A History of Abuse and Operative Delivery: Results from a European Multi-Country Cohort Study

Berit Schei; Mirjam Lukasse; Elsa Lena Ryding; Jacquelyn Campbell; Helle Karro; Hildur Kristjansdottir; Made Laanpere; Anne-Mette Schroll; Ann Tabor; Marleen Temmerman; An-Sofie Van Parys; Anne-Marie Wangel; Thora Steingrimsdottir

doi:10.1371/journal.pone.0087579

A History of Abuse and Operative Delivery: Results from a European Multi-Country Cohort Study

Berit Schei, Mirjam Lukasse, Elsa Lena Ryding, Jacquelyn Campbell, Helle Karro, Hildur Kristjansdottir, Made Laanpere, Anne-Mette Schroll, Ann Tabor, Marleen Temmerman, An-Sofie Van Parys, Anne-Marie Wangel, Thora Steingrimsdottir

Department of Clinical Medicine

29 Citations (Scopus)

Abstract

Objective: The main aim of this study was to assess whether a history of abuse, reported during pregnancy, was associated with an operative delivery. Secondly, we assessed if the association varied according to the type of abuse and if the reported abuse had been experienced as a child or an adult. Design: The Bidens study, a cohort study in six European countries (Belgium, Iceland, Denmark, Estonia, Norway, and Sweden) recruited 6724 pregnant women attending routine antenatal care. History of abuse was assessed through questionnaire and linked to obstetric information from hospital records. The main outcome measure was operative delivery as a dichotomous variable, and categorized as an elective caesarean section (CS), or an operative vaginal birth, or an emergency CS. Non-obstetrically indicated were CSs performed on request or for psychological reasons without another medical reason. Binary and multinomial regression analysis were used to assess the associations. Results: Among 3308 primiparous women, sexual abuse as an adult (≥18 years) increased the risk of an elective CS, Adjusted Odds Ratio 2.12 (1.28-3.49), and the likelihood for a non-obstetrically indicated CS, OR 3.74 (1.24-11.24). Women expressing current suffering from the reported adult sexual abuse had the highest risk for an elective CS, AOR 4.07 (1.46-11.3). Neither physical abuse (in adulthood or childhood <18 years), nor sexual abuse in childhood increased the risk of any operative delivery among primiparous women. Among 3416 multiparous women, neither sexual, nor emotional abuse was significantly associated with any kind of operative delivery, while physical abuse had an increased AOR for emergency CS of 1.51 (1.05-2.19). Conclusion: Sexual abuse as an adult increases the risk of an elective CS among women with no prior birth experience, in particular for non-obstetrical reasons. Among multiparous women, a history of physical abuse increases the risk of an emergency CS.

Original language	English
Article number	e87579
Journal	PLOS ONE
Volume	9
Issue number	1
Pages (from-to)	1-10
Number of pages	10
ISSN	1932-6203
DOIs	https://doi.org/10.1371/journal.pone.0087579
Publication status	Published - 31 Jan 2014

Keywords

Adult
Cesarean Section
Emergency Medical Services
European Union
Female
Humans
Medical Records
Pregnancy
Risk Factors
Sex Offenses

Access to Document

10.1371/journal.pone.0087579

Cite this

Schei, B., Lukasse, M., Ryding, E. L., Campbell, J., Karro, H., Kristjansdottir, H., Laanpere, M., Schroll, A-M., Tabor, A., Temmerman, M., Van Parys, A-S., Wangel, A-M., & Steingrimsdottir, T. (2014). A History of Abuse and Operative Delivery: Results from a European Multi-Country Cohort Study. PLOS ONE, 9(1), 1-10. [e87579]. https://doi.org/10.1371/journal.pone.0087579

@article{1441db15165044758b498aa1cbb0ad6a,

title = "A History of Abuse and Operative Delivery: Results from a European Multi-Country Cohort Study",

abstract = "Objective: The main aim of this study was to assess whether a history of abuse, reported during pregnancy, was associated with an operative delivery. Secondly, we assessed if the association varied according to the type of abuse and if the reported abuse had been experienced as a child or an adult. Design: The Bidens study, a cohort study in six European countries (Belgium, Iceland, Denmark, Estonia, Norway, and Sweden) recruited 6724 pregnant women attending routine antenatal care. History of abuse was assessed through questionnaire and linked to obstetric information from hospital records. The main outcome measure was operative delivery as a dichotomous variable, and categorized as an elective caesarean section (CS), or an operative vaginal birth, or an emergency CS. Non-obstetrically indicated were CSs performed on request or for psychological reasons without another medical reason. Binary and multinomial regression analysis were used to assess the associations. Results: Among 3308 primiparous women, sexual abuse as an adult (≥18 years) increased the risk of an elective CS, Adjusted Odds Ratio 2.12 (1.28-3.49), and the likelihood for a non-obstetrically indicated CS, OR 3.74 (1.24-11.24). Women expressing current suffering from the reported adult sexual abuse had the highest risk for an elective CS, AOR 4.07 (1.46-11.3). Neither physical abuse (in adulthood or childhood <18 years), nor sexual abuse in childhood increased the risk of any operative delivery among primiparous women. Among 3416 multiparous women, neither sexual, nor emotional abuse was significantly associated with any kind of operative delivery, while physical abuse had an increased AOR for emergency CS of 1.51 (1.05-2.19). Conclusion: Sexual abuse as an adult increases the risk of an elective CS among women with no prior birth experience, in particular for non-obstetrical reasons. Among multiparous women, a history of physical abuse increases the risk of an emergency CS.",

