The Effect of Mode of Delivery on Postpartum Sexual Functioning in Primiparous Women

Dabiri, Fatemeh; Yabandeh, Asiyeh Pormehr; Shahi, Arefeh; Kamjoo, Azita; Teshnizi, Saeed Hosseini

doi:10.5001/omj.2014.72

Cited by 38 publications

(52 citation statements)

References 14 publications

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“…These findings mean that the two groups under study are homogenous and comparable. These results were in line with Dabiri et al and Amiri et al [32,33] where the former had studied "the effect of mode of delivery on postpartum sexual functioning in primiparous women". The latter had investigated "the difference of the sexual function after the normal VD and the CS".…”

Section: Discussionsupporting

confidence: 80%

“…[34] The present study results illustrated that three quarters of both VD and CS groups were resumed sexual intercourse sixth week after delivery, with no significant difference between both groups. This finding may be attributed to that the resumption of sexual activity within six weeks postpartum is generally prohibited based on religious and cultural beliefs as a Muslim countries [35] The finding is similar to that of Dabiri et al [32] who had stated that no statistically significant difference was observed between the two groups regarding their resuming sexual intercourse after delivery. Also, Alum et al [36] who had studied "factors associated with early resumption of sexual intercourse among postnatal women in Uganda" reported that more than half of their studied subjects had resumed sexual intercourse by 6 weeks postpartum.…”

Section: Discussionsupporting

confidence: 78%

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The Effect of Mode of Delivery on Postpartum Sexual Function and Sexual Quality of Life in Primiparous Women

Sayed¹

2017

AJNS

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Pregnancy and delivery are one of the most significant periods of women's life that causes hormonal and bodily alterations which could have major effects on sexual function and sexual quality of life. The aim of the study was to evaluate the effect of mode of delivery on postpartum sexual function and sexual quality of life in primiparous women. A comparative descriptive design was used. The study was conducted at the family planning outpatient clinic of Benha teaching hospital. A purposive sample of 277 primiparous women were divided in two groups vaginal delivery (n= 140) and cesarean section (n=137). Three tools were used for data collection; 1) Structured interviewing questionnaire to collect data about the women' demographic characteristics, gynecologic and sexual history. 2) Female sexual function index was used to evaluate sexual function of the studied women. 3) Sexual quality of life-female questionnaire. The study results showed that 65% of vaginal delivery group and 57.7% of cesarean section group had poor sexual function level, 76.4% of vaginal delivery group and 75.9% of cesarean section group had average level of sexual quality of life after delivery, which revealed no statistically significant differences (P > 0.05) between the two groups as regard to postpartum sexual function and sexual quality of life. Moreover, there was a positive highly statistically significant correlation (P < 0.01) between the women' sexual function scores and their sexual quality of life scores. The study concluded that there were no statistically significant differences between vaginal delivery and cesarean section groups as regard to postpartum sexual function and sexual quality of life. The study recommended that nurses should provide sexual education for women during postpartum period to enhance sexual functioning and sexual quality of life.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 78%

The Effect of Mode of Delivery on Postpartum Sexual Function and Sexual Quality of Life in Primiparous Women

Sayed¹

2017

AJNS

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“…However, our study showed no significant association between female sexual health and mode of delivery. Previous studies investigating sexual function among primiparous women within 6 months postpartum using the FSFI also found no significant differences between mode of delivery and sexual functioning in any domain [7] [8]. Cai et al also reported that vaginal birth had no significant effect on sexual satisfaction or sexual function as indicated by the FSFI, although intravaginal pressure was lower in the vaginal-delivery group than the CS-delivery group after giving birth [9].…”

