Mode of delivery and pelvic floor muscle strength and sexual function after childbirth

Baytur, Yeşim Bülbül; Deveci, Artuner; Uyar, Yıldız; Özçakır, Hasan Tayfun; Kizilkaya, S.; Çağlar, Hüsnü

doi:10.1016/j.ijgo.2004.12.019

Cited by 76 publications

(78 citation statements)

References 19 publications

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“…Other studies investigating dyspareunia in pregnant and postpartum women found no relationship between weak PFM and dyspareunia [24,25]. Both studies had fewer women in their analysis compared to our study, 68 and 110 respectively.…”

Section: Discussioncontrasting

confidence: 73%

Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

et al. 2014

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This file was dowloaded from the institutional repository Brage NIH -brage.bibsys.no/nih Tennfjord, M. K., Hilde, G., Staer-Jensen, J., Ellstrøm Engh, M., Bø, K. (2014).Dyspareunia and pelvic floor muscle function before and during pregnancy and during pregnancy and after childbirth. ABSTRACT Introduction and hypothesis:There is limited knowledge on dyspareunia during pregnancy and postpartum and the role of the pelvic floor muscles (PFM) in women with dyspareunia. Aims of the study were to investigate presence of dyspareunia before, during pregnancy and postpartum and to compare vaginal resting pressure (VRP), PFM strength and endurance between women with and without dyspareunia. It was hypothesized that there is no difference in PFM variables between women with and without dyspareunia. Methods: Three hundred nulliparous women participated in this prospective cohort and answered questions about dyspareunia and level of bother at gestational weeks 22 and 37, 6 and 12 months postpartum and retrospectively prior to their pregnancies using ICIQFLUTSsex. PFM variables were assessed by manometer at gestational week 22, 6 and 12 months postpartum. Comparisons between groups were analyzed using independent-samples t test.Results: Twenty-eight and 30% of the women reported dyspareunia at pre-pregnancy and at gestational week 22, respectively. At gestational week 37, 6 and 12 months postpartum, the number was 40%, 45% and 33%, respectively. No difference in PFM variables were found between women with or without dyspareunia. Level of bother was higher postpartum than before and during pregnancy. Conclusion: Symptoms of dyspareunia were common at all time points. No link could be made between PFM function and dyspareunia. Women suffering from dyspareunia postpartum reported it as bothersome. Our findings suggest that women should be asked about symptoms of dyspareunia related to pregnancy, and that future research should aim for preventative and treatment strategies.

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Section: Discussioncontrasting

confidence: 73%

Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

et al. 2014

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“…Ancak, sezaryen doğum ve cinsel işlev bozukluğu arasında bildirilen ilişki tutarsızdır (25) . Vajinal yolla ve sezaryen ile doğum yapan kadınlar arasında doğum yönte-minin cinsel işleve etkisi tespit edilmemiştir (26) . Hannah ve ark.…”

Section: Discussionunclassified

“…Dahası, doğum yönteminin postpartum cinsel işlevleri nasıl etkilediğine yönelik az sayıda çalışma mevcuttur (10) . Biz, Türk kadınları arasında postpartum cinsel işlevleri araştıran yalnızca bir çalışmaya rastladık (11) . Bu çalışmamızda, halen gelişmekte olan bir ülke olan Türkiye'de, kadın popülasyonunda doğum yöntemi-nin postpartum dönemde cinsel fonksiyonu etkileyip etkilemediğini araştırmayı amaçlamadık.…”

Section: Introductionunclassified

Does Delivery Method Have Any Effect On Sexual Function?

