Adverse childhood experiences influence development of pain during pregnancy. [Elektronisk resurs]
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Drevin, Jennifer (författare)
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Stern, Jenny (författare)
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Annerbäck, Eva-Maria (författare)
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Peterson, Magnus (författare)
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Butler, Stephen (författare)
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Tydén, Tanja (författare)
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Berglund, Anna (författare)
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Larsson, Margareta (författare)
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Kristiansson, Per (författare)
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Uppsala universitet Medicinska och farmaceutiska vetenskapsområdet (utgivare)
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Uppsala universitet Medicinska och farmaceutiska vetenskapsområdet (utgivare)
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Uppsala universitet Medicinska och farmaceutiska vetenskapsområdet (utgivare)
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Uppsala universitet Medicinska och farmaceutiska vetenskapsområdet (utgivare)
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Uppsala universitet Medicinska och farmaceutiska vetenskapsområdet (utgivare)
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Uppsala universitet Nationellt centrum för kvinnofrid (NCK) (utgivare)
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Allmänmedicin och preventivmedicin (medarbetare)
- 2015
- Engelska.
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Ingår i: Acta Obstetricia et Gynecologica Scandinavica. - 0001-6349. ; 94:8, 840-846
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Sammanfattning
Ämnesord
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- OBJECTIVE: To investigate the association between adverse childhood experiences (ACE) and pain with onset during pregnancy. DESIGN: Cross-sectional study. SETTING: Eighteen antenatal clinics in southern Mid-Sweden. SAMPLE: Of 293 women invited to participate, 232 (79%) women agreed to participate in early pregnancy and were assessed in late pregnancy. METHODS: Questionnaires were distributed in early and late pregnancy. The questionnaires sought information on socio-demography, ACE, pain location by pain drawing and pain intensity by visual analogue scales. Distribution of pain was coded in 41 predetermined areas. MAIN OUTCOME MEASURES: Pain in third trimester with onset during present pregnancy: intensity, location and number of pain locations. RESULTS: In late pregnancy, 62% of the women reported any ACE and 72% reported any pain location with onset during the present pregnancy. Among women reporting any ACE the median pain intensity was higher compared with women without such an experience (p = 0.01). The accumulated ACE displayed a positive association with the number of reported pain locations in late pregnancy (rs = 0.19, p = 0.02). This association remained significant after adjusting for background factors in multiple regression analysis (p = 0.01). When ACE was dichotomized the prevalence of pain did not differ between women with and without ACE. The subgroup of women reporting physical abuse as a child reported a higher prevalence of sacral and pelvic pain (p = 0.0003 and p = 0.02, respectively). CONCLUSIONS: Adverse childhood experiences were associated with higher pain intensities and larger pain distributions in late pregnancy, which are risk factors for transition to chronic pain postpartum.
Ämnesord
- Medical and Health Sciences (hsv)
- Clinical Medicine (hsv)
- Obstetrics, Gynecology and Reproductive Medicine (hsv)
- Medicin och hälsovetenskap (hsv)
- Klinisk medicin (hsv)
- Reproduktionsmedicin och gynekologi (hsv)
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