Prävalenz sexueller Gewalterfahrungen in der Kindheit in einem gynäkologischen Kollektiv

Within recent years, there is an increasing amount of studies confirming that childhood sexual abuse (CSA) experiences are a risk factor for numerous somatic and psychosocial long-termconsequences. For obstetrics, an increased probability of obstetric risk factors was found like teenage pregnancy, drug abuse and insufficient prenatal care as well as a variety of complications during pregnancy and delivery – in particular pre-term delivery. With a prevalence of 20%, CSA is a clinically relevant factor in the general female population. However, there is a lack of data on the general prevalence of CSA in an obstetrical study group which could make it possible to estimate the real relevance of CSA in pre- and postnatal care. In the present study, prevalences of 11.5% to 14.6% were found depending on the underlying definition of CSA. Comparable prevalences were also found in the few existing studies on obstetric collectives. The Aachen results are below the prevalences of CSA in different study groups with known sequels such as chronic pelvic pain or psychiatric disorders (median 34% to 41%). In addition, prevalences of obstetric study groups are below those of the general female population. Prevalences of CSA vary for example with the underlying definition and the method of collecting data like questionnaire or interview. The reason for the relatively low prevalence in obstetric collectives may be explained by an increased number of women who decide against establishing their own family after an experience of CSA, because they may have no confidence in their abilities as a mother or may have difficulties to maintain longterm relationships. According to our results, one can assume that each 7th to 10th woman who presents for prenatal care has experienced CSA. Because CSA may have influences on pregnancy and delivery, victims of CSA require specific pre- and postnatal care like an increased incorporation into clinical decisions, prevention of triggering flash backs as well as sensitive treatment with respect and confidence. Therefore, the victim's requirements should be integrated into the existing gynecological attendance. Ideally, perinatal caregivers should ask for experiences of CSA in the first consultation beside other risk factors for pregnancy like high blood pressure or drug abuse. A gynecological attendance which is adapted to the particular needs of victims of CSA is a key contribution to the reduction of long-term sequels of CSA which has been insufficiently used in the past.

Grantor dc:publisher

Publikationsserver der RWTH Aachen University

Year dc:date

2009

Author dc:creator

• Quarg-Meßlinger, Anna Fela

Contributors dc:contributor

• Rath, Werner

• info:eu-repo/classification/ddc/610
• Prävalenz
• Sexueller Missbrauch
• Kleinkind
• Medizin
• sexuelle Gewalterfahrung
• Kindheit
• prevalence
• CSA
• childhood sexual abuse

Statement dc:rights

• info:eu-repo/semantics/openAccess

Language dc:language

ger

Identifier

https://publications.rwth-aachen.de/search?p=id:%22RWTH-CONV-113737%22

OAI record oai:identifier

https://publications.rwth-aachen.de/oai2d?verb=GetRecord&metadataPrefix=oai_dc&identifier=oai%3Apublications.rwth-aachen.de%3A51446