University of Tromsø, Tromsø, Norway; Department of Obstetrics and Gynecology, University Hospital of North Norway, Tromsø, Norway.
Birth. 2013 Sep;40(3):182-91. doi: 10.1111/birt.12054.
Rape is one of the most traumatizing violations a woman can be subjected to, and leads to extensive health problems, predominantly psychological ones. A large proportion of women develop a form of posttraumatic stress termed Rape Trauma Syndrome. A previous study by our research group has shown that women with a history of rape far more often had an operative delivery in their first birth and those who gave birth vaginally had second stages twice as long as women with no history of sexual assault. The aim of this study is to examine and illuminate how women previously subjected to rape experience giving birth for the first time and their advice on the kind of birth care they regard as good for women with a history of rape.
A semi-structured interview with 10 women, who had been exposed to rape before their first childbirth. Data on the birth experience were analyzed by qualitative content analysis.
The main theme was "being back in the rape" with two categories: "reactivation of the rape during labor," with subcategories "struggle," "surrender," and "escape" and "re-traumatization after birth," with the subcategories "objectified," "dirtied," and "alienated body."
A rape trauma can be reactivated during the first childbirth regardless of mode of delivery. After birth, the women found themselves re-traumatized with the feeling of being dirtied, alienated, and reduced to just a body that another body is to come out of. Birth attendants should acknowledge that the common measures and procedures used during normal birth or cesarean section can contribute to a reactivation of the rape trauma.
强奸是女性可能遭受的最具创伤性的侵犯之一，会导致广泛的健康问题，主要是心理问题。很大一部分女性会患上一种称为强奸创伤综合征的创伤后应激障碍。我们研究小组的一项先前研究表明，有强奸史的女性在首次分娩时更常进行剖宫产，而那些经阴道分娩的女性的第二产程是没有性侵犯史的女性的两倍长。本研究旨在探讨和阐明曾遭受强奸的女性首次分娩的经历，以及她们对她们认为对有强奸史的女性有益的分娩护理的建议。
对 10 名曾在首次分娩前遭受强奸的女性进行半结构化访谈。采用定性内容分析法对分娩经历数据进行分析。
主要主题是“回到强奸中”，有两个类别：“分娩期间强奸的重现”，有子类别“挣扎”、“投降”和“逃避”和“产后再创伤”，有子类别“被客体化”、“被弄脏”和“被疏远的身体”。
无论分娩方式如何，强奸创伤都可能在首次分娩时重新激活。分娩后，女性感到自己再次受到创伤，感觉自己被弄脏、疏远，沦为只是另一个身体的产物。分娩护理人员应该认识到，在正常分娩或剖宫产过程中使用的常见措施和程序可能会导致强奸创伤的重新激活。
