The prevalence of enduring postnatal perineal morbidity and its relationship to perineal trauma

Williams, Amanda; Herron‐Marx, Sandy; Hicks, Carolyn

doi:10.1016/j.midw.2005.12.006

Cited by 90 publications

(69 citation statements)

References 27 publications

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“…We determined in the study that no difference was present between episiotomy and dispareunia (P>0.05). As there are studies suggesting parallel findings to ours (Williams et al, 2007;Karaçam and Çalışır, 2012), others assert that episiotomy leads to dispareunia (Barret et al, 2000;Hartmann et al, 2005;Barrett et al, 2005;Bahl et al, 2005;Buhling et al, 2006). Our study findings suggested that the existence of episiotomy may be associated with postpartum dispareunia, and challenges may be experienced during tissue healing process.…”

Section: Discussionsupporting

confidence: 86%

Prevalence of dispareunia in women within postpartum one-year period and related factors

et al. 2017

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This study aimed to determine prevalence of postpartum dyspareunia and related factors.In cross-sectional and descriptive study, a questionnaire was used to collect data. Universe of the study was composed of all women in the first postpartum one year, Sampling consisted of 246 women in postpartum one-year period admitted to public healtcare centers in Konya, Turkey.While the rates of experiencing dispareunia were 20.8% in prenatal period, 22.9% during pregnancy and 36.6% in the first intercourse after delivery, the rate was found as 41.5% in postpartum period. According to the results of logistic regression analysis; decision given by partners to start intercourse, worrying about intercourse, having challenges with the partner and experiencing dispareunia during pregnancy were found to be important risk factors. Dyspareunia seems to be a major challenge affecting the sexual life of women in postpartum period. During postpartum follow-ups, and training and counseling may be suggested.

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Section: Discussionsupporting

confidence: 86%

Prevalence of dispareunia in women within postpartum one-year period and related factors

et al. 2017

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“…In a previous study, it was reported that sexual problems detected in 70.6% women in the third postpartum month were detected in 34.2% of women in sixth month [20]. In another study, this rate was found to be 54.5% at the 12th postpartum month [21]. As previously mentioned, approximately 40-45% of adult women suffer from sexual dysfunction [2].…”

Section: Discussionmentioning

confidence: 88%

Long-term changes in sexual functions following complicated pregnancies and deliveries

