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Vaginal foreign bodies and child sexual abuse.
Arch Pediatr Adolesc Med 1994; 148(2):195-200AP

Abstract

OBJECTIVE

To determine whether vaginal foreign bodies (VFBs) in prepubertal girls are associated with sexual abuse and whether evidence exists in earlier reports for such an association.

DESIGN

Retrospective case review.

SETTING

General pediatric clinic at Duke University Medical Center, Durham, NC.

PARTICIPANTS

All 12 girls 10 years of age and under who, between 1985 and 1988, were seen in the general clinic and subsequently found to have VFBs.

INTERVENTIONS

None.

MEASUREMENTS AND RESULTS

Clinic protocol required referral of all children with vaginal bleeding, unusual discharge, or VFBs to the Child Protection Team at the medical center, which also served as a pediatric gynecology consultation service. Records for the 12 girls, whose mean age was 6.3 years, showed 19 visits for single, multiple, or recurrent VFBs. Two girls had concurrent sexually transmitted diseases. Eight met diagnostic criteria for confirmed sexual abuse; three, for suspected abuse; and in one, abuse status was unknown.

CONCLUSIONS

Vaginal foreign bodies in young girls may be a previously unrecognized indicator of sexual abuse. Girls with VFBs should be evaluated for possible sexual abuse. Prospective studies on the suggested association between VFBs and sexual abuse need to be conducted.

Authors+Show Affiliations

Department of Pediatrics, Duke University Medical Center, Durham, NC.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

8118540

Citation

Herman-Giddens, M E.. "Vaginal Foreign Bodies and Child Sexual Abuse." Archives of Pediatrics & Adolescent Medicine, vol. 148, no. 2, 1994, pp. 195-200.
Herman-Giddens ME. Vaginal foreign bodies and child sexual abuse. Arch Pediatr Adolesc Med. 1994;148(2):195-200.
Herman-Giddens, M. E. (1994). Vaginal foreign bodies and child sexual abuse. Archives of Pediatrics & Adolescent Medicine, 148(2), pp. 195-200.
Herman-Giddens ME. Vaginal Foreign Bodies and Child Sexual Abuse. Arch Pediatr Adolesc Med. 1994;148(2):195-200. PubMed PMID: 8118540.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vaginal foreign bodies and child sexual abuse. A1 - Herman-Giddens,M E, PY - 1994/2/1/pubmed PY - 1994/2/1/medline PY - 1994/2/1/entrez SP - 195 EP - 200 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 148 IS - 2 N2 - OBJECTIVE: To determine whether vaginal foreign bodies (VFBs) in prepubertal girls are associated with sexual abuse and whether evidence exists in earlier reports for such an association. DESIGN: Retrospective case review. SETTING: General pediatric clinic at Duke University Medical Center, Durham, NC. PARTICIPANTS: All 12 girls 10 years of age and under who, between 1985 and 1988, were seen in the general clinic and subsequently found to have VFBs. INTERVENTIONS: None. MEASUREMENTS AND RESULTS: Clinic protocol required referral of all children with vaginal bleeding, unusual discharge, or VFBs to the Child Protection Team at the medical center, which also served as a pediatric gynecology consultation service. Records for the 12 girls, whose mean age was 6.3 years, showed 19 visits for single, multiple, or recurrent VFBs. Two girls had concurrent sexually transmitted diseases. Eight met diagnostic criteria for confirmed sexual abuse; three, for suspected abuse; and in one, abuse status was unknown. CONCLUSIONS: Vaginal foreign bodies in young girls may be a previously unrecognized indicator of sexual abuse. Girls with VFBs should be evaluated for possible sexual abuse. Prospective studies on the suggested association between VFBs and sexual abuse need to be conducted. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/8118540/Vaginal_foreign_bodies_and_child_sexual_abuse_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/vol/148/pg/195 DB - PRIME DP - Unbound Medicine ER -