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Strong discomfort during vaginal examination: why consider a history of abuse?
Hälsouniversitetet, Linköping.ORCID iD: 0000-0001-5200-1740
Hälsouniversitetet, Linköping.
Hälsouniversitetet, Linköping.
2011 (English)In: European Journal of Obstetrics, Gynecology, and Reproductive Biology, ISSN 0301-2115, E-ISSN 1872-7654, Vol. 157, no 2, p. 200-205Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
2011. Vol. 157, no 2, p. 200-205
Keywords [en]
NorAQ, Sexual abuse, Emotional abuse, Vaginal examination, Discomfort, Abuse in health care, MEDICINE, MEDICIN
National Category
Medical and Health Sciences
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-32058DOI: 10.1016/j.ejogrb.2011.02.025OAI: oai:DiVA.org:lnu-32058DiVA, id: diva2:697109
Available from: 2014-02-17 Created: 2014-02-05 Last updated: 2017-12-06Bibliographically approved

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Publisher's full texthttp://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-67861

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Swahnberg, Katarina

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Citation style
  • apa
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