Article2013

Sexual Violence and Antenatal Hospitalization

Lena Henriksen · Siri Vangen · Berit Schei · Mirjam Lukasse

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Intimate Partner and Family Violence Maternal and Perinatal Health Interventions Sexual Assault and Victimization Studies

Abstract

BACKGROUND: Studies have shown the negative impact sexual violence has on pregnancy outcome, yet the impact on antenatal hospitalization has been poorly examined. The aim of this study was to investigate if a history of sexual violence was associated with hospitalization during pregnancy. METHODS: A population-based national cohort study conducted by the Institute of Public Health, The Norwegian Mother and Child Cohort study. Women filled out questionnaires at 17 and 30 weeks' gestation. History of sexual violence was reported at three levels: pressured to sexual acts (mild), forced with violence (moderate), and raped (severe). The comparison group did not report sexual violence. Differences were assessed using Pearson's X(2) tests and logistic regression analyses. RESULTS: Of 78,660 women, 12.0% were pressured to sexual acts, 2.8% forced with violence, and 3.6% reported rape. A history of sexual violence was associated with significantly more hospitalizations during pregnancy, 6.6 percent for mild, 8.7 percent for moderate and 12.5 percent for severe, compared to 5.8 percent for no sexual violence. Women were significantly more often admitted for hyperemesis, bleeding, threatening preterm birth, other reasons and admitted without giving any reason. Reporting severe sexual violence had an AOR for being hospitalized with hyperemesis or threatening preterm birth of 1.9 (95% CI 1.4-2.5), and 1.9 (1.3-2.7) respectively. Similarly, severe sexual violence was associated with being admitted more than once during pregnancy AOR 1.9 (1.3-2.7). CONCLUSION: Women with a history of sexual violence reported significantly more antenatal hospitalizations during pregnancy than women without such a history.

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References

2002The world report on violence and health 2002Health consequences of intimate partner violence 2006Prevalence of intimate partner violence: findings from the WHO multi-country study on women's health and domestic violence 2008Intimate partner violence and women's physical and mental health in the WHO multi-country study on women's health and domestic violence: an observational study 2003Measuring the mental health status of the Norwegian population: A comparison of the instruments SCL-25, SCL-10, SCL-5 and MHI-5 (SF-36)2008The impact of intimate partner violence on women's reproductive health and pregnancy outcome 2006Intimate partner violence victimization prior to and during pregnancy among women residing in 26 U.S. states: Associations with maternal and neonatal health 2003Intimate partner violence and adverse pregnancy outcomes: A population-based study

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2019The Safe Pregnancy study - promoting safety behaviours in antenatal care among Norwegian, Pakistani and Somali pregnant women: a study protocol for a randomized controlled trial 2024The Consequences of A History of Violence on Women’s Pregnancy and Childbirth in the Nordic Countries: A Scoping Review 2020User-Involvement in the Development of a Culturally Sensitive Intervention in the Safe Pregnancy Study to Prevent Intimate Partner Violence

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