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A Population-Based Study of Pregnancy and Delivery Characteristics Among Women with Vulvodynia
INTRODUCTION: To examine pregnancy and delivery characteristics of women with and without vulvodynia. METHODS: The authors analyzed 227 vulvodynia cases that were less than 45 years old at pain onset; controls were age matched 1:1 to cases and had no history of vulvar pain. Pregnancy and delivery ev...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Healthcare Communications
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4107863/ https://www.ncbi.nlm.nih.gov/pubmed/25134931 http://dx.doi.org/10.1007/s40122-012-0002-7 |
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author | Nguyen, Ruby H. N. Stewart, Elizabeth G. Harlow, Bernard L. |
author_facet | Nguyen, Ruby H. N. Stewart, Elizabeth G. Harlow, Bernard L. |
author_sort | Nguyen, Ruby H. N. |
collection | PubMed |
description | INTRODUCTION: To examine pregnancy and delivery characteristics of women with and without vulvodynia. METHODS: The authors analyzed 227 vulvodynia cases that were less than 45 years old at pain onset; controls were age matched 1:1 to cases and had no history of vulvar pain. Pregnancy and delivery events were assessed after age at first vulvar pain onset (the reference age) in cases and a matched age in controls. RESULTS: The authors observed no significant difference between cases and controls in achieving pregnancy after reference age. Also, no difference in pregnancy outcome was observed between cases and controls (P = 0.87). There was an indication that cases were more likely to receive a Cesarean section delivery (P = 0.07). In addition, 37.1% of cases who had vaginal delivery versus 11.3% of controls (P < 0.01) reported pain at 2 months postpartum. Comparing only women with vulvodynia, women who had intermittent pain versus constant pain were more than twice as likely to have a pregnancy (adjusted odds ratio 2.26, 95% CI 1.10–4.60). CONCLUSIONS: Women with vulvodynia may be as likely as other women to carry their pregnancy to birth; however, they may experience higher rates of Cesarean section delivery and could reflect a selection towards those women with vulvodynia who have inconsistent pain. |
format | Online Article Text |
id | pubmed-4107863 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Springer Healthcare Communications |
record_format | MEDLINE/PubMed |
spelling | pubmed-41078632014-07-24 A Population-Based Study of Pregnancy and Delivery Characteristics Among Women with Vulvodynia Nguyen, Ruby H. N. Stewart, Elizabeth G. Harlow, Bernard L. Pain Ther Original Research INTRODUCTION: To examine pregnancy and delivery characteristics of women with and without vulvodynia. METHODS: The authors analyzed 227 vulvodynia cases that were less than 45 years old at pain onset; controls were age matched 1:1 to cases and had no history of vulvar pain. Pregnancy and delivery events were assessed after age at first vulvar pain onset (the reference age) in cases and a matched age in controls. RESULTS: The authors observed no significant difference between cases and controls in achieving pregnancy after reference age. Also, no difference in pregnancy outcome was observed between cases and controls (P = 0.87). There was an indication that cases were more likely to receive a Cesarean section delivery (P = 0.07). In addition, 37.1% of cases who had vaginal delivery versus 11.3% of controls (P < 0.01) reported pain at 2 months postpartum. Comparing only women with vulvodynia, women who had intermittent pain versus constant pain were more than twice as likely to have a pregnancy (adjusted odds ratio 2.26, 95% CI 1.10–4.60). CONCLUSIONS: Women with vulvodynia may be as likely as other women to carry their pregnancy to birth; however, they may experience higher rates of Cesarean section delivery and could reflect a selection towards those women with vulvodynia who have inconsistent pain. Springer Healthcare Communications 2012-07-21 2012-12 /pmc/articles/PMC4107863/ /pubmed/25134931 http://dx.doi.org/10.1007/s40122-012-0002-7 Text en © The Author(s) 2012 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. |
spellingShingle | Original Research Nguyen, Ruby H. N. Stewart, Elizabeth G. Harlow, Bernard L. A Population-Based Study of Pregnancy and Delivery Characteristics Among Women with Vulvodynia |
title | A Population-Based Study of Pregnancy and Delivery Characteristics Among Women with Vulvodynia |
title_full | A Population-Based Study of Pregnancy and Delivery Characteristics Among Women with Vulvodynia |
title_fullStr | A Population-Based Study of Pregnancy and Delivery Characteristics Among Women with Vulvodynia |
title_full_unstemmed | A Population-Based Study of Pregnancy and Delivery Characteristics Among Women with Vulvodynia |
title_short | A Population-Based Study of Pregnancy and Delivery Characteristics Among Women with Vulvodynia |
title_sort | population-based study of pregnancy and delivery characteristics among women with vulvodynia |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4107863/ https://www.ncbi.nlm.nih.gov/pubmed/25134931 http://dx.doi.org/10.1007/s40122-012-0002-7 |
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