Postpartum dyspareunia and sexual functioning: a prospective cohort study

Lagaert, Liesbet; Weyers, Steven; Kerrebroeck, Helena Van; Elaut, Els

doi:10.1080/13625187.2017.1315938

Cited by 61 publications

(54 citation statements)

References 21 publications

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“…Similar findings have been reported in the medical literature and studies worldwide, and episiotomy has been considered the main cause of postpartum perineal pain. 8,9,16,17 The prevalence varied between studies and in some studies was as high as 95% in the first 24 postpartum hours and 71% in the succeeding 7e10 days. Despite being a subjective complication (dependent on the participants' self-report of her subjective feeling), perineal pain has been considered the primary adverse effect of episiotomy.…”

Section: Discussionmentioning

confidence: 99%

“…Despite being a subjective complication (dependent on the participants' self-report of her subjective feeling), perineal pain has been considered the primary adverse effect of episiotomy. 8,9,16,17 Urinary and bowel dysfunction have been reported with lower prevalence. Nevertheless, these complications still had negative effects on patients' daily lives.…”

Section: Discussionmentioning

confidence: 99%

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Pelvic Floor and Sexual Dysfunction After Vaginal Birth With Episiotomy in Vietnamese Women

Nguyen

Phuong

et al. 2019

Sexual Medicine

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Introduction: Episiotomy has been the most common procedure in obstetrical practice; however, its benefits remain controversial, especially in case of postpartum pelvic floor disorder and sexual dysfunction. Aim: The aim of this study was to evaluate early complications, pelvic floor, and sexual dysfunction after delivery with episiotomy and their associated factors. Methods: 158 healthy pregnant women at term (38 weeks 0 days to 41 weeks 6 days), aged above 18 years old, who vaginally delivered a singleton baby with cephalic presentation were recruited. The subjects were evaluated through 3 interviews at 1À3 days, 6 weeks, and 3 months after delivery, respectively. Main Outcome Measure: The evaluations were accomplished primarily by administration of 2 validated questionnaires: the Pelvic Floor Distress Inventory Short-form 20 to evaluate symptoms of pelvic floor dysfunction, and the Female Sexual Function Index to evaluate effects on the women's sexual life. Results: Among early complications, pain while sitting (30.4%) was the most prominent trouble, other pelvic disorders, such as urinary incontinence (11.4%), urinary retention (10.8%), or flatus incontinence (8.9%), were also observed in a remarkable number of participants. Average Pelvic Floor Distress Inventory Short-form 20 score was 7.0 ± 10.2 after 3 months. At that time, the prevalence of sexual dysfunction was 40.7%. Trouble occurred commonly in the domains of desire (68.9%) and pain (58.5%). Associated factors of sexual dysfunction were maternal age over 30 years and parity. These factors, in combination with birth weight over 3,500 gram (g), were also associated factors of pelvic floor disorders. Conclusion: Pelvic pain was the most popular postdelivery complication. Urinary and bowel dysfunction were self-limited complications. Despite being considered a simple technique, episiotomy and its repair must be performed rigorously in order to allow the best recovery of pelvic floor and sexual function. Huy Quoc NV,

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pelvic Floor and Sexual Dysfunction After Vaginal Birth With Episiotomy in Vietnamese Women

Nguyen

Phuong

et al. 2019

Sexual Medicine

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“…Sexual function postpartum is affected by the changes in hormonal milieu, anatomy and family structure following childbirth. Dyspareunia and other sexual problems, such as loss of sex drive, in the postpartum period is a well-known problem and frequencies of sexual health problems as high as 30%–60% three months postpartum and 17%–31% six months postpartum have been reported 2–7. A large cohort study from Sweden found vaginal or perineal tears, regardless of degree, to be associated with a delay in women’s resumption of sexual intercourse defined as more than 3 months after giving birth,8 while about 10% of primiparous women had not yet resumed sexual intercourse 6 months postpartum 3.…”

