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Rape-related pregnancy: Estimates and descriptive characteristics from a national sample of women

      Abstract

      OBJECTIVE: We attempted to determine the national rape-related pregnancy rate and provide descriptive characteristics of pregnancies that result from rape. STUDY DESIGN: A national probability sample of 4008 adult American women took part in a 3-year longitudinal survey that assessed the prevalence and incidence of rape and related physical and mental health outcomes. RESULTS: The national rape-related pregnancy rate is 5.0% per rape among victims of reproductive age (aged 12 to 45); among adult women an estimated 32,101 pregnancies result from rape each year. Among 34 cases of rape-related pregnancy, the majority occurred among adolescents and resulted from assault by a known, often related perpetrator. Only 11.7% of these victims received immediate medical attention after the assault, and 47.1% received no medical attention related to the rape. A total 32.4% of these victims did not discover they were pregnant until they had already entered the second trimester; 32.2% opted to keep the infant whereas 50% underwent abortion and 5.9% placed the infant for adoption; an additional 11.8% had spontaneous abortion. CONCLUSIONS: Rape-related pregnancy occurs with significant frequency. It is a cause of many unwanted pregnancies and is closely linked with family and domestic violence. As we address the epidemic of unintended pregnancies in the United States, greater attention and effort should be aimed at preventing and identifying unwanted pregnancies that result from sexual victimization. (Am J Obstet Gynecol 1996;175:320-5.)

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      References

        • Kilpatrick DG
        • Edmunds CN
        • Seymour AK
        Rape in America: a report to the nation. The National Victim Center and the National Crime Victims Research and Treatment Center at the Medical University of South Carolina, Charleston (SC)1992 Apr
        • Resnick HS
        • Kilpatrick DG
        • Dansky BS
        • Saunders BE
        • Best CL
        Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women.
        J Consult Clin Psychol. 1993; 61: 984-991
        • Rothbaum BO
        • Foa EB
        • Riggs DS
        • Murdock T
        • Walsh W
        A prospective examination of posttraumatic stress disorder in rape victims.
        J Trauma Stress. 1992; 5: 455-475
        • Goodman LA
        • Koss MP
        • Russo NF
        Violence against women: physical and mental health effects. I. Research findings.
        Appl Prev Psychol. 1993; 2: 79-89
        • Federal Bureau of Investigation
        Crime in the United States: uniform crime reports for the United States, 1991.
        The Bureau, Washington (DC)1991
        • Koss MP
        • Heslet L
        Somatic consequences of violence against women.
        Arch Fam Med. 1992; 1: 53-59
        • Beebe DK
        Emergency management of the adult female rape victim.
        Am Fam Physician. 1991; 43: 2041-2046
        • Solola A
        • Scott C
        • Severs H
        • Howell J
        Rape: management in a noninstitutional setting.
        Obstet Gynecol. 1983; 61: 373-376
        • Cartwright PS
        • Moore RA
        • Anderson JR
        • Brown DH
        Genital injury and implied consent to alleged rape.
        J Reprod Med. 1986; 31: 1043-1044
        • Tintinalli JE
        • Hoelzer M
        Clinical findings and legal resolution in sexual assault.
        Ann Emerg Med. 1985; 14: 447-453
        • Jenny C
        • Hooten TM
        • Bowers A
        • Compass MK
        • Krieger JN
        • Hillier SL
        Sexually transmitted diseases in victims of rape.
        N Engl J Med. 1990; 322: 713-716
        • Glaser JB
        • Hammerschlag MR
        • McCormack WM
        Epidemiology of sexually transmitted diseases in rape victims.
        Rev Infect Dis. 1989; 11: 246-254
        • Evrard JR
        • Gold EM
        Epidemiology and management of sexual assault victims.
        Obstet Gynecol. 1979; 53: 381-387
        • Kilpatrick DG
        • Veronen LJ
        • Best CL
        Factors predicting psychological distress among rape victims.
        in: Trauma and its wake. Brunner Mazel, New York1985
        • Resick P
        • Calhoun K
        • Atkeson B
        • Ellis EM
        Adjustment in victims of sexual assault.
        J Consult Clin Psychol. 1981; 49: 705-712
        • Reiter RC
        • Gambone JC
        Demographic and historic variables in women with idiopathic chronic pelvic pain.
        Obstet Gynecol. 1990; 75: 428-432
        • Grimes DA
        Unplanned pregnancies in the United States.
        Obstet Gynecol. 1986; 67: 438-442
        • Public Health Service
        Healthy people 2000: National health promotion and disease prevention objectives - full report, with commentary.
        US Department of Health and Human Services, Public Health Service, Washington (DC)1991 (DHHS publication No.: (PHS)91-50212)
        • Fleissig A
        Unintended pregnancies and the use of contraception: changes from 1984 to 1989.
        BMJ. 1991; 302: 147
        • Council on Scientific Affairs
        • American Medical Association
        Violence against women: relevance for medical practitioners.
        JAMA. 1992; 267: 3184-3189
        • Dagg PKB
        The psychological sequelae of therapeutic abortion - denied and completed.
        Am J Psychiatry. 1991; 148: 578-585
        • Satin AJ
        • Hemsell DL
        • Stone Jr, IC
        • Theriot S
        • Wendel Jr, GD
        Sexual assault in pregnancy.
        Obstet Gynecol. 1991; 77: 710-714
        • Helton AS
        • McFarlane J
        • Anderson ET
        Battered and pregnant: a prevalence study.
        Am J Public Health. 1987; 77: 1337-1339
        • Hillard PJA
        Physical abuse in pregnancy.
        Obstet Gynecol. 1985; 66: 185-190
        • Young WW
        • Bracken AC
        • Goddard MA
        • Matheson S
        Sexual assault: review of a national model protocol for forensic and medical evaluation.
        Obstet Gynecol. 1992; 80: 878-883
        • The American College of Obstetricians and Gynecologists
        Sexual assault.
        The College, Washington (DC)1992 (Technical Bulletin No.: 172)
        • Hammond HA
        • Redman JB
        • Caskey CT
        In utero paternity testing following alleged sexual assault.
        JAMA. 1995; 273: 1774-1777
        • Bang L
        Rape victims - assaults, injuries and treatment at a medical rape trauma service at Oslo Emergency Hospital.
        Scand J Prim Health Care. 1993; 11: 15-20
        • Heise LL
        Gender-based violence and women's reproductive health.
        Int J Gynecol Obstet. 1994; 46: 221-229