Human Reproduction Archives
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

Downloads: 1
Views: 843


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.


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


1. Drezett J. Emergency contraception and sexual violence. In: Figueiredo R, Borges ALV, Paula AHB, editors. Overview of emergency contraception in Brazil. São Paulo: Institute of Health; 2016. p. 103-24.

2. Cohen C, Gobbetti GJ. Intrafamily sexual abuse. RBCCrim. 1998;24(6):235-43.

3. United Nations. Report of the International Conference on Population and Development, Cairo. New York: United Nations; 1995.

4. Brasil. Presidência da República. Casa Civil. Constituição da Republica Federativa do Brazil de 1988. Brasília: Senado Federal; 1988.

5. Delmanto C, Delmanto R, Delmanto-Jr R, Delmanto FMA, editors. Criminal code commented. 8st ed. São Paulo: Saraiva; 2010.

6. Brasil. Lei nº 8.069 de Julho, 1990. Estatuto da Criança e do Adolescente - ECA. Diário Oficial da República Federativa do Brasil; Brasília; 1990 July.

7. Brasil. Ministério da Saúde. Secretaria da Saúde. Prevention and treatment of injuries resulting from sexual violence against women and adolescents: technical standard. Brasília: Editora MS; 2012.

8. Cohen C. Incest a desire. São Paulo: Psychologist’s House; 1993.

9. Temple JR, Shorey RC, Tortolero SR, Wolfe DA, Stuart GL. Importance of gender and attitudes about violence in the relationship between exposure to interparental violence and the perpetration of teen dating violence. Child Abuse Negl. 2013;37(5):343-52. PMid:23490056.

10. Afifi TO, MacMillan HL, Boyle M, Taillieu T, Cheung K, Sareen J. Child abuse and mental disorders in Canada. CMAJ. 2014;186(9):324-32. PMid:24756625.

11. Bonfim CB, Santos DN, Barreto ML. The association of intrafamilial violence against children with symptoms of atopic and non-atopic asthma: A cross-sectional study in Salvador, Brazil. Child Abuse Negl. 2015;50:244-53. PMid:26149733.

12. Gobbetti GJ. The function of confidentiality: bioethics and incest [thesis]. São Paulo: Faculty of Medicine, University of São Paulo; 2006.

13. Blake MT, Drezett J, Vertamatti MA, Adami F, Valenti VE, Paiva AC, et al. Characteristics of sexual violence against adolescent girls and adult women. BMC Womens Health. 2014;14(1):15. PMid:24450307.

14. Yildirim A, Ozer E, Bozkurt H, Ozsoy S, Enginyurt O, Evcuman D, et al. Evaluation of social and demographic characteristics of incest cases in a university hospital in Turkey. Med Sci Monit. 2014;20:693-7. PMid:24770724.

15. MacMillan HL, Tanaka M, Duku E, Vaillancourt T, Boyle MH. Child physical and sexual abuse in a community sample or young adults: results from the Ontario Child Health Study. Child Abuse Negl. 2013;37(1):14-21. PMid:23290623.

16. Atkeson BM, Calhoun KS, Morris KT. Victim resistance to rape: the relationship of previous victimization, demographics, and situational factors. Arch Sex Behav. 1989;18(6):497-507. PMid:2604541.

17. Zoucha-Jensen JM, Coyne A. The effects of resistence strategies on rape. Am J Public Health. 1993;83(11):1633-4. PMid:8238695.

18. Riggs N, Houry D, Long G, Markovchick V, Feldhaus KM. Analysis of 1,076 cases of sexual assault. Ann Emerg Med. 2000;35(4):358-62. PMid:10736122.

19. Zanarini MC, Frankenburg FR, Reich DB, Marino MF, Haynes MC, Gunderson JG. Violence in the lives of adult borderline patients. J Nerv Ment Dis. 1999;187(2):65-71. PMid:10067945.

20. Lumley VA, Miltenberger RG, Long ES, Rapp JT, Roberts JA. Evaluation of a sexual abuse prevention program for adults with mental retardation. J Appl Behav Anal. 1998;31(1):91-101. PMid:9532753.

21. Rickert VI, Wiemann CM. Date rape among adolescents and young adults. J Pediatr Adolesc Gynecol. 1998;11(4):167-75. PMid:9806126.

22. Caribe JB, Lima IMSO. Testimony without harmful effects: full protection of the child victim of intrafamilial sexual abuse. Rev Bras Crescimento Desenvolv Hum. 2015;25(1):108-16.

23. Blake MT, Drezett J, Machi GS, Pereira VX, Raimundo RD, Oliveira FR, et al. Factors associated with the delay in seeking legal abortion for pregnancy resulting from rape. Int Arch Med. 2015;8(29):1-11.

24. Ferenczi S. Confusion of language between adults and children. In: Ferenczi S. Complete works. 2nd ed. São Paulo: WMF Martins Fontes; 2011. p. 111-121. (Psychoanalysis; no. IV).

5dc95ee50e8825512ee63937 hra Articles
Links & Downloads

Hum Reprod Arch

Share this page
Page Sections