Abstract
The actual prevalence of women who were sexually abused in childhood is estimated as being 1 in 5, with some studies suggesting 1 in 3. Pregnancy can trigger memories of forgotten childhood sexual abuse which makes a survivor feel that they have lost control of their bodies. They may use coping mechanisms such as repudiation of the fetus, leading to possible harm of the fetus. Suicidal thoughts are also evident, reflecting their low self-esteem. Survivors need to be empowered so that they can take back control of their bodies. The midwife is in an ideal position to empower women who have been sexually abused, because of her close, privileged relationship. This article discusses aspects of care and how the midwife can promote positive experiences of pregnancy and childbirth for women who have been sexually abused in childhood.
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