc.contributor.authorCnattingius, Sven
dc.contributor.authorValdimarsdottir, Unnur A
dc.date.accessioned2016-08-17T13:12:48Z
dc.date.available2016-08-17T13:12:48Z
dc.date.issued2016
dc.date.submitted2016
dc.identifier.citationObstetric Outcomes of Mothers Previously Exposed to Sexual Violence. 2016, 11 (3):e0150726 PLoS ONEen
dc.identifier.issn1932-6203
dc.identifier.pmid27007230
dc.identifier.doi10.1371/journal.pone.0150726
dc.identifier.urihttp://hdl.handle.net/2336/618491
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. This article is open access.en
dc.description.abstractThere 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.
dc.description.abstractWe 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).
dc.description.abstractCompared 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.
dc.description.abstractOur prospective data suggest that women with a history of sexual assault, particularly as teenagers, are at increased risks of some adverse obstetric outcomes.
dc.description.sponsorshipIcelandic Research Fund for Graduate Students/RAN090310-0736 Landspitali University Hospital Research Funden
dc.language.isoenen
dc.publisherPublic Library Scienceen
dc.relation.urlhttp://dx.doi.org/ 10.1371/journal.pone.0150726en
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4805168/en
dc.rightsArchived with thanks to PloS oneen
dc.subjectMeðgangaen
dc.subjectKynbundið ofbeldien
dc.subjectPSC12
dc.subjectOAG12
dc.subject.meshAdolescenten
dc.subject.meshAdulten
dc.subject.meshChilden
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshIcelanden
dc.subject.meshPregnancyen
dc.subject.meshPregnancy Outcomeen
dc.subject.meshSex Offensesen
dc.subject.meshYoung Adulten
dc.titleObstetric Outcomes of Mothers Previously Exposed to Sexual Violence.en
dc.typeArticleen
dc.contributor.department[ 1 ] Univ Iceland, Ctr Publ Hlth Sci, Reykjavik, Iceland [ 2 ] London Sch Hyg & Trop Med, Dept Noncommunicable Dis Epidemiol, London WC1, England [ 3 ] Harvard Univ, Sch Publ Hlth, 665 Huntington Ave, Boston, MA 02115 USA [ 4 ] Boston Univ, Sch Publ Hlth, Boston, MA USA [ 5 ] Natl Univ Hosp Iceland, Landspitali, Rape Trauma Serv, Reykjavik, Iceland   Organization-Enhanced Name(s)      Landspitali National University Hospital [ 6 ] Natl Univ Hosp Iceland, Landspitali, Ctr Trauma, Reykjavik, Iceland   Organization-Enhanced Name(s)      Landspitali National University Hospital [ 7 ] Univ Iceland, Dept Psychol, Reykjavik, Iceland [ 8 ] Natl Univ Hosp Iceland, Landspitali, Dept Obstet & Gynecol, Reykjavik, Iceland   Organization-Enhanced Name(s)      Landspitali National University Hospital [ 9 ] Iceland Heart Assoc, Kopavogur, Iceland [ 10 ] Karolinska Inst, Clin Epidemiol Unit, Stockholm, Sweden [ 11 ] Karolinska Inst, Dept Med Epidemiol, Stockholm, Swedenen
dc.identifier.journalPloS oneen
dc.rights.accessOpen Accessen
refterms.dateFOA2018-09-12T16:08:00Z
html.description.abstractThere 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.
html.description.abstractWe 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).
html.description.abstractCompared 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.
html.description.abstractOur 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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