Pregnancy, parturition and postpartum considerations among patients with vulvar lichen sclerosus: A retrospective cross‐sectional online survey
Objective Characterise VLS and obstetric considerations among women during pregnancy, parturition and postpartum. Design Retrospective cross‐sectional online survey, 2022. Setting International, English‐speakers. Population Self‐identified individuals aged 18–50 diagnosed with VLS with symptom onset...
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| Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 2024-02, Vol.131 (3), p.327-333 |
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| creator | Shaffer, Alyssa B. Cigna, Sarah T. Pope, Rachel Krapf, Jill M. |
| description | Objective
Characterise VLS and obstetric considerations among women during pregnancy, parturition and postpartum.
Design
Retrospective cross‐sectional online survey, 2022.
Setting
International, English‐speakers.
Population
Self‐identified individuals aged 18–50 diagnosed with VLS with symptom onset prior to pregnancy.
Methods
Participants recruited from social media support groups and accounts, completed a 47‐question survey including yes/no, multiple answer, and free‐text responses. Data were analysed with frequency, means and the Chi‐square test.
Main outcome measures
VLS symptom severity, mode of delivery, perineal laceration, source and sufficiency of information provided about VLS and obstetrics, anxiety about delivery, and postpartum depression.
Results
Of 204 responses, 134 met inclusion criteria, encompassing 206 pregnancies. Mean respondent age was 35 years (SD 6) and mean age of VLS symptom onset, diagnosis and birth, was 22 (SD 8), 29 (SD 7) and 31 (SD 4) years, respectively. Symptoms decreased in 44% (n = 91) of pregnancies and increased during the postpartum period in 60% (n = 123). In all, 67% (n = 137) of pregnancies resulted in vaginal birth and 33% (n = 69) in caesarean birth. Anxiety for delivery due to VLS symptoms was reported by 50% (n = 103); 31% (n = 63) experienced postpartum depression. Of respondents previously diagnosed with VLS, 60% (n = 69) used topical steroids prior to pregnancy, 40% (n = 45) were treated during pregnancy and 65% (n = 75) postpartum. In all, 94% (n = 116) reported receiving an insufficient amount of information on the topic.
Conclusion
In this online survey, we found reported symptom severity remained unchanged or decreased during pregnancy, but increased postpartum. Use of topical corticosteroids decreased during pregnancy compared with before and after pregnancy. Half of the respondents reported anxiety regarding VLS and delivery. |
| doi_str_mv | 10.1111/1471-0528.17601 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2854432973</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2913375077</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3711-670cfa0e6edd3ff606a1054d8e5dd8d02ba97328a019e48e0bcaf414ea62f4403</originalsourceid><addsrcrecordid>eNqFkc9u1DAQxi0EoqVw5oYsceHQtOPYibPcSlX-qVI5wNny2pPWVWIH29lqbzwCvCJPgrNbeuDCXPx55udPHn2EvGRwwkqdMiFZBU3dnTDZAntEDh86j3caKuB1d0CepXQLwNoa-FNywKWoBevgkPz6EvHaa2-2x3TSMc_RZRc81d7SKaS8643UBJ-cxaiXYaJ6DP668Nmhz4neuXxDN_Ow0ZEOztygp8kMGEOa01t6RiPmoic02W2QmqLT7x8_03IPXg80-MF5pGmOG9w-J096PSR8cX8ekW_vL76ef6wurz58Oj-7rAyXjFWtBNNrwBat5X3fQqsZNMJ22FjbWajXeiXL6hrYCkWHsDa6F0ygbuteCOBH5M3ed4rh-4wpq9Elg8OgPYY5qbprhOB1MSno63_Q2zDH8vNCrRjnsgEpC3W6p3YLRuzVFN2o41YxUEtaaslGLdmoXVrlxat733k9on3g_8ZTgGYP3LkBt__zU-8-X-2N_wBlIaNu</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2913375077</pqid></control><display><type>article</type><title>Pregnancy, parturition and postpartum considerations among patients with vulvar lichen sclerosus: A retrospective cross‐sectional online survey</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Shaffer, Alyssa B. ; Cigna, Sarah T. ; Pope, Rachel ; Krapf, Jill M.</creator><creatorcontrib>Shaffer, Alyssa B. ; Cigna, Sarah T. ; Pope, Rachel ; Krapf, Jill M.</creatorcontrib><description>Objective
Characterise VLS and obstetric considerations among women during pregnancy, parturition and postpartum.