Section: Introductionmentioning

confidence: 99%

Obstetric perineal tears, sexual function and dyspareunia among primiparous women 12 months postpartum: a prospective cohort study

et al. 2019

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ObjectiveSexuality is an important aspect of human identity and contributes significantly to the quality of life in women as well as in men. Impairment in sexual health after vaginal delivery is a major concern for many women. We aimed to examine the association between degree of perineal tear and sexual function 12 months postpartum.DesignA prospective cohort studySettingFour Danish hospitals between July 2015 and January 2019ParticipantsA total of 554 primiparous women: 191 with no/labia/first-degree tears, 189 with second-degree tears and 174 with third-degree/fourth-degree tears. Baseline data were obtained 2 weeks postpartum by a questionnaire and a clinical examination. Sexual function was evaluated 12 months postpartum by an electronic questionnaire (Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12)) and a clinical examination.Primary outcome measuresTotal PISQ-12 score and dyspareuniaResultsEpisiotomy was performed in 54 cases and 95 women had an operative vaginal delivery. The proportion of women with dyspareunia was 25%, 38% and 53% of women with no/labia/first-degree, second-degree or third-degree/fourth-degree tears, respectively.Compared with women with no/labia/first-degree tears, women with second-degree or third-degree/fourth-degree tears had a higher risk of dyspareunia (adjusted relative risk (aRR) 2.05; 95% CI 1.51 to 2.78 and aRR 2.09; 95% CI 1.55 to 2.81, respectively). Women with third-degree/fourth-degree tears had a higher mean PISQ-12 score (12.2) than women with no/labia/first-degree tears (10.4).ConclusionsImpairment of sexual health is common among primiparous women after vaginal delivery. At 12 months postpartum, more than half of the women with a third-degree/fourth-degree tear experienced dyspareunia. Women delivering with no/labia/first-degree tears reported the best outcomes overall. Thus, it is important to minimise the extent of perineal trauma and to counsel about sexuality during and after pregnancy.

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“…Aos seis meses apenas a associação com a primiparidade permaneceu significativa (p = 0,022). Com isso, pode-se concluir que mulheres primíparas estão mais propensas a ter a sua função sexual afetada no período pós-parto (Lagaert et al, 2017;Pereira et al, 2018;Oliveira et al, 2018). Por isso, é importante minimizar a extensão do trauma perineal e orientar as mulheres grávidas e principalmente as primíparas, sobre o retorno à atividade sexual.…”

Section: Metodologiaunclassified

Disfunção sexual em mulheres no período pós-parto: revisão da literatura

Cabral

Frigo

2020

RSD

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A maioria das mulheres retorna à atividade sexual dentro de três a seis meses após o parto, porém, nos primeiros três meses a disfunção sexual é comum em grande parte dessa população, reduzindo aos seis meses, sendo na maioria das vezes queixas de dispareunia e perda de desejo. Este estudo apresenta como objetivo, investigar a sexualidade no puerpério. Trata-se de uma revisão da literatura, que realizou busca nas bases de dados Lilacs, PubMed e Bireme. Foram incluídos artigos em português, inglês e espanhol. Como resultados, foram encontrados 134 artigos, dos quais 17 foram selecionados para a revisão. A partir dos estudos analisados, pode-se concluir que a via de parto não influência na disfunção sexual, porém, ela pode influenciar no fator psicológico em decorrência de situações em que a puérpera passou durante o parto, além disso, todas as mulheres devem ser orientadas sobre retorno a atividade sexual, principalmente as primíparas.

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Postpartum dyspareunia and sexual functioning: a prospective cohort study

Abstract: The impaired postpartum sexual functioning, the high prevalence of dyspareunia postpartum and their impact on QOL indicate the need for further investigation and extensive counselling of pregnant women, especially primiparous women, about sexuality after childbirth.

Cited by 61 publications

References 21 publications

Pelvic Floor and Sexual Dysfunction After Vaginal Birth With Episiotomy in Vietnamese Women

Pelvic Floor and Sexual Dysfunction After Vaginal Birth With Episiotomy in Vietnamese Women

Obstetric perineal tears, sexual function and dyspareunia among primiparous women 12 months postpartum: a prospective cohort study

Disfunção sexual em mulheres no período pós-parto: revisão da literatura

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