ArticleGlobal health action2025
Childbirth outcomes in rape-related pregnancies: a comparative study of women receiving care in a birthing room designed to promote person-centredness in eastern Democratic Republic of Congo.
Article in Global health action, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThere is limited knowledge regarding childbirth outcomes among women with pregnancies resulting from rape. At Panzi Hospital, a tertiary hospital in eastern Democratic Republic of Congo (DRC), a holistic care programme is provided for survivors of sexual violence.
objectiveExplore childbirth outcomes among women classified as Robson Group 1 who received care in a birthing room designed to promote person-centredness, comparing those with rape-related pregnancies to other women.
methodsThis study was conducted between March 2021 and July 2022, with consecutive collection of childbirth data from nulliparous women at term with a single foetus in cephalic presentation and spontaneous onset of labour, i.e. Robson Group 1. All participants received care in a new birthing room designed to promote person-centredness. Childbirth outcomes were compared between women with rape-related pregnancies (
resultsNo statistically significant differences in childbirth outcomes were observed. Among women with rape-related pregnancies, 81.8% had vaginal births, compared to 83.4% in the comparison group. Caesarean section rates were 18.2% and 16.6%, respectively. The childbirth experience was rated positively by 80.5% of women in the rape-related pregnancy group and 84.8% in the comparison group with scores of 8-10 on the modified Visual Analogue Scale for Overall Childbirth Experience (VAS-OCE, 0-10).
conclusionsChildbirth outcomes among women with rape-related pregnancies receiving care within a holistic programme were comparable to those of other pregnant women, when care was provided in a birthing room designed to promote person-centred care.
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