Forensic Gynaecology Flashcards
What percentage of women report
Domestic Violence
since the age of 16yr
28%
What % of victims report sexual assault to the police
17%
What % of offenders are known to their victims
80%
47% where partners or ex-partners
33% family members
What % of sexual assaults are on individuals under 12yr
15%
What is the % of women will suffer
Sexual Assault
in their lifetime
10%
Define rape under the 2003 sexual offences act
He intentionally penetrates the vagina, amid or mouth of another person with his penis without consent
Define statutory rape of a child under 13 under the 2003 sexual offences act
He intentionally penetrates the vagina, amid or mouth of another person with his penis
And the other person is under 13 yr
Following sexual assault when would prophylactic Abx be recommended
What would be given
Cu IUD fitted
Unlikely to attend screening
Known STI in assailant
Ceftriaxone 500mg IM
Azithromycin 1g po
Metronidazole 2g po
How soon following sexual assault should routine screen for STI be completed
10-14 days
What is the risk of HIV transmission from individual not on ARVs
From receptive vaginal intercourse
1:1000
What is the risk of HIV transmission from individual not on ARVs
From receptive anal intercourse
1:65
Within how many hours of exposure can PEP be given
Ideally within 24 hours, no evidence for use beyond 72 hours
What is the first line regime for PEP
Does it interact with hormonal, including emergency contraception
Truvada and raltegravir
No
How long after sexual assault can Hep B vaccination have protective effect
6 weeks after assault
What is the forensic time frame
Penile oral assault
Within 48hr