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Mode of delivery and maternal sexual wellbeing: A longitudinal study

OBJECTIVES: To investigate the association between mode of delivery and subsequent maternal sexual wellbeing. DESIGN: Prospective birth cohort study. SETTING: Avon (in Bristol area), UK. POPULATION: Participants in the Avon Longitudinal Study of Parents and Children (ALSPAC). METHODS: Mode of delive...

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Autores principales: Martin, Florence Z., Madley‐Dowd, Paul, Ahlqvist, Viktor H., Jónsson‐Bachmann, Egill, Fraser, Abigail, Forbes, Harriet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9804306/
https://www.ncbi.nlm.nih.gov/pubmed/35856885
http://dx.doi.org/10.1111/1471-0528.17262
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author Martin, Florence Z.
Madley‐Dowd, Paul
Ahlqvist, Viktor H.
Jónsson‐Bachmann, Egill
Fraser, Abigail
Forbes, Harriet
author_facet Martin, Florence Z.
Madley‐Dowd, Paul
Ahlqvist, Viktor H.
Jónsson‐Bachmann, Egill
Fraser, Abigail
Forbes, Harriet
author_sort Martin, Florence Z.
collection PubMed
description OBJECTIVES: To investigate the association between mode of delivery and subsequent maternal sexual wellbeing. DESIGN: Prospective birth cohort study. SETTING: Avon (in Bristol area), UK. POPULATION: Participants in the Avon Longitudinal Study of Parents and Children (ALSPAC). METHODS: Mode of delivery was abstracted from obstetric records and sexual wellbeing measures were collected via a self‐report questionnaire. Missing data were imputed using multiple imputation, and ordinal logistic regression models for ordered categorical outcomes were adjusted for the covariates maternal age at delivery, pre‐pregnancy body mass index, diabetes during pregnancy, socio‐economic position, parity, depression and anxiety. MAIN OUTCOME MEASURES: Sexual enjoyment and frequency at four time points postpartum (between 33 months and 18 years) and two types of sex‐related pain (pain in the vagina during sex and elsewhere after sex) at 11 years postpartum. RESULTS: We found no association between mode of delivery and sexual enjoyment (e.g. adjusted odds ratio [OR] 1.11, 95% confidence interval [95% CI] 0.97–1.27 at 33 months) or sexual frequency (OR 0.99, 95% CI 0.88–1.12 at 33 months). Caesarean section was associated with an increased odds of pain in the vagina during sex at 11 years postpartum as compared with vaginal delivery in the adjusted model (OR 1.74, 95% CI 1.46–2.08). CONCLUSIONS: These findings provide no evidence supporting associations between caesarean section and sexual enjoyment or frequency. However, mode of delivery was shown to be associated with dyspareunia, which may not be limited to abdominal scarring.
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spelling pubmed-98043062023-01-03 Mode of delivery and maternal sexual wellbeing: A longitudinal study Martin, Florence Z. Madley‐Dowd, Paul Ahlqvist, Viktor H. Jónsson‐Bachmann, Egill Fraser, Abigail Forbes, Harriet BJOG Research Articles OBJECTIVES: To investigate the association between mode of delivery and subsequent maternal sexual wellbeing. DESIGN: Prospective birth cohort study. SETTING: Avon (in Bristol area), UK. POPULATION: Participants in the Avon Longitudinal Study of Parents and Children (ALSPAC). METHODS: Mode of delivery was abstracted from obstetric records and sexual wellbeing measures were collected via a self‐report questionnaire. Missing data were imputed using multiple imputation, and ordinal logistic regression models for ordered categorical outcomes were adjusted for the covariates maternal age at delivery, pre‐pregnancy body mass index, diabetes during pregnancy, socio‐economic position, parity, depression and anxiety. MAIN OUTCOME MEASURES: Sexual enjoyment and frequency at four time points postpartum (between 33 months and 18 years) and two types of sex‐related pain (pain in the vagina during sex and elsewhere after sex) at 11 years postpartum. RESULTS: We found no association between mode of delivery and sexual enjoyment (e.g. adjusted odds ratio [OR] 1.11, 95% confidence interval [95% CI] 0.97–1.27 at 33 months) or sexual frequency (OR 0.99, 95% CI 0.88–1.12 at 33 months). Caesarean section was associated with an increased odds of pain in the vagina during sex at 11 years postpartum as compared with vaginal delivery in the adjusted model (OR 1.74, 95% CI 1.46–2.08). CONCLUSIONS: These findings provide no evidence supporting associations between caesarean section and sexual enjoyment or frequency. However, mode of delivery was shown to be associated with dyspareunia, which may not be limited to abdominal scarring. John Wiley and Sons Inc. 2022-08-03 2022-11 /pmc/articles/PMC9804306/ /pubmed/35856885 http://dx.doi.org/10.1111/1471-0528.17262 Text en © 2022 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Martin, Florence Z.
Madley‐Dowd, Paul
Ahlqvist, Viktor H.
Jónsson‐Bachmann, Egill
Fraser, Abigail
Forbes, Harriet
Mode of delivery and maternal sexual wellbeing: A longitudinal study
title Mode of delivery and maternal sexual wellbeing: A longitudinal study
title_full Mode of delivery and maternal sexual wellbeing: A longitudinal study
title_fullStr Mode of delivery and maternal sexual wellbeing: A longitudinal study
title_full_unstemmed Mode of delivery and maternal sexual wellbeing: A longitudinal study
title_short Mode of delivery and maternal sexual wellbeing: A longitudinal study
title_sort mode of delivery and maternal sexual wellbeing: a longitudinal study
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9804306/
https://www.ncbi.nlm.nih.gov/pubmed/35856885
http://dx.doi.org/10.1111/1471-0528.17262
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