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Risk of non-resumption of vaginal sex and dyspareunia among cesarean-delivered women

CONTEXT: Many women have postpartum sexual dysfunction. The mode of delivery is an important determinant. AIMS: To calculate the risk ratio of non-resumption of vaginal sex and dyspareunia during the postpartum period among cesarean-delivered women. SETTINGS AND DESIGN: This large multisite study wa...

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Autores principales: Doke, Prakash Prabhakarrao, Vaidya, Varsha Mahesh, Narula, Arvinder Pal Singh, Patil, Archana Vasantrao, Panchanadikar, Tushar Madhavrao, Wagh, Girija Narendra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8415658/
https://www.ncbi.nlm.nih.gov/pubmed/34568142
http://dx.doi.org/10.4103/jfmpc.jfmpc_2482_20
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author Doke, Prakash Prabhakarrao
Vaidya, Varsha Mahesh
Narula, Arvinder Pal Singh
Patil, Archana Vasantrao
Panchanadikar, Tushar Madhavrao
Wagh, Girija Narendra
author_facet Doke, Prakash Prabhakarrao
Vaidya, Varsha Mahesh
Narula, Arvinder Pal Singh
Patil, Archana Vasantrao
Panchanadikar, Tushar Madhavrao
Wagh, Girija Narendra
author_sort Doke, Prakash Prabhakarrao
collection PubMed
description CONTEXT: Many women have postpartum sexual dysfunction. The mode of delivery is an important determinant. AIMS: To calculate the risk ratio of non-resumption of vaginal sex and dyspareunia during the postpartum period among cesarean-delivered women. SETTINGS AND DESIGN: This large multisite study was conducted in 13 selected hospitals in Pune District during 2017–19. METHODS AND MATERIAL: A total of 3,112 women (half cesarean delivered and half vaginally) were interviewed by trained health workers using a structured questionnaire. Women were interviewed at 4 weeks, 6 weeks, and 6 months. STATISTICAL ANALYSIS USED: Chi-square test was applied. A risk ratio with a 95% confidence interval was calculated. RESULTS: At 6 weeks, the risk ratio of non-resumption of vaginal sex was significantly high among cesarean-delivered participants (1.14). Cesarean-delivered women had a lesser risk ratio of dyspareunia at both follow-ups (0.59, 0.49). Even at 6 months, about one-third vaginally delivered women had dyspareunia. The proportion of women non-resuming vaginal sex gradually decreased from 6 weeks to 6 months. The proportion of women having dyspareunia also decreased from 6 weeks to 6 months following childbirth. Residence in the rural area and cesarean delivery were the significant determinants of an early resumption of vaginal sex. Dyspareunia was significantly high among vaginal delivered than cesarean. About 25% of women continued to have dyspareunia up to 6 months. CONCLUSIONS: A large number of women suffer from dyspareunia; hence antenatal and postnatal care should include some counseling and management about the resumption of sex and dyspareunia.
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spelling pubmed-84156582021-09-24 Risk of non-resumption of vaginal sex and dyspareunia among cesarean-delivered women Doke, Prakash Prabhakarrao Vaidya, Varsha Mahesh Narula, Arvinder Pal Singh Patil, Archana Vasantrao Panchanadikar, Tushar Madhavrao Wagh, Girija Narendra J Family Med Prim Care Original Article CONTEXT: Many women have postpartum sexual dysfunction. The mode of delivery is an important determinant. AIMS: To calculate the risk ratio of non-resumption of vaginal sex and dyspareunia during the postpartum period among cesarean-delivered women. SETTINGS AND DESIGN: This large multisite study was conducted in 13 selected hospitals in Pune District during 2017–19. METHODS AND MATERIAL: A total of 3,112 women (half cesarean delivered and half vaginally) were interviewed by trained health workers using a structured questionnaire. Women were interviewed at 4 weeks, 6 weeks, and 6 months. STATISTICAL ANALYSIS USED: Chi-square test was applied. A risk ratio with a 95% confidence interval was calculated. RESULTS: At 6 weeks, the risk ratio of non-resumption of vaginal sex was significantly high among cesarean-delivered participants (1.14). Cesarean-delivered women had a lesser risk ratio of dyspareunia at both follow-ups (0.59, 0.49). Even at 6 months, about one-third vaginally delivered women had dyspareunia. The proportion of women non-resuming vaginal sex gradually decreased from 6 weeks to 6 months. The proportion of women having dyspareunia also decreased from 6 weeks to 6 months following childbirth. Residence in the rural area and cesarean delivery were the significant determinants of an early resumption of vaginal sex. Dyspareunia was significantly high among vaginal delivered than cesarean. About 25% of women continued to have dyspareunia up to 6 months. CONCLUSIONS: A large number of women suffer from dyspareunia; hence antenatal and postnatal care should include some counseling and management about the resumption of sex and dyspareunia. Wolters Kluwer - Medknow 2021-07 2021-07-30 /pmc/articles/PMC8415658/ /pubmed/34568142 http://dx.doi.org/10.4103/jfmpc.jfmpc_2482_20 Text en Copyright: © 2021 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Doke, Prakash Prabhakarrao
Vaidya, Varsha Mahesh
Narula, Arvinder Pal Singh
Patil, Archana Vasantrao
Panchanadikar, Tushar Madhavrao
Wagh, Girija Narendra
Risk of non-resumption of vaginal sex and dyspareunia among cesarean-delivered women
title Risk of non-resumption of vaginal sex and dyspareunia among cesarean-delivered women
title_full Risk of non-resumption of vaginal sex and dyspareunia among cesarean-delivered women
title_fullStr Risk of non-resumption of vaginal sex and dyspareunia among cesarean-delivered women
title_full_unstemmed Risk of non-resumption of vaginal sex and dyspareunia among cesarean-delivered women
title_short Risk of non-resumption of vaginal sex and dyspareunia among cesarean-delivered women
title_sort risk of non-resumption of vaginal sex and dyspareunia among cesarean-delivered women
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8415658/
https://www.ncbi.nlm.nih.gov/pubmed/34568142
http://dx.doi.org/10.4103/jfmpc.jfmpc_2482_20
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