Özler

Evsen²,

Em³

et al. 2013

J Clin Exp Invest

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ÖZETAmaç: Bu çalışmanın amacı komplike gebelik ve doğu-mun cinsel fonksiyonlar üzerine olan etkilerini değerlen-dirmek ve cinsel fonksiyonları etkileyen olası risk faktör-lerini belirlenmek.Yöntemler: Çalışma grubunu öyküsünde ağır preeklampsi, plasenta previa totalis, dekolman plasenta, post partum atoni öyküsü olan oluşturdu. Kontrol grubu yaş, parite, doğum şekli, meslek, gelir düzeyi ve eğitim durumu eşleşen kadınlardan oluşuyordu. Hastaların tekrar hamile kalma korkusu ve son doğumdaki ölüm korkusu anketler ile ölçüldü. Cinsel fonksiyonları değerlendirmek için Arizona cinsel deneyim skalası kullanıldı. Komplike gebelik ve doğumu olan ve olmayan kadınların cinsel fonksiyonlarını karşılaştırdık.Bulgular: Son doğum esnasında görülen ölüm korkusu ve tekrar hamile korkusu çalışma grubunda anlamlı olarak daha yüksek olduğu gözlendi (p = 0,002 ve p < 0,001, sırasıyla). Çalışma ve kontrol grubunda cinsel işlev bozukluğu gönüllülük oranı sırasıyla % 55,1 ve % 38,7 (p = 0,081) tespit edildi. Son doğum esnasında yaşanan ölüm korkusu cinsel işlev bozukluğu için önemli bir risk faktörü olarak bulunmuştur (odds oranı [OR] = 1,653; 95% CI = 1,131-2,415; p=0,009).Sonuç: Sonuç olarak, komplike gebelik ve doğum öyküsü olan kadınlarda cinsel işlev bozukluğu oranı sağlıklı gebelik ve doğum öyküsü olan kadınlarla neredeyse eşitti. Son doğum esnasında görülen ölüm korkusunun cinsel işlev bozukluğu için en önemli risk faktörü olduğu bulunmuştur.Anahtar kelimeler: Ölüm korkusu, tekrar gebe kalma korkusu, komplike gebelik, komplike doğum, cinsel işlev bozukluğu ABSTRACT Objective: The aim of this study is to evaluate the effects of complicated pregnancy and delivery (P/D) on sexual functions and to determine possible risk factors that affect sexual functions. Methods:Women, who have the history of severe preeclampsia, placenta previa totalis, abruption placentae or postpartum uterine atonia, comprised the study group. The control group was comprised the women matched for age, parity, mode of delivery, vocation, the level of income and education status. Their fear of getting pregnant again and fear of death in the most recent delivery were measured by questionnaires. The Arizona Sexual Experience Scale was used to assess the sexual functions. We compared sexual functions of the women with and without suffering from complicated P/D. Results:Fear of death during the last delivery and fear of getting pregnant again were significantly more intense in the study group (p=0.002 and p<0.001, respectively). The rates of volunteers detected sexual dysfunction in the study and control groups were 55.1% and 38.7%, respectively (p=0.081). Fear of death during the last delivery was found to be significant risk factors for sexual dysfunction (odds ratio [OR] = 1.653; 95% CI = 1.131-2.415; p=0.009). Conclusion:In conclusion, sexual dysfunction rate of women with a history of complicated pregnancy and delivery, was almost equal that of women with a history of health pregnancy and delivery. Fear of death during the last delivery was found to be most ...

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“…In the case of perineal trauma Williams et al (2007) found out that women experience in 54,5 % sexual dysfunctions even after 12 months after the birth. Some authors (Doğan et al, 2017) report impact of the episiotomy on sexual desire, arousal and orgasm even 5 years after the birth.…”

Section: Resultsmentioning

confidence: 98%

The quality of sexual life after experiencing the episiotomy birth

Mivšek¹,

Petročnik²,

Došler³

et al. 2017

Zdravje Delovno Aktivne Populacije / Health of the Working-Age Population

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Introduction: Episiotomy is a surgical cut of the perineum during childbirth to widen the pelvic outlet. The evidence shows women are less interested into sexual intercourse in the period after birth than they were before or during the pregnancy. This is the consequence of the changes in the postpartum period and often affected also by the perineal trauma. The purpose of literature review is to study the connection of perineal trauma on pain during sexual course in the postnatal period. Methods: Descriptive research method has been used, based on the review of relevant national and international literature on the scientific and professional level. The review of the literature took place in the January 2017, with the help of international databases. Searching terms included the following Key words: »episiotomy«, »sexuality«, »postpartum« and »dyspareunia«. The literature searching was limited on the Slovenian and English language and included the relevant papers published between 2007 and 2017. Results: The incidence of episiotomy in Slovenia is lower than 30 % and varies between individual birth hospitals. The first episiotomy is a frequent reason resulting in women's fear of their first sexual intercourse, mostly the accompanied pain. Discussion and conclusions: The research shows that dyspareunia is more common in women having a vaginal birth, especially if the woman sustained a perineal rupture or episiotomy. Women usually return to their sexual life before the pregnancy after 6-12 months after birth. The quality of sexual life may be affected the whole year after childbirth.

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The prevalence of enduring postnatal perineal morbidity and its relationship to perineal trauma

Cited by 90 publications

References 27 publications

Prevalence of dispareunia in women within postpartum one-year period and related factors

Prevalence of dispareunia in women within postpartum one-year period and related factors

Long-term changes in sexual functions following complicated pregnancies and deliveries

The quality of sexual life after experiencing the episiotomy birth

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