Achieving sustainable quality in maternity services – using audit of incontinence and dyspareunia to identify shortfalls in meeting standards

Clarkson, James; Newton, Cindy; Bick, Debra; Gyte, Gillian ML; Kettle, Christine; Newburn, Mary; Radford, Jane; Johanson, Richard

doi:10.1186/1471-2393-1-4

Cited by 27 publications

(23 citation statements)

References 28 publications

(40 reference statements)

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“…It is to be noted that, in this sample, women have reported more physical and psychological health problems in the period 4-6 months postpartum than in the period 2-4 months postpartum [22]. This finding is supported by previous studies [5,6,8] with 41%-67% of women reporting suffering from pain during intercourse by 3 months postpartum [3,6,23]. Barrett et al [3] reported that 62% of women experienced pain during intercourse in the first three months and 31% at six months postpartum in contrast to only 12% experiencing it in the year prior to pregnancy.…”

Section: The Burden Of Painful Intercourse In the Postpartum Periodsupporting

confidence: 80%

Mode of delivery and pain during intercourse in the postpartum period: Findings from a developing country

Kabakian‐Khasholian

Ataya

Shayboub

et al. 2015

Sexual & Reproductive Healthcare

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Section: The Burden Of Painful Intercourse In the Postpartum Periodsupporting

confidence: 80%

Mode of delivery and pain during intercourse in the postpartum period: Findings from a developing country

Kabakian‐Khasholian

Ataya

Shayboub

et al. 2015

Sexual & Reproductive Healthcare

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“…Some of them, with their focus on women's general health, included relatively limited measures of sexual health whereas some of them focused on dyspareunia. 7,[15][16][17][18][19][25][26][27] All studies used postal questionnaires mailed at varying times after childbirth ranging from 4 days to 18 months and examined the sexual function by using nonvalidated questionnaires. Consequently, the potential for recall bias and the substantial losses to follow-up were the common problems with the study design.…”

mentioning

confidence: 99%

Mode of delivery and subsequent long-term sexual function of primiparous women

et al. 2007

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Minimal information exists on unintended health consequences following childbirth, particularly in relation to mode of delivery. This study aimed to evaluate the impact of mode of delivery on longterm sexual satisfaction of women by using a validated questionnaire. Forty-five primiparous women who had cesarean deliveries and 90 primiparous women who had vaginal deliveries with mediolateral episiotomies enrolled in the study. Quality of sexual relations and sexual satisfaction were self-reported by using Golombock-Rust Inventory of Sexual Satisfaction. Prevalence of sexual dissatisfaction was compared between the two groups and logistic regression analysis was carried out to identify the predictors of sexual dissatisfaction. The prevalence of overall sexual dissatisfaction was 4.4% in cesarean group while it was 14.4% in vaginal delivery group (P ¼ 0.081). Vaginal delivery group demonstrated a trend toward higher prevalence of dissatisfaction in all subscales except sensuality area than cesarean group, however, differences between two groups did not reach to statistical significance. Degree of pleasure for relationship with the spouse was identified as a significant predictor for overall sexual dissatisfaction (P ¼ 0.008). Our findings suggest that sexual dissatisfaction should not be assumed simply a product of the delivery mode. Individual, socio-demographic, lifestyle and marital characteristics should also be taken into account.

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“…In our study, while the rates of experiencing dispareunia in postpartum period were found as 20.8% in prenatal period, 22.9% during pregnancy and 35.6% in the first postpartum intercourse, the rate of postpartum dispareunia was detected to be 41.5%. Similarly, in studies disparenia was described between postpartum 3-6 months in 41 and 67% of women (Barrett et al, 2000;Clarkson et al, 2001;Dejudicibus and McCabe, 2002;Acele and Karaçam, 2012;Connolly et al, 2005;Buhling et al, 2006;Webb et al, 2008). In their study, Karacam and Calışır (2012), reported that 57% of women with postpartum dispareunia had also experienced the condition in prenatal period, but dispareunia started in 43% of these women in postpartum period.Signerello et al (2001) emphasized that dispareunia is a continuing health challenge in 22% of women despite decreasing at postpartum six months.…”

Section: Discussionmentioning

confidence: 99%

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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Achieving sustainable quality in maternity services – using audit of incontinence and dyspareunia to identify shortfalls in meeting standards

Cited by 27 publications

References 28 publications

Mode of delivery and pain during intercourse in the postpartum period: Findings from a developing country

Mode of delivery and pain during intercourse in the postpartum period: Findings from a developing country

Mode of delivery and subsequent long-term sexual function of primiparous women

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

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