Gewalterfahrungen und Gesundheitssituation bei Prostituierten

Oppenheimer, Christa

doi:10.1007/s12054-005-0098-7

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“…Activity-related stress can negatively affect the pregnancy in many ways; the risk for preterm delivery and low birth weight is increased for women experiencing excessive physical and psychological strains in the context of work [19]. Sexual and physical violencewhich women who offer sexual services may be subjected to in varying degrees and forms [20,21], also in Germany [22] increases the risk of preterm delivery. Here again, pregnancy studies which explicitly looked at prostitution are lacking.…”

Section: Violence Fear Stressmentioning

confidence: 99%

Psychosocial Stress, Course of Pregnancy and Pregnancy Outcomes in the Context of the Provision of Sexual Services

Simoes

Gostomzyk

Brucker

et al. 2017

Geburtshilfe Frauenheilkd

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Introduction There has been very little medical research into pregnancies which occur in the context of prostitution, even though the associated health risks for mother and child, e.g. violence or maternal drug abuse, are well known. The aim of this study was to compile and summarize what is known (inter-)nationally about this topic and identify key points of support as part of a uniform standard of healthcare in pregnancy. Material and Methods A selective search of the literature was done in Pubmed and Livivo/Medpilot and in the databases NIH, Cochrane, DARE, NHSEED and HTA on the factors influencing preterm delivery. Results There are no systematic studies on pregnancy risks in the context of sexual services. But there is data available on specific risk factors, for example the increased risk of prematurity associated with sexual/physical violence (OR?=?1.28?4.7). The Prostitute Protection Act provides only limited protection for affected women, and statutory maternity protection regulations also have little impact as they require a formal contract of employment which rarely exists even in the context of legal prostitution. Conclusion Approximately 400?000 women are currently working as prostitutes in the Federal Republic of Germany. The number of unreported cases is high. Nevertheless, there is little concrete data available on the probable health risks if these women become pregnant. The existing laws that should offer protection fall short of the mark. There is a need for more research into the future implementation of the Prostitute Protection Act which should focus on health counselling, health promotion and additional protective legislation. Low-threshold healthcare services offered in the context of prenatal care could be an opportunity to improve care.

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