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Clinical Care For Survivors Of Sexual Assault

  • Take a complete history and full physical examination, documenting all injuries
  • Provide supportive care (‘psychological first aid’)
  • Provide emergency contraception (if up to 5 days after the event)
  • Provide prophylaxis for STIs
  • Use shared decision-making with survivor regarding HIV Post-exposure Prophylaxis
  • For further information refer to: WHO Guidelines for medico-legal care of sexual violence survivors (2002) & e-learning tool for Clinical Management of Rape survivors (WHO/UNHCR 2009).

Complications:

  • Infection
  • Haematoma in parametrium
  • Recto-vaginal, vesico-vaginal fistulae
  • Dyspareunia
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