Division of Reproductive Endocrinology, University Hospital Zürich, Zürich, Switzerland.
J Perinat Med. 2013 Jul;41(4):365-74. doi: 10.1515/jpm-2011-0086.
Several case reports show a negative impact of childhood sexual abuse (CSA) on prenatal care. The study aimed to systematically investigate this association in a larger study group.
CSA was investigated by face-to-face interviews and by a modified questionnaire developed by Wyatt. All study participants completed a self-administered questionnaire designed to investigate the consequences of CSA on prenatal care during adulthood. Data from 85 women after CSA were compared to those of 170 matched women without such experiences.
Women exposed to CSA had fewer than five prenatal consultations more often than unexposed women (26%/7%; P<0.0001). Of the 85 women with a positive history for CSA, 9.4% had been asked for such antecedents, 36.5% had intense memories on original abuse situations during pregnancy, 56.6% mentioned specific consequences of CSA on prenatal care and 61.2% were satisfied with obstetrical support. Exposed women (62.4%) felt significantly less prepared for labor than unexposed women (75.9%) (P<0.0001).
CSA experiences are associated with impaired prenatal care. These results underscore the compelling need to improve prenatal care in women exposed to CSA through better education of obstetricians regarding the effects of CSA and in their ability to provide empathetic professional support.
几项病例报告显示，儿童期性虐待（CSA）对产前保健有负面影响。本研究旨在通过更大的研究群体系统地调查这种关联。
通过面对面访谈和由 Wyatt 开发的改良问卷调查 CSA。所有研究参与者都完成了一份自我管理的问卷，旨在调查 CSA 对成年期产前保健的影响。对经历过 CSA 的 85 名女性的数据与没有此类经历的 170 名匹配女性的数据进行了比较。
暴露于 CSA 的女性接受的产前咨询次数少于五次的情况更为常见（26%/7%；P<0.0001）。在有 CSA 阳性病史的 85 名女性中，有 9.4%被问到过此类病史，36.5%在怀孕期间对原始虐待情况有强烈的记忆，56.6%提到 CSA 对产前保健的具体影响，61.2%对产科支持感到满意。暴露于 CSA 的女性（62.4%）明显感到对分娩的准备不足，而未暴露于 CSA 的女性（75.9%）（P<0.0001）。
CSA 经历与产前保健受损有关。这些结果强调了迫切需要通过更好地教育产科医生 CSA 的影响以及他们提供富有同情心的专业支持的能力，来改善 CSA 暴露女性的产前保健。
