Bad experience, good birthing: Dutch low-risk pregnant women with a history of sexual abuse

Abstract

Little difference was observed in major birth-related technical interventions between women with and without a history of sexual abuse.

Pain cognitions as predictors of the request for pain relief during the first stage of labor: a prospective study

“…These variables included: education level [21]; ethnicity [22]; psychological problems, such as stress, anxiety, or sexual abuse [23,24]; attendance at an antenatal class [25]; anticipated [6] and experienced labor pain intensity [5]; continued support from the midwife or the doula during labor [26]; intended place of labor [27]; and the duration of the first stage of labor [9]. Using multivariate logistic regression, it was subsequently investigated whether individual LPCCL subscales still predicted the request for pain relief during labor after controlling for relevant demographic and clinical predictors of the request for pain relief, which were significantly related to the request for pain relief with a p-value ≤ 5%.…”

Comprehensive Care and Pregnancy: The Unmet Care Needs of Pregnant Women with a History of Rape

“…One study also used hazard analyses to demonstrate that women who experience sexual abuse in childhood and adolescence are at increased risk of early pregnancy, or a pregnancy that occurs in adolescence (Young, Deardorff, Ozer, & Lahiff, 2011). However, the strongest and most consistent associations were found between rape history and increased rates of depression including post-partum depression, stress, anxiety, mental distress, and PTSD (Eberhard-Gran et al, 2008; Garabedian, Lain, Hansen, Garcia, Williams, & Crofford, 2011; Holmes et al, 1996; Lukasse et al, 2009; Nelson et al, 2010; Osborne et al, 2001; Van der Hulst et al, 2006). One study also considered the association of rape with intimate partner violence, taking into consideration the concept of revictimization (McFarlane, 2007).…”

“…Low sociodemographic status is both a risk factor for and an outcome of sexual trauma. The majority of the 11 studies noted a higher prevalence of women who were young, poor, less educated, and minorities among participants in these pregnancy studies who were rape survivors (Nelson et al, 2010; Leonardson et al, 2003; Lukasse et al, 2009; Nerum et al, 2009; Osbourne et al, 2001; Van der Hulst et al, 2006; Young, et al, 2011). These findings from the literature are consistently showing decrements in the health status of survivors or unmet needs in relation to the five components of comprehensive care.…”

“…Past research in the clinical and epidemiological literature (Eberhard-Gran, Schei, & Eskid, 2007; Goldring, Stein, Siegel, Burnam, & Sorensen, 1988; Seng, Clark, McCarthy, & Ronis, 2006) has also identified higher rates of somatic complaints in survivors of sexual assault such as headache, sleep disturbances, and nausea. There were two studies that noted somatic disturbances among sexual assault survivors such as pelvic pain (Van der Hulst et al, 2006) and an increase in common pregnancy complaints including such somatic problems as headache, nausea, and tiredness (Lukasse et al, 2009). There was a correlation between rape and cigarette use and alcohol consumption during pregnancy (Leonardson et al 2003; Lukasse et al, 2009; Nelson et al, 2010; Van der Hulst et al, 2006).…”

“…There were two studies that noted somatic disturbances among sexual assault survivors such as pelvic pain (Van der Hulst et al, 2006) and an increase in common pregnancy complaints including such somatic problems as headache, nausea, and tiredness (Lukasse et al, 2009). There was a correlation between rape and cigarette use and alcohol consumption during pregnancy (Leonardson et al 2003; Lukasse et al, 2009; Nelson et al, 2010; Van der Hulst et al, 2006). Additionally, three studies found increased rates of infection including bacterial vaginosis, Chlamydia, gonorrhea, and trichomoniasis in pregnant survivors of rape and sexual violence (Lukasse et al, 2009; McFarlane, 2007; Nelson et al, 2010).…”