Psychological sequelae of childhood sexual abuse: Relevant in subsequent pregnancy

Leden, Mimi E. Van Der; Raskin, Valerie D.

doi:10.1016/0002-9378(93)90401-4

Cited by 21 publications

(21 citation statements)

References 4 publications

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“…Retrospective as well as prospective studies have confirmed an association between CSA experiences and the risk for premature delivery even when correlations were controlled for the effect of poor prenatal care and drug abuse [22,30,32], an association that was also found with our data. However, the increased risk for premature delivery seems to be associated with a combination of sexual, physical and other adverse experiences during childhood as well as with obstetrical risk factors, which are related to these childhood experiences.…”

Section: Discussionsupporting

confidence: 88%

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: Discussionsupporting

confidence: 88%

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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“…However, it seems that the effect is more likely to be a subjective one rather than an objective one. Van der Leden & Raskin's (1993) quantitative study has shown one objective outcome for the survivors of sexual abuse, namely decreasing the length of their labours. The authors of this paper posit that dissociation is the reason for these shorter labours but they present no evidence to support this theory.…”

Section: Discussionmentioning

confidence: 99%

“…Preliminary results of a pilot study by Van Der Leden & Raskin (1993) indicate that there is a connection between previous childhood sexual abuse and a subsequent pregnancy. They found that 10% of their pregnant population (of 144) were survivors of childhood sexual abuse and that these women had shorter labours than those women with no stated history of abuse.…”

Section: Introductionmentioning

confidence: 99%

The experience of childbirth for survivors of incest

Parratt¹

1994

Midwifery

102

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“…2. As a consequence of CSA experiences, women may become totally unaware of their bodies [11,30] , which might lead to overseeing the first signs of obstetrical complications [35] . Therefore, the consequences of CSA may prevent a victimized obstetric patient from seeking optimal obstetric care in the presence of particular risk situations, even when she has no difficulties with routine prenatal care [35] .…”

Section: Usage Of Prenatal Care Opportunitiesmentioning

confidence: 99%

“…During pregnancy, consequences of CSA may unfortunately involve not only the woman ' s but also the infant ' s health. An increasing number of studies indicate that psychological distress during pregnancy is associated with smallfor-gestational-age infants and an increased risk for preterm delivery [9,12,16,22,27,34,35] .…”

Section: Introductionmentioning

confidence: 99%

Prenatal care in adult women exposed to childhood sexual abuse

Leeners

Stiller

Block³

et al. 2012

Journal of Perinatal Medicine

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Aims: Several case reports show a negative impact of childhood sexual abuse (CSA) on prenatal care. The study aimed to systematically investigate this association in a larger study group. Methods: CSA was investigated by face-to-face interviews and by a modified questionnaire developed by Wyatt. All study participants completed a self-administered questionnaire designed to investigate the consequences of CSA on prenatal care during adulthood. Data from 85 women after CSA were compared to those of 170 matched women without such experiences. Results: Women exposed to CSA had fewer than five prenatal consultations more often than unexposed women (26 % /7 % ; P < 0.0001). Of the 85 women with a positive history for CSA, 9.4 % had been asked for such antecedents, 36.5 % had intense memories on original abuse situations during pregnancy, 56.6 % mentioned specific consequences of CSA on prenatal care and 61.2 % were satisfied with obstetrical support. Exposed women (62.4 % ) felt significantly less prepared for labor than unexposed women (75.9 % ) (P < 0.0001). Conclusions: CSA experiences are associated with impaired prenatal care. These results underscore the compelling need to improve prenatal care in women exposed to CSA through better education of obstetricians regarding the effects of CSA and in their ability to provide empathetic professional support.

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Psychological sequelae of childhood sexual abuse: Relevant in subsequent pregnancy

Cited by 21 publications

References 4 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 experience of childbirth for survivors of incest

Prenatal care in adult women exposed to childhood sexual abuse

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