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Prevalence of experienced abuse in healthcare and associated obstetric characteristics in six European countries

Lukasse, Mirjam; Schroll, Anne-Mette; Karro, Helle; Schei, Berit; Steingrimsdottir, Thora; Van Parys, An-Sofie; Ryding, Elsa Lena; Tabor, Ann
Journal article, Peer reviewed
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aogs_12593.pdf (441.4Kb)
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http://hdl.handle.net/11250/2384276
Utgivelsesdato
2015
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  • Institutt for samfunnsmedisin og sykepleie [1763]
  • Publikasjoner fra CRIStin - NTNU [20888]
Originalversjon
Acta Obstetricia et Gynecologica Scandinavica 2015   10.111/aogs.12593
Sammendrag
Objectives. To assess the prevalence and current suffering of experienced abuse in

healthcare, to present the socio-demographic background for women with a history

of abuse in healthcare and to assess the association between abuse in healthcare

and selected obstetric characteristics. Design. Cross-sectional study.

Setting. Routine antenatal care in six European countries. Population. In total

6923 pregnant women. Methods. Cross-tabulation and Pearson’s chi-square was

used to study prevalence and characteristics for women reporting abuse in healthcare.

Associations with selected obstetric factors were estimated using multiple

logistic regression analysis. Main outcome measures. Abuse in healthcare, fear of

childbirth and preference for birth by cesarean section. Results. One in five pregnant

women attending routine antenatal care reported some lifetime abuse in

healthcare. Prevalence varied significantly between the countries. Characteristics

for women reporting abuse in healthcare included a significantly higher prevalence

of other forms of abuse, economic hardship and negative life events as well

as a lack of social support, symptoms of post-traumatic stress and depression.

Among nulliparous women, abuse in healthcare was associated with fear of childbirth,

adjusted odds ratio 2.25 (95% CI 1.23–4.12) for severe abuse in healthcare.

For multiparous women only severe current suffering from abuse in healthcare

was significantly associated with fear of childbirth, adjusted odds ratio 4.04 (95%

CI 2.08–7.83). Current severe suffering from abuse in healthcare was significantly

associated with the wish for cesarean section, and counselling for fear of childbirth

for both nulli- and multiparous women. Conclusion. Abuse in healthcare

among women attending routine antenatal care is common and for women with

severe current suffering from abuse in healthcare, this is associated with fear of

childbirth and a wish for cesarean section.
Utgiver
Wiley
Tidsskrift
Acta Obstetricia et Gynecologica Scandinavica

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