title: Comprehensive care and pregnancy: the unmet care needs of pregnant women with a history of rape.
abstract: This paper proposes a framework for assessing the unmet needs of rape survivors during pregnancy based on the Sexual Assault Nurse Examiner (SANE) practice level theory and an empirical exploration of rape survivors' health status in pregnancy via a secondary analysis. Our findings indicate that there may be unmet needs in pregnancy related to all five post-assault comprehensive care components: (1) physical care, (2) pregnancy prevention, (3) sexually transmitted infection screening, (4) psychological care, and (5) legal care. Rape history and its current impact on the survivor predicted somatic disorders, substance use, unwanted pregnancy, infections, posttraumatic stress disorder, and recent abuse.
authors.affiliation: University of Michigan, School of Nursing, Ann Arbor, MI 48109, USA.
authors.forename: Michelle L
authors.initials: ML
authors.lastname: Munro
authors.forename: Melissa
authors.initials: M
authors.lastname: Foster Rietz
authors.forename: Julia S
authors.initials: JS
authors.lastname: Seng
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003191:Comprehensive Health Care; D005260:Female; D006301:Health Services Needs and Demand; D006304:Health Status; D006801:Humans; D015146:Midwestern United States; D010348:Patient Care Team; D011247:Pregnancy / Q000523:psychology*; D011295:Prenatal Care; D011902:Rape / Q000523:psychology*; D017741:Survivors / Q000523:psychology; D055815:Young Adult