The effects of mode delivery on postpartum sexual function: a prospective study
Objective To determine the effect of mode of delivery and perineal injury on sexual function at 6 and 12 months postpartum. Design Prospective cohort study. Setting Tertiary women's hospital in Melbourne, Australia. Population A cohort of 440 primigravid women. Methods The Female Sexual Functio...
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| Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 2015-09, Vol.122 (10), p.1410-1418 |
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| container_title | BJOG : an international journal of obstetrics and gynaecology |
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| creator | De Souza, A Dwyer, PL Charity, M Thomas, E Ferreira, CHJ Schierlitz, L |
| description | Objective
To determine the effect of mode of delivery and perineal injury on sexual function at 6 and 12 months postpartum.
Design
Prospective cohort study.
Setting
Tertiary women's hospital in Melbourne, Australia.
Population
A cohort of 440 primigravid women.
Methods
The Female Sexual Function Index (FSFI) was completed at first visit (7–19 weeks of gestation), and at 6 and 12 months postpartum.
Main outcome measures
A statistically significant difference in total FSFI or domain scores over time according to mode of delivery or perineal injury.
Results
In this cohort 54% of women had a normal vaginal delivery, 21% had an instrumental delivery, and 25% gave birth by caesarean section. No difference was found in total FSFI or domain scores according to mode of delivery over time between antenatal assessment and 12 months postpartum. Pain was decreased in the caesarean group only at 6 months postpartum. All groups showed pain scores at 12 months that were comparable with antenatal levels. For those who gave birth vaginally, 27% had an intact perineum, 50% had an episiotomy, and 6%, 14%, and 3% had first, second, and third‐degree tears, respectively. The only differences between groups were found over time according to perineal injury at 6 months in the arousal domain. At 12 months, total FSFI and domain scores were no different to initial scores.
Conclusions
At 12 months postpartum sexual function has returned to early pregnancy levels, irrespective of mode of delivery or perineal injury. |
| doi_str_mv | 10.1111/1471-0528.13331 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1721354521</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3787755911</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4451-b598ddca416b1ac7ee4444e98b180c9381316a10058557c41c9b27e7ba2deb783</originalsourceid><addsrcrecordid>eNqFkTlPxDAQRi0E4lio6ZAlGpqAx45jhw5WnELaZqktx5mIoFzECbD_Hu8BBc1OYVvWm08zeoScAruEUFcQK4iY5PoShBCwQw7_fnZXbxYxwfUBOfL-nTFIOBP75IBLJTkHOCSz-RtSLAp0g6dtQes2R5pjVX5iv6BtQ7vWD53th7GmHr9HW9FibNxQts01tbTrW9-F3oBTP4z54pjsFbbyeLK5J-T1_m4-fYxeZg9P05uXyMWxhCiTqc5zZ2NIMrBOIcahMNUZaOZSoUFAYoExqaVULgaXZlyhyizPMVNaTMjFOjdM8DGiH0xdeodVZRtsR29AcRAyluHcjjIlpWYsCej5P_S9HfsmLLKkklSxOOWBulpTLmzveyxM15e17RcGmFlqMUsJZinBrLSEjrNN7pjVmP_xvx4CINfAV1nhYlueuX2erYN_AJfNlNo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1706970492</pqid></control><display><type>article</type><title>The effects of mode delivery on postpartum sexual function: a prospective study</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><creator>De Souza, A ; Dwyer, PL ; Charity, M ; Thomas, E ; Ferreira, CHJ ; Schierlitz, L</creator><creatorcontrib>De Souza, A ; Dwyer, PL ; Charity, M ; Thomas, E ; Ferreira, CHJ ; Schierlitz, L</creatorcontrib><description>Objective
To determine the effect of mode of delivery and perineal injury on sexual function at 6 and 12 months postpartum.
Design
Prospective cohort study.
Setting
Tertiary women's hospital in Melbourne, Australia.
Population
A cohort of 440 primigravid women.
Methods
The Female Sexual Function Index (FSFI) was completed at first visit (7–19 weeks of gestation), and at 6 and 12 months postpartum.
Main outcome measures
A statistically significant difference in total FSFI or domain scores over time according to mode of delivery or perineal injury.
Results
In this cohort 54% of women had a normal vaginal delivery, 21% had an instrumental delivery, and 25% gave birth by caesarean section. No difference was found in total FSFI or domain scores according to mode of delivery over time between antenatal assessment and 12 months postpartum. Pain was decreased in the caesarean group only at 6 months postpartum. All groups showed pain scores at 12 months that were comparable with antenatal levels. For those who gave birth vaginally, 27% had an intact perineum, 50% had an episiotomy, and 6%, 14%, and 3% had first, second, and third‐degree tears, respectively. The only differences between groups were found over time according to perineal injury at 6 months in the arousal domain. At 12 months, total FSFI and domain scores were no different to initial scores.
