ACOG Committee Opinion No. 777 Summary: Sexual Assault.
ACOG Committee Opinion No. 777 Summary: Sexual Assault.
复制标题
DOI：
10.1097/aog.0000000000003179
复制
发表时间：
2019-04-01
影响因子：
7.2
通讯作者：
中科院分区：
文献类型：
--
作者：
性暴力仍然是影响美国数百万成年人和儿童的一个主要公共卫生问题。性侵犯的医疗后果包括性传播感染；精神健康状况，包括创伤后应激障碍；以及性侵的育龄幸存者意外怀孕的风险。妇产科医生和其他妇女保健提供者在评估和管理性侵犯幸存者方面发挥着关键作用，应该定期筛查性侵犯史。当发现性暴力时，个人应得到适当和及时的照顾。在急症护理环境中检查性侵犯幸存者的临床医生有责任遵守州和地方法律或政策对使用证据收集工具的要求。本文件已更新，以包括示范筛查方案和问题、其他医学协会的相关指南、创伤知情护理以及关于幸存者急性评估和证据收集工具包的额外指导。
Sexual violence continues to be a major public health problem affecting millions of adults and children in the United States. Medical consequences of sexual assault include sexually transmitted infections; mental health conditions, including posttraumatic stress disorder; and risk of unintended pregnancy in reproductive-aged survivors of sexual assault. Obstetrician-gynecologists and other women's health care providers play a key role in the evaluation and management of sexual assault survivors and should screen routinely for a history of sexual assault. When sexual violence is identified, individuals should receive appropriate and timely care. A clinician who examines sexual assault survivors in the acute-care setting has a responsibility to comply with state and local statutory or policy requirements for the use of evidence-gathering kits. This document has been updated to include model screening protocols and questions, relevant guidelines from other medical associations, trauma-informed care, and additional guidance regarding acute evaluation of survivors and evidence-gathering kits.