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dc.contributor.authorLeeners, Brigitte-
dc.contributor.authorGörres, Gisela-
dc.contributor.authorBlock, Emina-
dc.contributor.authorHengartner, Michael Pascal-
dc.date.accessioned2018-01-30T13:43:23Z-
dc.date.available2018-01-30T13:43:23Z-
dc.date.issued2016-04-
dc.identifier.issn0022-3999de_CH
dc.identifier.issn1879-1360de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/2284-
dc.description.abstractObjective: 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.de_CH
dc.language.isoende_CH
dc.publisherElsevierde_CH
dc.relation.ispartofJournal of Psychosomatic Researchde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectChildhood sexual abusede_CH
dc.subjectLabor experiencesde_CH
dc.subjectDissociationde_CH
dc.subjectTriggerde_CH
dc.subjectFearde_CH
dc.subject.ddc616.8: Neurologie und Krankheiten des Nervensystemsde_CH
dc.subject.ddc618.4: Geburtde_CH
dc.titleBirth experiences in adult women with a history of childhood sexual abusede_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementAngewandte Psychologiede_CH
zhaw.organisationalunitPsychologisches Institut (PI)de_CH
dc.identifier.doi10.1016/j.jpsychores.2016.02.006de_CH
zhaw.funding.euNode_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end32de_CH
zhaw.pages.start27de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume83de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.webfeedKlinische Psychologiede_CH
Appears in collections:Publikationen Angewandte Psychologie

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Leeners, B., Görres, G., Block, E., & Hengartner, M. P. (2016). Birth experiences in adult women with a history of childhood sexual abuse. Journal of Psychosomatic Research, 83, 27–32. https://doi.org/10.1016/j.jpsychores.2016.02.006
Leeners, B. et al. (2016) ‘Birth experiences in adult women with a history of childhood sexual abuse’, Journal of Psychosomatic Research, 83, pp. 27–32. Available at: https://doi.org/10.1016/j.jpsychores.2016.02.006.
B. Leeners, G. Görres, E. Block, and M. P. Hengartner, “Birth experiences in adult women with a history of childhood sexual abuse,” Journal of Psychosomatic Research, vol. 83, pp. 27–32, Apr. 2016, doi: 10.1016/j.jpsychores.2016.02.006.
LEENERS, Brigitte, Gisela GÖRRES, Emina BLOCK und Michael Pascal HENGARTNER, 2016. Birth experiences in adult women with a history of childhood sexual abuse. Journal of Psychosomatic Research. April 2016. Bd. 83, S. 27–32. DOI 10.1016/j.jpsychores.2016.02.006
Leeners, Brigitte, Gisela Görres, Emina Block, and Michael Pascal Hengartner. 2016. “Birth Experiences in Adult Women with a History of Childhood Sexual Abuse.” Journal of Psychosomatic Research 83 (April): 27–32. https://doi.org/10.1016/j.jpsychores.2016.02.006.
Leeners, Brigitte, et al. “Birth Experiences in Adult Women with a History of Childhood Sexual Abuse.” Journal of Psychosomatic Research, vol. 83, Apr. 2016, pp. 27–32, https://doi.org/10.1016/j.jpsychores.2016.02.006.


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