Conclusions
At 12 months postpartum sexual function has returned to early pregnancy levels, irrespective of mode of delivery or perineal injury.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.13331</identifier><identifier>PMID: 25752211</identifier><identifier>CODEN: BIOGFQ</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Adult ; Childbirth & labor ; Delivery mode ; Delivery, Obstetric - adverse effects ; Delivery, Obstetric - methods ; episiotomy ; Female ; Follow-Up Studies ; Humans ; Injuries ; Obstetrics ; perineal trauma ; Perineum - injuries ; postpartum ; Postpartum Period ; Pregnancy ; Prospective Studies ; Sexual disorders ; Sexual Dysfunction, Physiological - diagnosis ; Sexual Dysfunction, Physiological - etiology ; Sexual Dysfunctions, Psychological - diagnosis ; Sexual Dysfunctions, Psychological - etiology ; sexual function ; Surveys and Questionnaires ; Young Adult</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2015-09, Vol.122 (10), p.1410-1418</ispartof><rights>2015 Royal College of Obstetricians and Gynaecologists</rights><rights>2015 Royal College of Obstetricians and Gynaecologists.</rights><rights>Copyright © 2015 Royal College of Obstetricians and Gynaecologists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4451-b598ddca416b1ac7ee4444e98b180c9381316a10058557c41c9b27e7ba2deb783</citedby><cites>FETCH-LOGICAL-c4451-b598ddca416b1ac7ee4444e98b180c9381316a10058557c41c9b27e7ba2deb783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1471-0528.13331$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1471-0528.13331$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25752211$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>De Souza, A</creatorcontrib><creatorcontrib>Dwyer, PL</creatorcontrib><creatorcontrib>Charity, M</creatorcontrib><creatorcontrib>Thomas, E</creatorcontrib><creatorcontrib>Ferreira, CHJ</creatorcontrib><creatorcontrib>Schierlitz, L</creatorcontrib><title>The effects of mode delivery on postpartum sexual function: a prospective study</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Objective
To determine the effect of mode of delivery and perineal injury on sexual function at 6 and 12 months postpartum.
Design
Prospective cohort study.
Setting
Tertiary women's hospital in Melbourne, Australia.
Population
A cohort of 440 primigravid women.
Methods
The Female Sexual Function Index (FSFI) was completed at first visit (7–19 weeks of gestation), and at 6 and 12 months postpartum.
Main outcome measures
A statistically significant difference in total FSFI or domain scores over time according to mode of delivery or perineal injury.
Results
In this cohort 54% of women had a normal vaginal delivery, 21% had an instrumental delivery, and 25% gave birth by caesarean section. No difference was found in total FSFI or domain scores according to mode of delivery over time between antenatal assessment and 12 months postpartum. Pain was decreased in the caesarean group only at 6 months postpartum. All groups showed pain scores at 12 months that were comparable with antenatal levels. For those who gave birth vaginally, 27% had an intact perineum, 50% had an episiotomy, and 6%, 14%, and 3% had first, second, and third‐degree tears, respectively. The only differences between groups were found over time according to perineal injury at 6 months in the arousal domain. At 12 months, total FSFI and domain scores were no different to initial scores.
Conclusions
At 12 months postpartum sexual function has returned to early pregnancy levels, irrespective of mode of delivery or perineal injury.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Childbirth & labor</subject><subject>Delivery mode</subject><subject>Delivery, Obstetric - adverse effects</subject><subject>Delivery, Obstetric - methods</subject><subject>episiotomy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Injuries</subject><subject>Obstetrics</subject><subject>perineal trauma</subject><subject>Perineum - injuries</subject><subject>postpartum</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Sexual disorders</subject><subject>Sexual Dysfunction, Physiological - diagnosis</subject><subject>Sexual Dysfunction, Physiological - etiology</subject><subject>Sexual Dysfunctions, Psychological - diagnosis</subject><subject>Sexual Dysfunctions, Psychological - etiology</subject><subject>sexual function</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>1470-0328</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkTlPxDAQRi0E4lio6ZAlGpqAx45jhw5WnELaZqktx5mIoFzECbD_Hu8BBc1OYVvWm08zeoScAruEUFcQK4iY5PoShBCwQw7_fnZXbxYxwfUBOfL-nTFIOBP75IBLJTkHOCSz-RtSLAp0g6dtQes2R5pjVX5iv6BtQ7vWD53th7GmHr9HW9FibNxQts01tbTrW9-F3oBTP4z54pjsFbbyeLK5J-T1_m4-fYxeZg9P05uXyMWxhCiTqc5zZ2NIMrBOIcahMNUZaOZSoUFAYoExqaVULgaXZlyhyizPMVNaTMjFOjdM8DGiH0xdeodVZRtsR29AcRAyluHcjjIlpWYsCej5P_S9HfsmLLKkklSxOOWBulpTLmzveyxM15e17RcGmFlqMUsJZinBrLSEjrNN7pjVmP_xvx4CINfAV1nhYlueuX2erYN_AJfNlNo</recordid><startdate>201509</startdate><enddate>201509</enddate><creator>De