La grossesse après viol

Muhlstein, J.; Martrille, Laurent; Guillet-May, F.; Routiot, T.; Coudane, H.; Judlin, P

doi:10.1016/j.gyobfe.2012.12.009

Cited by 6 publications

(2 citation statements)

References 16 publications

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“…Unintended pregnancies are one of the many public health, politico-legal, and socioeconomic consequences of sexual violence [ 2 ]. Although protocols for post-assault medical care exist [ 3 , 4 ], including the prevention and management of sexual violence-related pregnancies (SVRPs) [ 3 , 5 , 6 ], many women cannot or do not seek care after sexual violence [ 7 – 9 ]. Even if post-assault care is accessed, emergency contraception may not be available [ 10 ] or effective, given delays in seeking care [ 7 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

A quantitative assessment of termination of sexual violence-related pregnancies in eastern Democratic Republic of Congo

et al. 2016

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BackgroundSexual violence is prevalent in eastern Democratic Republic of Congo (DRC), and has resulted in sexual violence-related pregnancies (SVRPs). Despite restrictive laws, women may seek to terminate SVRPs; however, there are limited data on termination of SVRPs.MethodsA mixed methods study was conducted in 2012 in Bukavu, DRC. Adult women who self-reported an SVRP and termination of that SVRP were recruited using respondent-driven sampling (RDS). Trained female interviewers verbally administered a quantitative survey to all participants and a semi-structured qualitative survey to a subset. Quantitative data on characteristics and complications of pregnancy termination, including mental health outcomes, were analyzed using SAS.ResultsIn total, 86 women completed quantitative surveys. Most SVRPs (93 %) involved two or more assailants; 73 % occurred while in captivity. Most women (82 %) terminated the SVRPs at 3 months gestation or earlier; 79 % reported one attempt at pregnancy termination and 21 % more than one attempt. The most common methods of termination were an oral medicine (55 %) or herb (35 %); cimpokolo (31 %) and quinine (18 %) were most frequently reported. These methods were accessed through friends (37 %), healthcare providers (18 %), family (16 %), or self-obtained (12 %). Following the termination, 79 % of women reported subsequent physical symptoms, including abdominal pain (74 %), bleeding (47 %), vaginal discharge (35 %) and fever (18 %); 44 % sought medical care for their symptoms. Varied emotional responses to the termination were reported and included relief (34 %), anxiety (21 %), anger (19 %), guilt (19 %), and regret (10 %). At the time of the study, many women met symptom criteria for post-traumatic stress disorder (57 %), depression (50 %), and generalized anxiety disorder (33 %).ConclusionMost women terminated SVRPs using medications or herbs not recognized as evidence-based methods of pregnancy termination and sought these methods outside of the formal healthcare sector. These data suggest that access to safe abortion methods is needed for women with SVRPs in DRC. Physical symptoms and emotional reactions related to the termination varied. While it is not possible to differentiate the impacts of sexual violence, SVRP, and pregnancy termination on mental health outcomes, the findings highlight the complex needs of women with SVRPs and opportunities for integrative health services.

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Section: Introductionmentioning

confidence: 99%

A quantitative assessment of termination of sexual violence-related pregnancies in eastern Democratic Republic of Congo

et al. 2016

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“…These pregnancies resulting from rape expose the child to infanticide and violence. 3 , 28 It is all the more important to quickly provide emergency contraception for victims who consult within the first 72 hours. 17 As found in the results of Niort et al in Marseilles, the most frequent form of rape was penile-vaginal about women and penile-anal about men.…”

Section: Discussionmentioning

confidence: 99%

An Observational Study of Sexual Assaults in French Guiana During 2019–2020

Menseau,

Charbonnier,

Franchi

et al. 2024

OAEM

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Introduction Sexual violence is a major public health issue, including in French Guiana. The feeling of insecurity is significant in this part of France. Sexual violence is an important reason for consultation in forensic and emergency medicine. The challenge is to provide care within the first 72 hours, particularly in medicolegal terms and for infectious disease management. The objectives of our study were, firstly, to establish the epidemiology of sexual assaults at Cayenne General Hospital (CGH), and secondly, to evaluate the management of these victims. Materials and Methods From January 1st, 2019 to December 31st, 2020, we conducted a single-center retrospective descriptive study including patients who were consulted for sexual assaults in the Forensic medicine and the Emergency departments of CGH. Results Over this period, 400 sexual assault victims were consulted. Most of them, were women (87%) with a median age of 13 years-old [8; 17.5]. The aggressor was mostly male (99%) frequently known by the victim (87%) and from her family (39%). Suspected assaults represented 19% of consultations. The most frequent assault on women was penile-vaginal penetration (82%) and penile-anal penetration (77%) on men. The delay of consultation was superior to 72 hours in 60% of the cases. A psychological follow-up was recommended for 62% of these victims. Conclusion This work allowed to identify a young and female population at risk, most often assaulted by a male known to her. Most of the patients consulted more than 72 hours after the assault. Our study highlights the need for prevention actions in French Guiana focusing on this population at risk.

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