A history of abuse and operative delivery : results from a European multi-country cohort study
ObjectiveThe main aim of this study was to assess whether a history of abuse, reported during pregnancy, was associated with an operative delivery. Secondly, we assessed if the association varied according to the type of abuse and if the reported abuse had been experienced as a child or an adult.Des...
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Malmö högskola, Institutionen för vårdvetenskap (VV)
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ftunivmalmoe:oai:DiVA.org:mau-5182 2023-05-15T16:52:31+02:00 A history of abuse and operative delivery : results from a European multi-country cohort study Schei, Berit Lukasse, Mirjam Ryding, Elsa Lena Campbell, Jacquelyn Karro, Helle Kristjansdottir, Hildur Laanpere, Made Schroll, Anne-Mette Tabor, Ann Temmerman, Marleen Van Parys, An-Sofie Wangel, Anne-Marie 2014 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-5182 https://doi.org/10.1371/journal.pone.0087579 eng eng Malmö högskola, Institutionen för vårdvetenskap (VV) Public Library of Science PLOS ONE, 2014, 9:1, orcid:0000-0001-7678-724X http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-5182 doi:10.1371/journal.pone.0087579 ISI:000330621900137 Local 17238 info:eu-repo/semantics/openAccess Medical and Health Sciences Medicin och hälsovetenskap Article in journal info:eu-repo/semantics/article text 2014 ftunivmalmoe https://doi.org/10.1371/journal.pone.0087579 2022-06-29T22:30:31Z ObjectiveThe main aim of this study was to assess whether a history of abuse, reported during pregnancy, was associated with an operative delivery. Secondly, we assessed if the association varied according to the type of abuse and if the reported abuse had been experienced as a child or an adult.DesignThe Bidens study, a cohort study in six European countries (Belgium, Iceland, Denmark, Estonia, Norway, and Sweden) recruited 6724 pregnant women attending routine antenatal care. History of abuse was assessed through questionnaire and linked to obstetric information from hospital records. The main outcome measure was operative delivery as a dichotomous variable, and categorized as an elective caesarean section (CS), or an operative vaginal birth, or an emergency CS. Non-obstetrically indicated were CSs performed on request or for psychological reasons without another medical reason. Binary and multinomial regression analysis were used to assess the associations.ResultsAmong 3308 primiparous women, sexual abuse as an adult (≥18 years) increased the risk of an elective CS, Adjusted Odds Ratio 2.12 (1.28–3.49), and the likelihood for a non-obstetrically indicated CS, OR 3.74 (1.24–11.24). Women expressing current suffering from the reported adult sexual abuse had the highest risk for an elective CS, AOR 4.07 (1.46–11.3). Neither physical abuse (in adulthood or childhood <18 years), nor sexual abuse in childhood increased the risk of any operative delivery among primiparous women. Among 3416 multiparous women, neither sexual, nor emotional abuse was significantly associated with any kind of operative delivery, while physical abuse had an increased AOR for emergency CS of 1.51 (1.05–2.19).ConclusionSexual abuse as an adult increases the risk of an elective CS among women with no prior birth experience, in particular for non-obstetrical reasons. Among multiparous women, a history of physical abuse increases the risk of an emergency CS. Article in Journal/Newspaper Iceland Malmö University Publications Norway PLoS ONE 9 1 e87579 |
institution |
Open Polar |
collection |
Malmö University Publications |
op_collection_id |
ftunivmalmoe |
language |
English |
topic |
Medical and Health Sciences Medicin och hälsovetenskap |
spellingShingle |
Medical and Health Sciences Medicin och hälsovetenskap Schei, Berit Lukasse, Mirjam Ryding, Elsa Lena Campbell, Jacquelyn Karro, Helle Kristjansdottir, Hildur Laanpere, Made Schroll, Anne-Mette Tabor, Ann Temmerman, Marleen Van Parys, An-Sofie Wangel, Anne-Marie A history of abuse and operative delivery : results from a European multi-country cohort study |
topic_facet |
Medical and Health Sciences Medicin och hälsovetenskap |
description |
ObjectiveThe main aim of this study was to assess whether a history of abuse, reported during pregnancy, was associated with an operative delivery. Secondly, we assessed if the association varied according to the type of abuse and if the reported abuse had been experienced as a child or an adult.DesignThe Bidens study, a cohort study in six European countries (Belgium, Iceland, Denmark, Estonia, Norway, and Sweden) recruited 6724 pregnant women attending routine antenatal care. History of abuse was assessed through questionnaire and linked to obstetric information from hospital records. The main outcome measure was operative delivery as a dichotomous variable, and categorized as an elective caesarean section (CS), or an operative vaginal birth, or an emergency CS. Non-obstetrically indicated were CSs performed on request or for psychological reasons without another medical reason. Binary and multinomial regression analysis were used to assess the associations.ResultsAmong 3308 primiparous women, sexual abuse as an adult (≥18 years) increased the risk of an elective CS, Adjusted Odds Ratio 2.12 (1.28–3.49), and the likelihood for a non-obstetrically indicated CS, OR 3.74 (1.24–11.24). Women expressing current suffering from the reported adult sexual abuse had the highest risk for an elective CS, AOR 4.07 (1.46–11.3). Neither physical abuse (in adulthood or childhood <18 years), nor sexual abuse in childhood increased the risk of any operative delivery among primiparous women. Among 3416 multiparous women, neither sexual, nor emotional abuse was significantly associated with any kind of operative delivery, while physical abuse had an increased AOR for emergency CS of 1.51 (1.05–2.19).ConclusionSexual abuse as an adult increases the risk of an elective CS among women with no prior birth experience, in particular for non-obstetrical reasons. Among multiparous women, a history of physical abuse increases the risk of an emergency CS. |
format |
Article in Journal/Newspaper |
author |
Schei, Berit Lukasse, Mirjam Ryding, Elsa Lena Campbell, Jacquelyn Karro, Helle Kristjansdottir, Hildur Laanpere, Made Schroll, Anne-Mette Tabor, Ann Temmerman, Marleen Van Parys, An-Sofie Wangel, Anne-Marie |
author_facet |
Schei, Berit Lukasse, Mirjam Ryding, Elsa Lena Campbell, Jacquelyn Karro, Helle Kristjansdottir, Hildur Laanpere, Made Schroll, Anne-Mette Tabor, Ann Temmerman, Marleen Van Parys, An-Sofie Wangel, Anne-Marie |
author_sort |
Schei, Berit |
title |
A history of abuse and operative delivery : results from a European multi-country cohort study |
title_short |
A history of abuse and operative delivery : results from a European multi-country cohort study |
title_full |
A history of abuse and operative delivery : results from a European multi-country cohort study |
title_fullStr |
A history of abuse and operative delivery : results from a European multi-country cohort study |
title_full_unstemmed |
A history of abuse and operative delivery : results from a European multi-country cohort study |
title_sort |
history of abuse and operative delivery : results from a european multi-country cohort study |
publisher |
Malmö högskola, Institutionen för vårdvetenskap (VV) |
publishDate |
2014 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-5182 https://doi.org/10.1371/journal.pone.0087579 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
PLOS ONE, 2014, 9:1, orcid:0000-0001-7678-724X http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-5182 doi:10.1371/journal.pone.0087579 ISI:000330621900137 Local 17238 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1371/journal.pone.0087579 |
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PLoS ONE |
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9 |
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1 |
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e87579 |
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