keywords = "Adult, Cesarean Section, Emergency Medical Services, European Union, Female, Humans, Medical Records, Pregnancy, Risk Factors, Sex Offenses",

author = "Berit Schei and Mirjam Lukasse and Ryding, {Elsa Lena} and Jacquelyn Campbell and Helle Karro and Hildur Kristjansdottir and Made Laanpere and Anne-Mette Schroll and Ann Tabor and Marleen Temmerman and {Van Parys}, An-Sofie and Anne-Marie Wangel and Thora Steingrimsdottir",

year = "2014",

month = jan,

day = "31",

doi = "10.1371/journal.pone.0087579",

language = "English",

volume = "9",

pages = "1--10",

journal = "PLoS Computational Biology",

issn = "1932-6203",

publisher = "Public Library of Science",

number = "1",

}

TY - JOUR

T1 - A History of Abuse and Operative Delivery

T2 - Results from a European Multi-Country Cohort Study

AU - Schei, Berit

AU - Lukasse, Mirjam

AU - Ryding, Elsa Lena

AU - Campbell, Jacquelyn

AU - Karro, Helle

AU - Kristjansdottir, Hildur

AU - Laanpere, Made

AU - Schroll, Anne-Mette

AU - Tabor, Ann

AU - Temmerman, Marleen

AU - Van Parys, An-Sofie

AU - Wangel, Anne-Marie

AU - Steingrimsdottir, Thora

PY - 2014/1/31

Y1 - 2014/1/31

N2 - Objective: The main aim of this study was to assess whether a history of abuse, reported during pregnancy, was associated with an operative delivery. Secondly, we assessed if the association varied according to the type of abuse and if the reported abuse had been experienced as a child or an adult. Design: The Bidens study, a cohort study in six European countries (Belgium, Iceland, Denmark, Estonia, Norway, and Sweden) recruited 6724 pregnant women attending routine antenatal care. History of abuse was assessed through questionnaire and linked to obstetric information from hospital records. The main outcome measure was operative delivery as a dichotomous variable, and categorized as an elective caesarean section (CS), or an operative vaginal birth, or an emergency CS. Non-obstetrically indicated were CSs performed on request or for psychological reasons without another medical reason. Binary and multinomial regression analysis were used to assess the associations. Results: Among 3308 primiparous women, sexual abuse as an adult (≥18 years) increased the risk of an elective CS, Adjusted Odds Ratio 2.12 (1.28-3.49), and the likelihood for a non-obstetrically indicated CS, OR 3.74 (1.24-11.24). Women expressing current suffering from the reported adult sexual abuse had the highest risk for an elective CS, AOR 4.07 (1.46-11.3). Neither physical abuse (in adulthood or childhood <18 years), nor sexual abuse in childhood increased the risk of any operative delivery among primiparous women. Among 3416 multiparous women, neither sexual, nor emotional abuse was significantly associated with any kind of operative delivery, while physical abuse had an increased AOR for emergency CS of 1.51 (1.05-2.19). Conclusion: Sexual abuse as an adult increases the risk of an elective CS among women with no prior birth experience, in particular for non-obstetrical reasons. Among multiparous women, a history of physical abuse increases the risk of an emergency CS.

AB - Objective: The main aim of this study was to assess whether a history of abuse, reported during pregnancy, was associated with an operative delivery. Secondly, we assessed if the association varied according to the type of abuse and if the reported abuse had been experienced as a child or an adult. Design: The Bidens study, a cohort study in six European countries (Belgium, Iceland, Denmark, Estonia, Norway, and Sweden) recruited 6724 pregnant women attending routine antenatal care. History of abuse was assessed through questionnaire and linked to obstetric information from hospital records. The main outcome measure was operative delivery as a dichotomous variable, and categorized as an elective caesarean section (CS), or an operative vaginal birth, or an emergency CS. Non-obstetrically indicated were CSs performed on request or for psychological reasons without another medical reason. Binary and multinomial regression analysis were used to assess the associations. Results: Among 3308 primiparous women, sexual abuse as an adult (≥18 years) increased the risk of an elective CS, Adjusted Odds Ratio 2.12 (1.28-3.49), and the likelihood for a non-obstetrically indicated CS, OR 3.74 (1.24-11.24). Women expressing current suffering from the reported adult sexual abuse had the highest risk for an elective CS, AOR 4.07 (1.46-11.3). Neither physical abuse (in adulthood or childhood <18 years), nor sexual abuse in childhood increased the risk of any operative delivery among primiparous women. Among 3416 multiparous women, neither sexual, nor emotional abuse was significantly associated with any kind of operative delivery, while physical abuse had an increased AOR for emergency CS of 1.51 (1.05-2.19). Conclusion: Sexual abuse as an adult increases the risk of an elective CS among women with no prior birth experience, in particular for non-obstetrical reasons. Among multiparous women, a history of physical abuse increases the risk of an emergency CS.

KW - Adult

KW - Cesarean Section

KW - Emergency Medical Services

KW - European Union

KW - Female

KW - Humans

KW - Medical Records

KW - Pregnancy

KW - Risk Factors

KW - Sex Offenses

U2 - 10.1371/journal.pone.0087579

DO - 10.1371/journal.pone.0087579

M3 - Journal article

C2 - 24498142

SN - 1932-6203

VL - 9

SP - 1

EP - 10

JO - PLoS Computational Biology

JF - PLoS Computational Biology

IS - 1

M1 - e87579

ER -

A History of Abuse and Operative Delivery: Results from a European Multi-Country Cohort Study

Abstract

Keywords

Access to Document

Fingerprint

Cite this