Design
Retrospective cross‐sectional online survey, 2022.
Setting
International, English‐speakers.
Population
Self‐identified individuals aged 18–50 diagnosed with VLS with symptom onset prior to pregnancy.
Methods
Participants recruited from social media support groups and accounts, completed a 47‐question survey including yes/no, multiple answer, and free‐text responses. Data were analysed with frequency, means and the Chi‐square test.
Main outcome measures
VLS symptom severity, mode of delivery, perineal laceration, source and sufficiency of information provided about VLS and obstetrics, anxiety about delivery, and postpartum depression.
Results
Of 204 responses, 134 met inclusion criteria, encompassing 206 pregnancies. Mean respondent age was 35 years (SD 6) and mean age of VLS symptom onset, diagnosis and birth, was 22 (SD 8), 29 (SD 7) and 31 (SD 4) years, respectively. Symptoms decreased in 44% (n = 91) of pregnancies and increased during the postpartum period in 60% (n = 123). In all, 67% (n = 137) of pregnancies resulted in vaginal birth and 33% (n = 69) in caesarean birth. Anxiety for delivery due to VLS symptoms was reported by 50% (n = 103); 31% (n = 63) experienced postpartum depression. Of respondents previously diagnosed with VLS, 60% (n = 69) used topical steroids prior to pregnancy, 40% (n = 45) were treated during pregnancy and 65% (n = 75) postpartum. In all, 94% (n = 116) reported receiving an insufficient amount of information on the topic.
Conclusion
In this online survey, we found reported symptom severity remained unchanged or decreased during pregnancy, but increased postpartum. Use of topical corticosteroids decreased during pregnancy compared with before and after pregnancy. Half of the respondents reported anxiety regarding VLS and delivery.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.17601</identifier><identifier>PMID: 37424180</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>antenatal care ; Anxiety ; Birth ; clinical guidelines ; Clinical practice guidelines ; Corticosteroids ; Cross-Sectional Studies ; Depression, Postpartum - epidemiology ; dermatology ; Female ; Genital diseases ; Humans ; Mental depression ; Obstetrics ; Parturition ; Perineum ; Postpartum ; Postpartum depression ; Postpartum Period ; Pregnancy ; Retrospective Studies ; Steroid hormones ; Surveys ; vulva: benign diseases ; Vulvar Lichen Sclerosus</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2024-02, Vol.131 (3), p.327-333</ispartof><rights>2023 John Wiley & Sons Ltd.</rights><rights>Copyright © 2024 Royal College of Obstetricians and Gynaecologists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3711-670cfa0e6edd3ff606a1054d8e5dd8d02ba97328a019e48e0bcaf414ea62f4403</citedby><cites>FETCH-LOGICAL-c3711-670cfa0e6edd3ff606a1054d8e5dd8d02ba97328a019e48e0bcaf414ea62f4403</cites><orcidid>0000-0002-8695-0570</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1471-0528.17601$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1471-0528.17601$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27931,27932,45581,45582</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37424180$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shaffer, Alyssa B.</creatorcontrib><creatorcontrib>Cigna, Sarah T.</creatorcontrib><creatorcontrib>Pope, Rachel</creatorcontrib><creatorcontrib>Krapf, Jill M.</creatorcontrib><title>Pregnancy, parturition and postpartum considerations among patients with vulvar lichen sclerosus: A retrospective cross‐sectional online survey</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Objective
Characterise VLS and obstetric considerations among women during pregnancy, parturition and postpartum.
Design
Retrospective cross‐sectional online survey, 2022.
Setting
International, English‐speakers.
Population
Self‐identified individuals aged 18–50 diagnosed with VLS with symptom onset prior to pregnancy.
Methods
Participants recruited from social media support groups and accounts, completed a 47‐question survey including yes/no, multiple answer, and free‐text responses. Data were analysed with frequency, means and the Chi‐square test.
