Nurs Womens Health. 2022 Oct;26(5):371-378. doi: 10.1016/j.nwh.2022.07.010. Epub 2022 Sep 7.
Many women and individuals assigned female at birth experience sexual assault or abuse in their lives leading to sexual trauma. In this article, we review the effects of sexual trauma and resulting chronic stress on the body and during the perinatal period. Maternal, fetal, and neonatal health implications are discussed. Routine screening for sexual assault and violence can assist with early identification and intervention. A variety of modalities and methods for managing the effects of sexual trauma have been identified, including pharmacologic treatment, psychotherapy, complementary and alternative medicine, and shared decision-making. Further research regarding different treatments is essential to find additional tools to aid clinicians providing care to this vulnerable population. When nurses care for individuals with a history of sexual trauma, incorporating trauma-informed care can help prevent retraumatization and promote a healthy perinatal experience.
许多女性和出生时被指定为女性的个体在生活中经历过性侵犯或虐待，导致性创伤。在本文中，我们回顾了性创伤和由此产生的慢性应激对身体的影响，以及围产期的影响。讨论了母婴、胎儿和新生儿健康的影响。常规筛查性侵犯和暴力可以帮助早期发现和干预。已经确定了多种管理性创伤影响的方式和方法，包括药物治疗、心理治疗、补充和替代医学以及共同决策。进一步研究不同的治疗方法对于寻找额外的工具来帮助为这一脆弱人群提供护理的临床医生至关重要。当护士照顾有性创伤史的个体时，采用创伤知情护理可以帮助防止再次创伤，并促进健康的围产期体验。
