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Strong discomfort during vaginal examination: why consider a history of abuse?
Linköpings universitet, Institutionen för klinisk och experimentell medicin, Genus och medicin. Linköpings universitet, Hälsouniversitetet.
Linköpings universitet, Institutionen för klinisk och experimentell medicin, Genus och medicin. Linköpings universitet, Hälsouniversitetet.ORCID-id: 0000-0002-2902-7077
Linköpings universitet, Institutionen för klinisk och experimentell medicin, Genus och medicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Barn- och kvinnocentrum, Kvinnokliniken i Linköping.
2011 (engelsk)Inngår i: European Journal of Obstetrics, Gynecology, and Reproductive Biology, ISSN 0301-2115, Vol. 157, nr 2, s. 200-205Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective

To study factors associated with strong discomfort during vaginal examinations (SD/VE) by means of four hypotheses.

Study design

A cross sectional postal questionnaire study, conducted at three Swedish departments of obstetrics and gynaecology and with a random population sample (n = 4453).

Main outcome measures

The associations between a self-reported history of emotional, physical and sexual abuse and abuse in health care, flashbacks during the previous year, emotional contact with the examiner, and SD/VE during the index visit (discomfort estimated on a ten-point scale; six-ten = SD). Statistical analyses used were Chi-square, Binary logistic regression, and Pearson Correlation.

Results

Eighteen percent of the women reported SD/VE. There was an association between SD/VE and a lifetime history of abuse. Having experienced combinations of abuse, especially combinations including emotional abuse and abuse in health care, was strongly associated with SD/VE. SD/VE was furthermore associated with flashbacks during the previous year, and negative emotional contact with the examiner during the index visit.

Conclusions

We conclude that women who unexpectedly react with SD/VE are more likely to have a background of abuse, and may even run a risk of feeling re-traumatised during the VE. A clinical implication is to consider a history of abuse in patients who react with SD/VE or experience negative emotional contact during the consultation.

sted, utgiver, år, opplag, sider
Elsevier , 2011. Vol. 157, nr 2, s. 200-205
Emneord [en]
NorAQ, Sexual abuse, Emotional abuse, Vaginal examination, Discomfort, Abuse in health care
HSV kategori
Identifikatorer
URN: urn:nbn:se:liu:diva-67861DOI: 10.1016/j.ejogrb.2011.02.025ISI: 000293727800016OAI: oai:DiVA.org:liu-67861DiVA, id: diva2:413885
Tilgjengelig fra: 2011-04-29 Laget: 2011-04-29 Sist oppdatert: 2018-11-15

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