Pregnancy complications in women with childhood sexual abuse experiences

Leeners, Brigitte; Stiller, Ruth; Block, Emina; Görres, Gisela; Rath, Werner

doi:10.1016/j.jpsychores.2010.04.017

Cited by 98 publications

(96 citation statements)

References 42 publications

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“…The method of the study has been previously described [17,18]. Briefly, data on different obstetrical risk factors/behaviors and perinatal outcome (premature delivery, birth weight) from a cohort of 85 women with a history of CSA were compared to those of 170 matched women without CSA experiences.…”

Section: Methodsmentioning

confidence: 99%

“…CSA experiences were additionally explored using questions modified from a questionnaire developed by Wyatt [33], as described previously [17,18]. In addition to these questions, basic socio-epidemiological data and other ACE (i.e., emotional abuse, substance abuse in family members, mentally handicapped family members, family members at risk for suicide, and family members in prison) were explored.…”

Section: Questionnairementioning

confidence: 99%

“…Consequences of abusive childhood experiences are associated with an increased risk for pregnancy complications, and may therefore, have a negative impact on pregnancy outcome [16,17,22]. The fact that at least one out of five women has been exposed to sexual abuse, and 29-78% to physical abuse during childhood support the relevance of such experiences in prenatal care [15,16,18].…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences

Leeners

Rath

Block³

et al. 2013

Journal of Perinatal Medicine

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Aims: To explore the association between childhood sexual abuse (CSA), physical abuse, as well as other adverse childhood experiences (ACE), and different obstetrical risk factors/behaviors. Methods: In this cohort study, obstetrical risk factors and perinatal outcome in 85 women exposed to CSA were compared to 170 matched unexposed women. CSA, physical abuse, and ACE were explored by face-to-face interviews and by questionnaire. Data on perinatal outcome were extracted from medical charts. Fisher's exact, χ 2 -test, and multiple logistic regression were used for statistical analysis. Results: During pregnancy women with CSA experiences were significantly more often smoking (31.7%/9.4%; P < 0.0001), had partners abusing drugs (10.6%/1.2%; P < 0.0005), experienced physical (16.5%/0; P < 0.0001), sexual (12.9%/0; P < 0.0001), and emotional abuse (44.7%/1.7%; P < 0.0001), reported depression (24.7%/1.8%; P < 0.0001), and suicidal ideation (10.6%/0; P < 0.0001) than women without CSA experiences. Differences in risk factors were more often correlated with physical than with sexual abuse during childhood. The probability for premature delivery was associated with CSA, physical abuse and ACE as well as with several of the risk factors investigated. Conclusion: Women with CSA, physical, and ACE present with a variety of abuse-associated obstetrical risk factors and an increased risk for premature delivery. Therefore, all types of abusive and other ACE should be considered in prenatal care.

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Section: Methodsmentioning

confidence: 99%

Section: Questionnairementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences

Leeners

Rath

Block³

et al. 2013

Journal of Perinatal Medicine

Self Cite

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“…11 Approximately one in five women in the United States has experienced sexual violence as a child, 12 and a history of childhood sexual assault (CSA) has been associated with an increased risk of UP among adult women. 9,11 In addition to increasing the likelihood of an UP, a history of childhood sexual assault has been shown to impact the outcome of a woman's pregnancy by increasing her risk of premature contractions, premature birth, 13 and an increased number of hospitalizations during pregnancy. 13 Thus, the potential impact of childhood sexual assault on pregnancy intention and outcome is significant.…”

Section: Introductionmentioning

confidence: 99%

The Role of Stress, Depression, and Violence on Unintended Pregnancy Among Young Urban Women

Nelson

Lepore

2013

Journal of Women's Health

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Background: Unintended pregnancy (UP) is common, particularly among women exposed to violence, and it is linked to adverse maternal and child outcomes. This study investigated the potential role of current depressive symptoms, social support, and psychosocial stress in moderating the association between violence exposure and UP. Methods: Pregnant women, being treated at an urban Emergency Room, completed a self-reported baseline interview where pregnancy intention as well as depression symptoms, perceived stress, past and current violence, and demographic factors were evaluated. Results: Pregnant women were identified among women aged 14-40 years presenting to an urban emergency department. Women reporting sadness or planning to terminate the pregnancy were classified as having an UP. A higher number of women reported an UP if they had at least one episode of childhood sexual assault (CSA) (odds ration [OR] = 1.39, 95% confidence interval [CI]: 1.03-1.87), but this association disappeared after adjusting for socioeconomic factors. Relative to women reporting an intended pregnancy, women reporting sadness or wanting to abort the pregnancy reported lower social support (mean number of friends 2.5 vs. 3.0, p = 0.005), had a higher prevalence of current depressive symptoms (67% vs. 49%, OR = 2.14, 95% CI: 1.72-2.66), and had higher mean levels of current perceived stress (6.9 vs. 5.6, p < 0.001). At least one episode of CSA and current depressive symptoms was positively associated with the report of sadness or wanting to abort the pregnancy relative to women with no depressive symptoms and no history of CSA. In addition, high level of stress positively moderated the role of CSA and reporting sadness or wanting to abort the pregnancy. Conclusion: Ongoing screening for depressive symptoms and stress among female survivors of CSA may be important in reducing the high rates of unintended pregnancy in urban communities.

