Human Reproduction Archives
https://humanreproductionarchives.com/article/doi/10.4322/hra.000319
Human Reproduction Archives
Research Article Sexual and Gender Violence

Intra and extrafamily sexual abuse violence against children and adolescents resulting in pregnancy attended at a health reference service, São Paulo, Brazil

Valeria Soares Panhoni, Claudio Cohen, Gisele Gobbetti, Jefferson Drezett

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Abstract

Objectives: To analyze cases of pregnancy resulting from intrafamily and extrafamily sexual violence against children and adolescents. Methods: Transversal study with 531 children and adolescents between 10 and 18 years old and attended at the Hospital Pérola Byington, São Paulo,Brazil, from 1994 through 2014, alleging pregnancy due to sexual abuse. The statistical analysis was carried out by the Pearson’s chi-square test and the 95% Confidence Interval. Results: There were 401 pregnancy cases resulting from extrafamily and 130 intrafamily sexual abuses. In the extrafamily the approach in public spaces was significantly more frequent(73.5%) through physical violence/ threats(71.5%); spontaneous search for care(6.2%); gestational age ≤ 12 weeks(48.4%); abortion withdrawal(6.5%),and non‑approval of the abortion due to early or post gestation as regards the rape(25.8%). In the intrafamily the arrival at the reference care unit after 22 weeks of gestational age was the main issue(19.2%), which was the impending factor for non-abortion. Conclusions: In the intrafamily pregnancy cases resulting from sexual abuse, it were noted indicators suggesting that the child and the adolescent’s vulnerability and their close relationship with the author imply in the late arrival at the health care unit, thus negatively interfering in the assistance to the legal abortion allowed by the Brazilian legislation.

Keywords

incest; rape; children; adolescents; sexual abuse; legal abortion.

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