Kasap¹,

Aksu²,

Şahin³

et al. 2016

Terh

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ÖZAmaç: Kadınlarda cinsel işlev bozukluğu, orgazma ulaşamama ya da orgazmdan zevk alamama olarak tanımlanmaktadır. Bazı çalışmalarda, cinsel sağlığın doğum yönte-miyle değişebildiği gösterilmiştir. Bu çalışmada, Türkiye'de, kadın popülasyonunda doğum yönteminin postpartum dönemde cinsel fonksiyonu etkileyip etkilemediğini araştırmayı amaçlamaktadır. Yöntemler: Bu prospektif çalışmada, 2012-2014 yılları arasında Şifa Hastanesinde (40) Normal vaginal doğum (NVD) ve (40) sezaryen (CS) ameliyatı olan primipar hastaların doğum sonrası 6.-24. aylarda sexüel fonksiyonlarını karşılaştırmayı amaçla-dık. Cinsel işlev bozukluğunu değerlendirme yöntemi olarak Kadın Cinsel İşlev İndeksi (FSFI) formunu kullandık. Gruplar demografik özellikler, tıbbi özgeçmiş ve obstetrik detaylar ve vücut kitle indeksi değerleri açısından eşleştirildi. Bulgular: Çalışma grupları arasında vücut kitle indeksi (VKİ) dışında yaş, eğitim düzeyi, sexüel aktivite sıklığı, evlilik yılı, iş durumu ve sosyoekonomik düzey açısın-dan istatistiksel olarak farklılık göstermediler. Her iki grup arasında yapılan karşılaş-tırmada, istek, uyarılma, lubrikasyon, ağrı, orgazm, cinsel başarı yönünden anlamlı bir fark saptanmamıştır. Sonuç: Çalışmamızda, vajinal doğumun postnatal cinsel işlevleri olumsuz şekilde etkilemediği gösterilmektedir.Anahtar kelimeler: Seksüel fonksiyon, FSFI, normal vajinal doğum, sezeryan doğum ABSTRACT Objective: Sexual dysfunction in women is defined as inability to reach or enjoy orgasm. Some studies have demonstrated that sexual health may be altered by delivery method. This study aimed to investigate whether delivery method affects sexual function during postpartum period in a Turkish female population. Methods: In this prospective study we aimed to compare sexual functions at postpartum 6 to 24 months in primipara patients who gave birth by vaginal delivery (NVD) (n=40) or cesarean section (CS) (n=40) at Şifa Hospital between 2012 and 2014. We used Female Sexual Function Index (FSFI) form as the sexual dysfunction assessment method. The groups were matched with regard to demographic characteristics, medical history, obstetric details, and body mass index values. Results: Apart from body mass index (BMI), the study groups showed no significant differences with regard to age, educational status, frequency of sexual activity, the number of marital years, occupational status, and socioeconomic level. Both groups did not show any significant differences with respect to sexual desire, sexual stimulation, lubrication, dyspareunia, orgasm, and sexual achievement. Conclusion: Our study have demonstrated that vaginal delivery does not adversely affect postnatal sexual function in women.

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“…Meanwhile, Baytur et al 9 did not find a correlation between PFM strength (using the perineometer) and sexual function (through the FSFI questionnaire) postpartum. However, a PFM training program with nonpregnant women found that those with weak PFMs and who received training had positive results in sexual function, also verified through the FSFI 35 .…”

Section: Pfm Strength and Sexual Functionmentioning

confidence: 97%

“…The pelvic floor is the only transverse muscle group of the human body that supports load, and it is responsible for several functions such as: support of the abdominal and pelvic organs [5][6][7] , maintenance of urinary and fecal continence 1,3,8 , aid in increasing intra-abdominal pressure, in breathing and in stabilizing the body 1,6 . These muscles also allow sexual intercourse and childbirth; their involuntary contractions are the main characteristics of orgasm 6,7,9 and, when these muscles are weak, they can cause vaginal hypoesthesia and anorgasmia 7 . Therefore, PFMs can interfere negatively in female sexual function 10,11 .…”

Section: Introductionmentioning

confidence: 99%

Força dos músculos do assoalho pélvico e função sexual em gestantes

Franceschet¹,

Sacomori²,

Cardoso³

2009

Rev. bras. fisioter.

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Mode of delivery and pelvic floor muscle strength and sexual function after childbirth

Abstract: Pelvic floor muscle strength and mode of delivery did not affect sexual function in our study participants. The muscular component of female sexual function should be further investigated.

Cited by 76 publications

References 19 publications

Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

Does Delivery Method Have Any Effect On Sexual Function?

Força dos músculos do assoalho pélvico e função sexual em gestantes

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