Birth outcomes in primiparous women who were raped as adults: a matched controlled study

Please cite this paper as: Nerum H, Halvorsen L, Øian P, Sørlie T, Straume B, Blix E. Birth outcomes in primiparous women who were raped as adults: a matched controlled study. BJOG 2010;117:288–294. Objective  To compare the duration of labour and the birth outcome in a group of primiparous women wh...

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Published in:BJOG : an international journal of obstetrics and gynaecology 2010-02, Vol.117 (3), p.288-294
Main Authors: Nerum, H, Halvorsen, L, Øian, P, Sørlie, T, Straume, B, Blix, E
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Birth outcome
Case-Control Studies
Cesarean Section - utilization
Childbirth & labor
Delivery, Obstetric - methods
Extraction, Obstetrical - utilization
Female
Gynecology. Andrology. Obstetrics
Humans
Labor, Obstetric - physiology
Medical sciences
Parity
Pregnancy
Pregnancy Outcome
prolonged labour
Rape
sexual abuse
Time Factors
Young Adult
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Summary:Please cite this paper as: Nerum H, Halvorsen L, Øian P, Sørlie T, Straume B, Blix E. Birth outcomes in primiparous women who were raped as adults: a matched controlled study. BJOG 2010;117:288–294. Objective  To compare the duration of labour and the birth outcome in a group of primiparous women who had been raped after the age of 16, with a control group from the same birth cohort. Design  Cohort study. Setting  University Hospital of North Norway. Sample  Fifty women raped as adults and 150 controls. Methods  Data about birth outcomes in the first pregnancy were collected from the patient files and data concerning the assault were obtained in a subsequent pregnancy through consultations with the women who had been raped. Birth outcomes in the group of women who had been raped were compared with matched controls using a multivariable logistic regression model. Main outcome measures  Caesarean section, operative vaginal delivery and duration of labour. Results  During their first delivery, the women who had been raped had an increased risk for caesarean section (adjusted odds ratio 15.7, 95% CI 5.0–49.1) and for assisted vaginal delivery (adjusted odds ratio 13.1, 95% CI 4.9–34.5) when compared with controls. The group of women who had been raped had a longer second stage of labour than the control group (120 versus 55 minutes, P 
ISSN:1470-0328
1471-0528
DOI:10.1111/j.1471-0528.2009.02454.x