Female genital tract morbidity and sexual function following vaginal delivery or lower segment caesarean section

Griffiths, A; Watermeyer, S; Sidhu, K; Amso, Nazar Najib; Nix, Barry

doi:10.1080/01443610600903701

Cited by 44 publications

(42 citation statements)

References 10 publications

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“…A good many of studies reported no significant relationship between delivery mode and sexual dysfunction (Barrett et al, 2000;Klein et al, 2009;Hannah et al, 2004;Woranitat et al, 2007;Connolly et al, 2005;Pauls et al, 2008;Gungor et al, 2007;Shirvani et al, 2010;Hannah et al, 2002;Hosseini et al, 2012;Fan et al, 2017;Saydam et al, 2017;Gun et al, 2016;Ghorat et al, 2017;Rezaci et al, 2017). Despite that some studies like our study found significant relation between them (Griffiths et al, 2006;Chang et al, 2010). Klein et al found that women with an intact perineum or perineal tears had less sexual dysfunction comparison with perineal trauma.…”

Section: Discussioncontrasting

confidence: 61%

Mode of Delivery and Number of Children Effect on Sexual Function

Keskin

2018

Middle Black Sea Journal of Health Science

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Objective: To reveal the effect of the delivery mode (vaginal delivery, cesarean delivery) and the number of children on sexual function. Methods: Eightywomen who applied to our clinic for routine gynecological control between July 2017 and January 2018 were included in the study. Age of women's, parity, demographic analysis andArizona Sexual Experiences Scale (ASEX) were done. The patients were divided into four groups: group I only had one vaginal delivery, group II only one cesarean delivery, group III two/three vaginal deliveries, group IV two/three cesarean deliveries. Results: We found significantly lower ASEX scores in the cesarean delivery andone child group (p=0,000). When the groups were examined; ASEX scores were respectively; I 14,45-II 11,65-III 17,35-IV 14,15 (p=0,000). Finally vaginal delivery and having more than one child has created a tendency to have female sexual dysfunction. Conclusion: Even though we found in our study there is no clear evidence in the literature that cesarean delivery might be protective for the development of female sexual dysfunction. There is need of randomized, well-controlled, long-term studies. Sexual dysfunction is a relatively common health problem and efforts to recognize and treat this problem should not focus only on delivery mode.

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Section: Discussioncontrasting

confidence: 61%

Mode of Delivery and Number of Children Effect on Sexual Function

Keskin

2018

Middle Black Sea Journal of Health Science

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“…Some studies have shown an association between vaginal delivery and sexual dysfunction, whereas others have found no association between sexual function and mode of delivery . The influence of operative vaginal delivery has also generated conflicting results.…”

Section: Introductionmentioning

confidence: 99%

The effects of mode delivery on postpartum sexual function: a prospective study

Souza

Dwyer

Charity

et al. 2015

BJOG

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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.

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“…Vaginal delivery 12-15 , perineal trauma 16-19 , and number of children 20-22 have all been identified as possible predictors of short-term postpartum sexual dysfunction. Limited follow-up studies more than a year postpartum have not consistently found that childbirth affects women's sexual wellbeing, however.…”

Section: Introductionmentioning

confidence: 99%

Childbirth and Female Sexual Function Later in Life

Fehniger

Brown

Creasman

et al. 2013

Obstetrics &Amp; Gynecology

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Objective To examine relationships between parity, mode of delivery, and other parturition-related factors with women's sexual function later in life. Methods Self-administered questionnaires examined sexual desire, activity, satisfaction, and problems in a multiethnic cohort of women aged 40 years and older with at least one past childbirth event. Trained abstractors obtained information on parity, mode of delivery, and other parturition-related factors from archived records. Multivariable regression models examined associations with sexual function, controlling for age, race or ethnicity, partner status, diabetes, and general health. Results Among 1,094 participants, mean (±SD) age was 56.3 (±8.7) years, 568 (43%) were racial or ethnic minorities (214 Black, 171 Asian, and 183 Latina), and 963 (88%) were multiparous. Fifty-six percent (n=601) reported low sexual desire ; 53% (n=577) reported less than monthly sexual activity, and 43% (n=399) reported low overall sexual satisfaction. Greater parity was not associated with increased risk of reporting low sexual desire (adjusted odds ratio [AOR]=1.08, CI=0.96-1.21 per each birth), less than monthly sexual activity (AOR=1.05, CI=0.93-1.20 per each birth), or low sexual satisfaction (AOR=0.96, CI=0.85-1.09 per each birth). Compared to vaginal delivery alone, women with a history of cesarean delivery were not significantly more likely to report low desire (AOR=0.71, CI=0.34-1.47), less than monthly sexual activity (AOR=1.03, CI=0.46-2.32), or low sexual satisfaction (AOR=0.57, CI=0.26-1.22). Women with a history of operative-assisted delivery were more likely to report low desire (AOR=1.38, CI=1.04-1.83). Conclusions Among women with at least one childbirth event, parity and mode of delivery are not major determinants of sexual desire, activity, or satisfaction later in life.

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Female genital tract morbidity and sexual function following vaginal delivery or lower segment caesarean section

Cited by 44 publications

References 10 publications

Mode of Delivery and Number of Children Effect on Sexual Function

Mode of Delivery and Number of Children Effect on Sexual Function

The effects of mode delivery on postpartum sexual function: a prospective study

Childbirth and Female Sexual Function Later in Life

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