Main outcome measures
VLS symptom severity, mode of delivery, perineal laceration, source and sufficiency of information provided about VLS and obstetrics, anxiety about delivery, and postpartum depression.
Results
Of 204 responses, 134 met inclusion criteria, encompassing 206 pregnancies. Mean respondent age was 35 years (SD 6) and mean age of VLS symptom onset, diagnosis and birth, was 22 (SD 8), 29 (SD 7) and 31 (SD 4) years, respectively. Symptoms decreased in 44% (n = 91) of pregnancies and increased during the postpartum period in 60% (n = 123). In all, 67% (n = 137) of pregnancies resulted in vaginal birth and 33% (n = 69) in caesarean birth. Anxiety for delivery due to VLS symptoms was reported by 50% (n = 103); 31% (n = 63) experienced postpartum depression. Of respondents previously diagnosed with VLS, 60% (n = 69) used topical steroids prior to pregnancy, 40% (n = 45) were treated during pregnancy and 65% (n = 75) postpartum. In all, 94% (n = 116) reported receiving an insufficient amount of information on the topic.
Conclusion
In this online survey, we found reported symptom severity remained unchanged or decreased during pregnancy, but increased postpartum. Use of topical corticosteroids decreased during pregnancy compared with before and after pregnancy. Half of the respondents reported anxiety regarding VLS and delivery.</description><subject>antenatal care</subject><subject>Anxiety</subject><subject>Birth</subject><subject>clinical guidelines</subject><subject>Clinical practice guidelines</subject><subject>Corticosteroids</subject><subject>Cross-Sectional Studies</subject><subject>Depression, Postpartum - epidemiology</subject><subject>dermatology</subject><subject>Female</subject><subject>Genital diseases</subject><subject>Humans</subject><subject>Mental depression</subject><subject>Obstetrics</subject><subject>Parturition</subject><subject>Perineum</subject><subject>Postpartum</subject><subject>Postpartum depression</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Retrospective Studies</subject><subject>Steroid hormones</subject><subject>Surveys</subject><subject>vulva: benign diseases</subject><subject>Vulvar Lichen Sclerosus</subject><issn>1470-0328</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc9u1DAQxi0EoqVw5oYsceHQtOPYibPcSlX-qVI5wNny2pPWVWIH29lqbzwCvCJPgrNbeuDCXPx55udPHn2EvGRwwkqdMiFZBU3dnTDZAntEDh86j3caKuB1d0CepXQLwNoa-FNywKWoBevgkPz6EvHaa2-2x3TSMc_RZRc81d7SKaS8643UBJ-cxaiXYaJ6DP668Nmhz4neuXxDN_Ow0ZEOztygp8kMGEOa01t6RiPmoic02W2QmqLT7x8_03IPXg80-MF5pGmOG9w-J096PSR8cX8ekW_vL76ef6wurz58Oj-7rAyXjFWtBNNrwBat5X3fQqsZNMJ22FjbWajXeiXL6hrYCkWHsDa6F0ygbuteCOBH5M3ed4rh-4wpq9Elg8OgPYY5qbprhOB1MSno63_Q2zDH8vNCrRjnsgEpC3W6p3YLRuzVFN2o41YxUEtaaslGLdmoXVrlxat733k9on3g_8ZTgGYP3LkBt__zU-8-X-2N_wBlIaNu</recordid><startdate>202402</startdate><enddate>202402</enddate><creator>Shaffer, Alyssa B.</creator><creator>Cigna, Sarah T.</creator><creator>Pope, Rachel</creator><creator>Krapf, Jill M.</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><orcidid>https://orcid.org/0000-0002-8695-0570</orcidid></search><sort><creationdate>202402</creationdate><title>Pregnancy, parturition and postpartum considerations among patients with vulvar lichen sclerosus: A retrospective cross‐sectional online survey</title><author>Shaffer, Alyssa B. ; Cigna, Sarah T. ; Pope, Rachel ; Krapf, Jill M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3711-670cfa0e6edd3ff606a1054d8e5dd8d02ba97328a019e48e0bcaf414ea62f4403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>antenatal care</topic><topic>Anxiety</topic><topic>Birth</topic><topic>clinical guidelines</topic><topic>Clinical practice guidelines</topic><topic>Corticosteroids</topic><topic>Cross-Sectional Studies</topic><topic>Depression, Postpartum - epidemiology</topic><topic>dermatology</topic><topic>Female</topic><topic>Genital diseases</topic><topic>Humans</topic><topic>Mental depression</topic><topic>Obstetrics</topic><topic>Parturition</topic><topic>Perineum</topic><topic>Postpartum</topic><topic>Postpartum depression</topic><topic>Postpartum Period</topic><topic>Pregnancy</topic><topic>Retrospective Studies</topic><topic>Steroid hormones</topic><topic>Surveys</topic><topic>vulva: benign diseases</topic><topic>Vulvar Lichen Sclerosus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shaffer, Alyssa B.