Section: Discussionmentioning

confidence: 86%

“…The association between mode of delivery and sexual problems has been assessed by limited studies using validated questionnaires, and the evidence has been conflicting. Some studies have shown no significant association between mode of delivery and sexual function [7] [8] [9], whereas Baksu et al found that sexual function score was lower at six months postpartum among primiparous women who underwent vaginal delivery compared to those who underwent CS [10]. Interestingly, a study conducted in Japan reported that CS affected sexual health more than vaginal delivery without laceration [11].…”

mentioning

confidence: 96%

“…Among the few available studies using validated questionnaires, mixed parity, small sample size and short-term post-delivery follow-up were the major limitations [7] [8] [9] [10] [11]. Therefore, the objective of the current study was to compare sexual function between primiparous women who underwent CS and those who delivered vaginally over a wide time range after childbirth.…”

mentioning

confidence: 99%

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Female Sexual Dysfunction among Chinese Primiparous Women

Li¹,

Liabsuetrakul²,

Stray‐Pedersen³

2017

OJOG

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Objective: To compare sexual function between primiparous women who underwent cesarean section (CS) and those who delivered vaginally. Methods:This cross-sectional study was conducted from October 2011 to April 2012 in Beijing, China. The target population included women aged 18 -45 years who had given birth only once at least 6 months prior. The questionnaire was self-administered including female sexual function measured using the Female Sexual Function Index (FSFI). Data were analyzed using R software with the significance level of 0.05. Results: A total of 1456 participants were included and 102 women (7.0%) declined. The median age of the participants was 35 years. The median time interval after childbirth was 6 years. The median FSFI score was 26.9 and prevalence of female sexual dysfunction (FSD) was 34.2%. Both the FSFI scores and the proportions of individuals with sexual disorders were similar between women undergoing CS and those having vaginal delivery for both individual domains and the full scale. Conclusion:There were insignificant differences in female sexual function scores and FSD prevalence between women undergoing CS versus vaginal delivery.

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Perineal body stretch during labor does not predict perineal laceration, postpartum incontinence, or postpartum sexual function: a cohort study

Meriwether

Rogers

Dunivan³

et al. 2016

Int Urogynecol J

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Introduction The perineum stretches naturally during obstetrical labor, but it is unknown if this stretch has a negative impact on pelvic floor outcomes after a vaginal birth (VB). We aimed to evaluate whether perineal stretch was associated with postpartum pelvic floor dysfunction. Materials and Methods This was a prospective cohort study of primiparous women who had a VB. Perineal body (PB) length was measured antepartum, during labor, and 6 months postpartum. We determined the maximum PB (PB Max) measurements during the second stage of labor and PB change (ΔPB) between time points. Women completed functional questionnaires and had a POP-Q exam 6 months postpartum. We analyzed the relationship of PB measurements to perineal lacerations and postpartum outcomes including urinary, anal, or fecal incontinence, sexual activity and function, and POP-Q measurements. Results 448 women with VB had a mean age of 24 ± 5.0 years and rare (5%) third or fourth degree lacerations. During the second stage of labor, 270/448 (60%) had perineal measurements. Mean antepartum PB length was 3.7 ± 0.8 cm with a maximum mean PB length (PB Max) during the second stage of 6.1 ± 1.5 cm, an increase of 65%. The change in PB length (ΔPB) from antepartum to 6 months postpartum was a net decrease (−0.39 ± 1.02 cm). PB at any time point and PB Max were not associated with perineal lacerations or outcomes postpartum (all p>0.05). Discussion PB stretch during labor is unrelated to perineal laceration or postpartum incontinence, sexual activity, or sexual function.

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The Effect of Mode of Delivery on Postpartum Sexual Functioning in Primiparous Women

Abstract: The present study showed that postpartum sexual functioning was not associated with the type of delivery.

Cited by 38 publications

References 14 publications

The Effect of Mode of Delivery on Postpartum Sexual Function and Sexual Quality of Life in Primiparous Women

The Effect of Mode of Delivery on Postpartum Sexual Function and Sexual Quality of Life in Primiparous Women

Female Sexual Dysfunction among Chinese Primiparous Women

Perineal body stretch during labor does not predict perineal laceration, postpartum incontinence, or postpartum sexual function: a cohort study

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