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“…A szakirodalmat áttekintve megállapítható, hogy hazánkban a gyermekkori bántalmazás, a párkapcsolati erő-szak és a koraszülés közötti összefüggések vizsgálata még egy teljesen új területnek tekinthető. A külföldi szakirodalom azonban jelentős eredményeket ismertet a témá-ban, a probléma relevanciájára felhívva ezzel a figyelmet [10][11][12][13]. Kutatásunk során egy általunk kidolgozott kér-dőív segítségével megvizsgáltuk a bántalmazás és a koraszülés, illetve a gyermek fejlődési mutatói közötti kapcsolatot.…”

Section: Bántalmazás Mint a Koraszülésre Hajlamosító Tényezőunclassified

A bántalmazás és a koraszülés összefüggései a kétéves kori pszichomotoros fejlődés tükrében

Szele

Nagy

2017

Orvosi Hetilap

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Bevezetés: Hazánkban a koraszülések magas száma miatt népegészségügyileg kiemelten fontos feladatunk a koraszü-lött gyermekek vizsgálata és a fejlődésükre ártalmas tényezők azonosítása. Célkitűzés: A koraszülött gyermekek pszichomotoros fejlődésének felmérése, az édesanya által átélt bántalmazás és a gyermek pszichomotoros teljesítménye közötti összefüggés megvizsgálása. Módszer: Extrém kis (<1000 g) és igen kis (1000-1500 g) születési súlyú koraszülött, a vizsgálat idején 23-30 hónap közötti gyermek (n = 35) pszichomotoros teljesítményének (Brunet-Lézine; Bayley-III) és az anya által átélt bántal-mazásnak a felmérése (saját kérdőív). Eredmények: Elemzéseink alapján megállapítható, hogy az alacsonyabb születési súly alacsonyabb pszichomotoros mutatókkal és magasabb fejlődési rizikóval társul. Az anya által átélt gyermekkori bántalmazás szoros összefüggést mutat a koraszülött gyermekek teljesítményeivel. Következtetések: A szerzők szeretnék felhívni a figyelmet a koraszülött gyermekek szűrővizsgálatának fontosságára, továbbá a gyermekkori bántalmazásnak és következményeinek súlyosságára. A korai fejlesztés szükségességének felismerésével nemcsak megelőzhetővé, hanem redukálhatóvá is válna a későbbi zavarok, viselkedésproblémák megjelenése. Orv Hetil. 2017; 158(25): 976-983. Kulcsszavak: koraszülés, alacsony születési súly, pszichomotoros fejlődés, bántalmazásThe connection between maltreatment and preterm birth -in the light of psychomotor development at 2 years old Introduction: Preterm children' development and harmful affecting factors to development are important aspects of public health, because in our country the number of preterm birth is very high. Aim: Description of psychomotor development of preterm children (Brunet-Lézine; Bayley-III) and connection between psychomotor development and maternal abuse history (own questionnaire). Method: Extremely (<1000 g) and very low (1000-1500 g) birth weight preterm children at 23-30 months (n = 35) and their mothers' abuse history were measured. Results: Lower birth weight was associated with lower psychomotor development quotients and higher development risk. Strong associations were found between maternal history of childhood abuse and the development quotients. Conclusions: We would like to draw attention to the importance of assessing preterm children, as well as to the importance of maltreatment and the severity of its consequences. With the early recognition of necessity for developmental interventions we can prevent problems in the future.

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Pregnancy complications in women with childhood sexual abuse experiences

Cited by 98 publications

References 42 publications

Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences

Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences

The Role of Stress, Depression, and Violence on Unintended Pregnancy Among Young Urban Women

A bántalmazás és a koraszülés összefüggései a kétéves kori pszichomotoros fejlődés tükrében

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