</creatorcontrib><creatorcontrib>Cigna, Sarah T.</creatorcontrib><creatorcontrib>Pope, Rachel</creatorcontrib><creatorcontrib>Krapf, Jill M.</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>Shaffer, Alyssa B.</au><au>Cigna, Sarah T.</au><au>Pope, Rachel</au><au>Krapf, Jill M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pregnancy, parturition and postpartum considerations among patients with vulvar lichen sclerosus: A retrospective cross‐sectional online survey</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2024-02</date><risdate>2024</risdate><volume>131</volume><issue>3</issue><spage>327</spage><epage>333</epage><pages>327-333</pages><issn>1470-0328</issn><eissn>1471-0528</eissn><abstract>Objective
Characterise VLS and obstetric considerations among women during pregnancy, parturition and postpartum.
Design
Retrospective cross‐sectional online survey, 2022.
Setting
International, English‐speakers.
Population
Self‐identified individuals aged 18–50 diagnosed with VLS with symptom onset prior to pregnancy.
Methods
Participants recruited from social media support groups and accounts, completed a 47‐question survey including yes/no, multiple answer, and free‐text responses. Data were analysed with frequency, means and the Chi‐square test.
Main outcome measures
VLS symptom severity, mode of delivery, perineal laceration, source and sufficiency of information provided about VLS and obstetrics, anxiety about delivery, and postpartum depression.
Results
Of 204 responses, 134 met inclusion criteria, encompassing 206 pregnancies. Mean respondent age was 35 years (SD 6) and mean age of VLS symptom onset, diagnosis and birth, was 22 (SD 8), 29 (SD 7) and 31 (SD 4) years, respectively. Symptoms decreased in 44% (n = 91) of pregnancies and increased during the postpartum period in 60% (n = 123). In all, 67% (n = 137) of pregnancies resulted in vaginal birth and 33% (n = 69) in caesarean birth. Anxiety for delivery due to VLS symptoms was reported by 50% (n = 103); 31% (n = 63) experienced postpartum depression. Of respondents previously diagnosed with VLS, 60% (n = 69) used topical steroids prior to pregnancy, 40% (n = 45) were treated during pregnancy and 65% (n = 75) postpartum. In all, 94% (n = 116) reported receiving an insufficient amount of information on the topic.
Conclusion
In this online survey, we found reported symptom severity remained unchanged or decreased during pregnancy, but increased postpartum. Use of topical corticosteroids decreased during pregnancy compared with before and after pregnancy. Half of the respondents reported anxiety regarding VLS and delivery.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37424180</pmid><doi>10.1111/1471-0528.17601</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-8695-0570</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1470-0328 |
| ispartof | BJOG : an international journal of obstetrics and gynaecology, 2024-02, Vol.131 (3), p.327-333 |
| issn | 1470-0328 1471-0528 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2854432973 |
| source | MEDLINE; Access via Wiley Online Library |
| subjects | antenatal care Anxiety Birth clinical guidelines Clinical practice guidelines Corticosteroids Cross-Sectional Studies Depression, Postpartum - epidemiology dermatology Female Genital diseases Humans Mental depression Obstetrics Parturition Perineum Postpartum Postpartum depression Postpartum Period Pregnancy Retrospective Studies Steroid hormones Surveys vulva: benign diseases Vulvar Lichen Sclerosus |
| title | Pregnancy, parturition and postpartum considerations among patients with vulvar lichen sclerosus: A retrospective cross‐sectional online survey |
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