Maternal-Fetal Pregnancy Complications of in Minors Raped with or without Physical Restraint in Eastern Democratic Republic of Congo  

作　　者：Kiminyi Kalunga Eloge Ilunga-Mbaya Raha Maroy Yoyu Tunangoya Jonathan Nyakio Ngeleza Olivier Kiminyi Kalunga;Eloge Ilunga-Mbaya;Raha Maroy;Yoyu Tunangoya Jonathan;Nyakio Ngeleza Olivier(Faculty of Medicine, Evangelical University in Africa (UEA), Bukavu, Democratic Republic of the Congo;General Reference Hospital of Panzi, South-Kivu, Bukavu, Democratic Republic of the Congo;Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo;Department of Medical Works and Research, Christ Church of Congo, Goma, Democratic Republic of the Congo)

机构地区：[1]Faculty of Medicine, Evangelical University in Africa (UEA), Bukavu, Democratic Republic of the Congo [2]General Reference Hospital of Panzi, South-Kivu, Bukavu, Democratic Republic of the Congo [3]Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo [4]Department of Medical Works and Research, Christ Church of Congo, Goma, Democratic Republic of the Congo

出　　处：《Open Journal of Obstetrics and Gynecology》2023年第1期1-12,共12页妇产科期刊（英文）

摘　　要：Introduction: Pregnancy resulting from rape is a public health and sexual and reproductive health issue, especially among minors. Rape can be perpetrated with or without physical restraint. The objective of the present study is to highlight the prevalence of physical coercion leading to pregnancy and the associated maternal-fetal complications. Methodology: This was a comparative descriptive and analytical cross-sectional study of complications associated with post-rape pregnancy by physical restraint among minors who were treated at the General Reference Hospital of Panzi over a two-year period from June 2020 to June 2022. A total of 140 minor survivors of violence with pregnancy were included in the study. Data were collected using a questionnaire, coded and analyzed in Excel and XLSTAT version 2014. Results: The prevalence of physical constraints was 65%. After mulltivariate analyses, denial of pregnancy (ORa: 9.64 95% CI: 1.1 - 81.2;p-value: 0.0370), attempted abortion (ORa: 56.1 95% CI: 1.5 - 2027.6;p-value: 0.0278) and agitation during delivery (ORa: 88.7 95% CI: 4.5 - 1715;p-value: 0.0030) were the complications associated with pregnancy in minors who experienced physical restraint rape. In addition, BMI was a factor in reducing the risk of physical restraint rape at the ORa of 0.5054 [0.3;0.8];p 0.006). Conclusion: Pregnancy among minors is a reality and occurs in a situation of physical coercion in the eastern Democratic Republic of Congo. These pregnancies are often associated with complications that require an intensive management system since they can jeopardize the maternal-fetal prognosis of minors.Introduction: Pregnancy resulting from rape is a public health and sexual and reproductive health issue, especially among minors. Rape can be perpetrated with or without physical restraint. The objective of the present study is to highlight the prevalence of physical coercion leading to pregnancy and the associated maternal-fetal complications. Methodology: This was a comparative descriptive and analytical cross-sectional study of complications associated with post-rape pregnancy by physical restraint among minors who were treated at the General Reference Hospital of Panzi over a two-year period from June 2020 to June 2022. A total of 140 minor survivors of violence with pregnancy were included in the study. Data were collected using a questionnaire, coded and analyzed in Excel and XLSTAT version 2014. Results: The prevalence of physical constraints was 65%. After mulltivariate analyses, denial of pregnancy (ORa: 9.64 95% CI: 1.1 - 81.2;p-value: 0.0370), attempted abortion (ORa: 56.1 95% CI: 1.5 - 2027.6;p-value: 0.0278) and agitation during delivery (ORa: 88.7 95% CI: 4.5 - 1715;p-value: 0.0030) were the complications associated with pregnancy in minors who experienced physical restraint rape. In addition, BMI was a factor in reducing the risk of physical restraint rape at the ORa of 0.5054 [0.3;0.8];p 0.006). Conclusion: Pregnancy among minors is a reality and occurs in a situation of physical coercion in the eastern Democratic Republic of Congo. These pregnancies are often associated with complications that require an intensive management system since they can jeopardize the maternal-fetal prognosis of minors.

关 键 词：Post-Rape Pregnancy MINOR Associated Complications Eastern DRC 

分 类 号：R71[医药卫生—妇产科学]