Souto Rayone Moreira Costa Veloso, Porto Denise Lopes, Pinto Isabella Vitral, Vidotti Carlos Cezar Flores, Barufaldi Laura Augusta, Freitas Mariana Gonçalves de, Silva Marta Maria Alves da, Lima Cheila Marina de
Departamento de Vigilância de Doenças e Agravos não Transmissíveis e Promoção da Saúde, Secretaria de Vigilância em Saúde - Ministério da Saúde. SRTVN 701, Via W5 Norte, Ed. PO700, 6º andar - DANTPS. 70723-040. Brasília-DF.
Hospital das Clínicas, Universidade Federal de Goiás. Goiânia GO Brasil.
Cien Saude Colet. 2017 Sep;22(9):2909-2918. doi: 10.1590/1413-81232017229.13312017.
Sexual violence against children and adolescents is a serious threat to the rights and full health of this age group. This study aims to describe the characteristics of mothers aged up to 13, and analyze the profile of cases of notified rape in this age range and repercussions of this violence during pregnancy and childbirth. It is a comparative study of the characteristics of gestation and childbirth of girls aged up to 13 who have had children, without or with notification of rape, in the Violence & Accidents Vigilance (VIVA) System of the Brazilian Case Registry Database (Sistema de Informação de Agravos de Notificação - SINAN). A significant percentage (67.5%) of the girls aged up to 13 with children were of the black race/color category. There was repeated violence in 58.2% of cases. The notified rape victims have a higher percentage of birth by cesarean section, late onset and a lower number of prenatal consultations; and their babies had lower birthweight and lower 1-minute Apgar scores than mothers without rape notification. Rape of children and adolescents is an important risk factor that has repercussions during pregnancy, and complications in delivery and childbirth.
针对儿童和青少年的性暴力对这一年龄群体的权利和全面健康构成严重威胁。本研究旨在描述13岁及以下母亲的特征，分析该年龄范围内已通报强奸案件的概况以及这种暴力行为在怀孕和分娩期间的影响。这是一项对比研究，对比了巴西病例登记数据库（Sistema de Informação de Agravos de Notificação - SINAN）的暴力与事故监测系统（VIVA）中13岁及以下生育子女的女孩在有无强奸通报情况下的妊娠和分娩特征。13岁及以下生育子女的女孩中，有相当比例（67.5%）属于黑人种族/肤色类别。58.2%的案件存在反复暴力行为。已通报的强奸受害者剖宫产分娩的比例更高、分娩启动较晚且产前检查次数较少；与未通报强奸的母亲相比，她们的婴儿出生体重较低且1分钟阿氏评分较低。儿童和青少年强奸是一个重要的风险因素，会在孕期产生影响，并导致分娩和生产时出现并发症。
