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

Mirjam Lukasse, Anne-Mette Schroll, Helle Karro, Berit Schei, Thora Steingrimsdottir, An-Sofie Van Parys, Elsa Lena Ryding, Ann Tabor, Bidens Study Group

    52 Citationer (Scopus)

    Abstract

    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.

    OriginalsprogEngelsk
    TidsskriftActa Obstetricia et Gynecologica Scandinavica
    Vol/bind94
    Udgave nummer5
    Sider (fra-til)508-17
    Antal sider10
    ISSN0001-6349
    DOI
    StatusUdgivet - maj 2015

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