Understanding the pregnancy and parenting experiences and maternity care needs of survivors of sexual violence in adulthood

性暴力是基于性别的暴力的一种形式，也是全球公共卫生关注的问题。据估计，全球有35%的女性经历过家庭暴力或性暴力，而在英国，大约14%的女性在成年后遭受过性虐待。性暴力幸存者出现围产期精神和身体健康问题的风险更大。因此，围产期是幸存者的脆弱时期，产妇服务在确定和满足需求方面发挥着关键作用。现有的一小部分研究主要集中在童年性虐待幸存者的经历和需求上，强调怀孕和产科护理如何重现过去的虐待。然而，对儿童性侵幸存者的研究可能不适用于成人性虐待幸存者（ASA）。目前的研究将通过对现有的定性研究进行系统回顾来解决这些证据差距，研究SV幸存者的经历和需求，采访ASA幸存者关于他们怀孕，养育子女和产科护理的经历，并与产科护理提供者进行焦点小组讨论，探讨他们如何更好地支持幸存者。

Sexual violence (SV) is a form of gender-based violence and a global public health concern. Globally it is estimated that 35% of women have experienced domestic or sexual violence and in the UK approximately 14% of women have been sexually abused in adulthood. Survivors of SV are at a greater risk of developing perinatal mental and physical health problems. Thus, the perinatal period is a vulnerable time for survivors and maternity services play a key role in identifying and responding to needs.A small body pf existing research has largely focused on experiences and needs of survivors of childhood sexual abuse (CSA), highlighting how aspects pregnancy and maternity care can re-create past abuse. However, research with survivors of CSA may not be generalisable to survivors of adult sexual abuse (ASA). The current research will address these evidence gaps by conducting a systematic review of available qualitative studies examining experiences and needs of survivors of SV, interviewing survivors of ASA about their experiences of pregnancy, parenting and maternity care, and conducting focus groups with maternity care providers to explore how they can better support survivors.