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

doi:10.1111/aogs.12593

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

65 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.

Originalsprog	Engelsk
Tidsskrift	Acta Obstetricia et Gynecologica Scandinavica
Vol/bind	94
Udgave nummer	5
Sider (fra-til)	508-17
Antal sider	10
ISSN	0001-6349
DOI	https://doi.org/10.1111/aogs.12593
Status	Udgivet - maj 2015

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10.1111/aogs.12593

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title = "Prevalence of experienced abuse in healthcare and associated obstetric characteristics in six European countries",

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.",

keywords = "Adolescent, Adult, Cesarean Section, Chi-Square Distribution, Child, Cross-Sectional Studies, Europe, Fear, Female, Humans, Parturition, Patient Preference, Pregnancy, Prenatal Care, Prevalence, Socioeconomic Factors, Violence, Young Adult",

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

note = "{\textcopyright} 2015 Nordic Federation of Societies of Obstetrics and Gynecology.",

year = "2015",

month = may,

doi = "10.1111/aogs.12593",

language = "English",

volume = "94",

pages = "508--17",

journal = "Acta Obstetricia et Gynecologica Scandinavica",

issn = "0001-6349",

publisher = "Wiley-Blackwell",

number = "5",

}

TY - JOUR

T1 - Prevalence of experienced abuse in healthcare and associated obstetric characteristics in six European countries

AU - Lukasse, Mirjam

AU - Schroll, Anne-Mette

AU - Karro, Helle

AU - Schei, Berit

AU - Steingrimsdottir, Thora

AU - Van Parys, An-Sofie

AU - Ryding, Elsa Lena

AU - Tabor, Ann

AU - Bidens Study Group

PY - 2015/5

Y1 - 2015/5

N2 - 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.

AB - 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.

KW - Adolescent

KW - Adult

KW - Cesarean Section

KW - Chi-Square Distribution

KW - Child

KW - Cross-Sectional Studies

KW - Europe

KW - Fear

KW - Female

KW - Humans

KW - Parturition

KW - Patient Preference

KW - Pregnancy

KW - Prenatal Care

KW - Prevalence

KW - Socioeconomic Factors

KW - Violence

KW - Young Adult

U2 - 10.1111/aogs.12593

DO - 10.1111/aogs.12593

M3 - Journal article

C2 - 25627169

SN - 0001-6349

VL - 94

SP - 508

EP - 517

JO - Acta Obstetricia et Gynecologica Scandinavica

JF - Acta Obstetricia et Gynecologica Scandinavica

IS - 5

ER -

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

Abstract

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