Title: Birth experiences in adult women with a history of childhood sexual abuse
Authors : Leeners, Brigitte
Görres, Gisela
Block, Emina
Hengartner, Michael Pascal
Published in : Journal of Psychosomatic Research
Volume(Issue) : 83
Pages : 27
Pages to: 32
Publisher / Ed. Institution : Elsevier Inc.
Issue Date: Apr-2016
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Publication)
Language : English
Subjects : Childhood sexual abuse; Labor experiences; Dissociation; Trigger; Fear
Subject (DDC) : 616.8: Neurology, diseases of nervous system
618.4: Childbirth
Abstract: Objective: Although childhood sexual abuse (CSA) may seriously impair childbirth experiences, few systematic evaluations on associations, mediating influences, risk and protective factors are available. As such information is mandatory to improve obstetric care, the present study aimed to provide such data. Methods: The study compared childbirth experiences from 85 women after CSA and at least one pregnancy resulting in a life birth with those from 170 control women matched for nationality, personal age and children's age. Trained specialists from support centers investigated CSA. Obstetrical data were collected from the official personal clinical record of each pregnancy (Mutterpass) and data on CSA as well as childbirth experiences were examined by questionnaires. Results: Childbirth was more often highly frightening (24.7 vs. 5.3%; p < 0.01) and a negative experience (40.7 vs. 19.6%, p < 0.01) in women with a history of CSA than in controls. Multivariate regression models support the hypothesis that at least part of this association was mediated by covariates (specifically, birth preparation classes, presence of a trusted person, participation in medical decision-making, pain relief, emergency during labor and extreme duration of labor), which represent important resources in improving obstetric care. In 41% of women with CSA, memories of traumatic experiences intruded during childbirth, whereas about 58% experienced dissociation. While dissociation may result in loss of contact with obstetric staff, it was also used to reduce labor pain. Conclusion: Childbirth following a history of CSA is associated with particular challenges. Creating a trusting environment by evaluating and integrating individual needs could ameliorate birth experiences.
Departement: Angewandte Psychologie
Publication type: Article in scientific Journal
DOI : 10.1016/j.jpsychores.2016.02.006
ISSN: 0022-3999
URI: https://digitalcollection.zhaw.ch/handle/11475/2284
Appears in Collections:Publikationen Angewandte Psychologie

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