| Rate of dyspareunia after delivery in primiparae according to mode of delivery. | |
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MedLine Citation:
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PMID: 16024160 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: The purpose of this study was to evaluate the influence of mode of delivery on sexual function. DESIGN: One thousand six hundred and thirteen questionnaires containing 16 questions about sexual behavior and dyspareunia before, during and after pregnancy were sent out to primiparous, ethnically homogeneous (fluent in German) patients who delivered in a large tertiary referral center between 6 months and 2(1/2) year before. The returned questionnaires were merged to clinical data from our obstetric database in an anonymous fashion. The patients were subdivided into four groups (A) "spontaneous without injuries (except minor labial laceration)", (B) "c-section", (C)"episiotomy or perineal laceration", and (D) "operative vaginal delivery". RESULTS: The response rate of primiparae was 41% (655/1613). Forty-seven percent of women resumed sexual intercourse (SI) within 8 weeks after delivery. Altogether 31% of the women did not experience any pain during the first SI post-partum whereas 49% of all patients noted significant pain (medium, considerable or severe), depending on the mode of delivery (p = 0.007). Persistence of dyspareunia longer than 6 months was 3.5% (4/115; group A), 3.4% (2/58; group B), 11% (34/316; group C), and 14% (20/114; group D). CONCLUSIONS: Recently, female sexuality may not have been prominent in any discussion concerning possible advantages and disadvantages of different modes of childbirth. Our results should be taken into consideration when counseling patients antenatally regarding mode of delivery. |
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Authors:
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Kai J Buhling; Sybille Schmidt; Julian N Robinson; Christine Klapp; Gerda Siebert; Joachim W Dudenhausen |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2005-07-15 |
Journal Detail:
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Title: European journal of obstetrics, gynecology, and reproductive biology Volume: 124 ISSN: 0301-2115 ISO Abbreviation: Eur. J. Obstet. Gynecol. Reprod. Biol. Publication Date: 2006 Jan |
Date Detail:
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Created Date: 2006-01-02 Completed Date: 2006-02-17 Revised Date: 2011-08-05 |
Medline Journal Info:
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Nlm Unique ID: 0375672 Medline TA: Eur J Obstet Gynecol Reprod Biol Country: Ireland |
Other Details:
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Languages: eng Pagination: 42-6 Citation Subset: IM |
Affiliation:
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Clinic of Obstetrics, Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany. kjbuehling@aol.com |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cesarean Section / adverse effects, statistics & numerical data Delivery, Obstetric* / statistics & numerical data Dyspareunia / epidemiology*, etiology Episiotomy / adverse effects, statistics & numerical data Female Germany / epidemiology Humans Parity Postpartum Period Pregnancy Selection Bias |
| Comments/Corrections | |
Comment In:
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Eur J Obstet Gynecol Reprod Biol. 2011 Jul;157(1):120; author reply 120-1
[PMID:
21561704
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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