PDF(Pubmed)
Abstract：
BACKGROUND: A substantial number of women who subsequently become pregnant and give birth have a history of physical, sexual, and/or child abuse. This study investigated the associations of these types of traumas and their cumulative effect with childbirth experiences, namely, mode of birth, maternal and child complications during pregnancy/childbirth, preterm birth, medical procedures, and obstetric violence during labour.
METHODS: A group of Russian women (n = 2,575) who gave birth within the previous 12 months, completed a web-based survey, where they provided demographic information, details about their childbirth experiences, and a history of trauma.
RESULTS: Women with any type of past abuse were at higher risk for maternal complications during pregnancy/childbirth (exp(β) < 0.73, p < 0.010 for all). More specific to the type of trauma were associations of physical abuse with caesarean birth, child abuse with complications during pregnancy/childbirth for the baby, and physical and child abuse with obstetric violence (exp(β) < 0.54, p < 0.022 for all). There was a cumulative effect of trauma for all the outcomes except for medical procedures during childbirth and preterm birth.
CONCLUSIONS: This study provides insights into potential different individual effects of physical, sexual, and/or child abuse as well as their cumulative impact on the childbirth experiences. The robust findings about maternal complications during pregnancy/childbirth and obstetric violence highlight the importance of trauma-informed care, supportive policies, and interventions to create safe and empowering birthing environments that prioritise patient autonomy, dignity, and respectful communication.
METHODS: A group of Russian women (n = 2,575) who gave birth within the previous 12 months, completed a web-based survey, where they provided demographic information, details about their childbirth experiences, and a history of trauma.
RESULTS: Women with any type of past abuse were at higher risk for maternal complications during pregnancy/childbirth (exp(β) < 0.73, p < 0.010 for all). More specific to the type of trauma were associations of physical abuse with caesarean birth, child abuse with complications during pregnancy/childbirth for the baby, and physical and child abuse with obstetric violence (exp(β) < 0.54, p < 0.022 for all). There was a cumulative effect of trauma for all the outcomes except for medical procedures during childbirth and preterm birth.
CONCLUSIONS: This study provides insights into potential different individual effects of physical, sexual, and/or child abuse as well as their cumulative impact on the childbirth experiences. The robust findings about maternal complications during pregnancy/childbirth and obstetric violence highlight the importance of trauma-informed care, supportive policies, and interventions to create safe and empowering birthing environments that prioritise patient autonomy, dignity, and respectful communication.
摘要：
背景：大量随后怀孕和分娩的妇女有身体病史，性,和/或虐待儿童。这项研究调查了这些类型的创伤及其与分娩经历的累积效应的关联，即,出生模式,怀孕/分娩期间的母婴并发症，早产,医疗程序,和分娩期间的产科暴力。
方法：一组在过去12个月内分娩的俄罗斯妇女（n=2,575），完成了一项基于网络的调查，他们提供人口统计信息，关于他们分娩经历的细节，还有创伤史.
结果：曾遭受过任何类型虐待的妇女在妊娠/分娩期间发生母体并发症的风险较高（exp（β）<0.73，p<0.010）。更具体的创伤类型是身体虐待与剖腹产的关联，虐待儿童，在怀孕/分娩期间出现并发症，以及伴随产科暴力的身体和儿童虐待(exp(β)<0.54，p<0.022)。除分娩和早产期间的医疗程序外，所有结局都有创伤的累积影响。
结论：这项研究提供了对身体，性,和/或虐待儿童及其对分娩经历的累积影响。关于妊娠/分娩期间产妇并发症和产科暴力的有力发现突出了创伤知情护理的重要性，扶持政策,和干预措施，以创造安全和授权的分娩环境，优先考虑患者的自主权，尊严,尊重沟通。
方法：一组在过去12个月内分娩的俄罗斯妇女（n=2,575），完成了一项基于网络的调查，他们提供人口统计信息，关于他们分娩经历的细节，还有创伤史.
结果：曾遭受过任何类型虐待的妇女在妊娠/分娩期间发生母体并发症的风险较高（exp（β）<0.73，p<0.010）。更具体的创伤类型是身体虐待与剖腹产的关联，虐待儿童，在怀孕/分娩期间出现并发症，以及伴随产科暴力的身体和儿童虐待(exp(β)<0.54，p<0.022)。除分娩和早产期间的医疗程序外，所有结局都有创伤的累积影响。
结论：这项研究提供了对身体，性,和/或虐待儿童及其对分娩经历的累积影响。关于妊娠/分娩期间产妇并发症和产科暴力的有力发现突出了创伤知情护理的重要性，扶持政策,和干预措施，以创造安全和授权的分娩环境，优先考虑患者的自主权，尊严,尊重沟通。