Souza, A</creator><creator>Dwyer, PL</creator><creator>Charity, M</creator><creator>Thomas, E</creator><creator>Ferreira, CHJ</creator><creator>Schierlitz, L</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201509</creationdate><title>The effects of mode delivery on postpartum sexual function: a prospective study</title><author>De Souza, A ; Dwyer, PL ; Charity, M ; Thomas, E ; Ferreira, CHJ ; Schierlitz, L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4451-b598ddca416b1ac7ee4444e98b180c9381316a10058557c41c9b27e7ba2deb783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Childbirth & labor</topic><topic>Delivery mode</topic><topic>Delivery, Obstetric - adverse effects</topic><topic>Delivery, Obstetric - methods</topic><topic>episiotomy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Injuries</topic><topic>Obstetrics</topic><topic>perineal trauma</topic><topic>Perineum - injuries</topic><topic>postpartum</topic><topic>Postpartum Period</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><topic>Sexual disorders</topic><topic>Sexual Dysfunction, Physiological - diagnosis</topic><topic>Sexual Dysfunction, Physiological - etiology</topic><topic>Sexual Dysfunctions, Psychological - diagnosis</topic><topic>Sexual Dysfunctions, Psychological - etiology</topic><topic>sexual function</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>De Souza, A</creatorcontrib><creatorcontrib>Dwyer, PL</creatorcontrib><creatorcontrib>Charity, M</creatorcontrib><creatorcontrib>Thomas, E</creatorcontrib><creatorcontrib>Ferreira, CHJ</creatorcontrib><creatorcontrib>Schierlitz, L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>De Souza, A</au><au>Dwyer, PL</au><au>Charity, M</au><au>Thomas, E</au><au>Ferreira, CHJ</au><au>Schierlitz, L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effects of mode delivery on postpartum sexual function: a prospective study</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2015-09</date><risdate>2015</risdate><volume>122</volume><issue>10</issue><spage>1410</spage><epage>1418</epage><pages>1410-1418</pages><issn>1470-0328</issn><eissn>1471-0528</eissn><coden>BIOGFQ</coden><abstract>Objective
To determine the effect of mode of delivery and perineal injury on sexual function at 6 and 12 months postpartum.
Design
Prospective cohort study.
Setting
Tertiary women's hospital in Melbourne, Australia.
Population
A cohort of 440 primigravid women.
Methods
The Female Sexual Function Index (FSFI) was completed at first visit (7–19 weeks of gestation), and at 6 and 12 months postpartum.
Main outcome measures
A statistically significant difference in total FSFI or domain scores over time according to mode of delivery or perineal injury.
Results
In this cohort 54% of women had a normal vaginal delivery, 21% had an instrumental delivery, and 25% gave birth by caesarean section. No difference was found in total FSFI or domain scores according to mode of delivery over time between antenatal assessment and 12 months postpartum. Pain was decreased in the caesarean group only at 6 months postpartum. All groups showed pain scores at 12 months that were comparable with antenatal levels. For those who gave birth vaginally, 27% had an intact perineum, 50% had an episiotomy, and 6%, 14%, and 3% had first, second, and third‐degree tears, respectively. The only differences between groups were found over time according to perineal injury at 6 months in the arousal domain. At 12 months, total FSFI and domain scores were no different to initial scores.
Conclusions
At 12 months postpartum sexual function has returned to early pregnancy levels, irrespective of mode of delivery or perineal injury.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>25752211</pmid><doi>10.1111/1471-0528.13331</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | BJOG : an international journal of obstetrics and gynaecology, 2015-09, Vol.122 (10), p.1410-1418 |
| issn | 1470-0328 1471-0528 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1721354521 |
| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Adolescent Adult Childbirth & labor Delivery mode Delivery, Obstetric - adverse effects Delivery, Obstetric - methods episiotomy Female Follow-Up Studies Humans Injuries Obstetrics perineal trauma Perineum - injuries postpartum Postpartum Period Pregnancy Prospective Studies Sexual disorders Sexual Dysfunction, Physiological - diagnosis Sexual Dysfunction, Physiological - etiology Sexual Dysfunctions, Psychological - diagnosis Sexual Dysfunctions, Psychological - etiology sexual function Surveys and Questionnaires Young Adult |
| title | The effects of mode delivery on postpartum sexual function: a prospective study |
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