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Int J Gynaecol Obstet. 2016 Feb;132(2):200-5. doi: 10.1016/j.ijgo.2015.07.010. Epub 2015 Oct 26.

Postpartum adverse effects and sexual satisfaction following cesarean delivery in Beijing.

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Department of Gynecology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.
Department of Neuroepidemiology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China.
Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China. Electronic address:



To investigate short- and long-term postpartum complications of different delivery methods in terms of sexual satisfaction, stress urinary incontinence (SUI), and pelvic-floor dysfunction in the Beijing region.


A questionnaire-based study was conducted between June 30, 2013 and July 1, 2014. Female residents of Beijing aged 20-65 years, who were attending routine physical examinations, were enrolled and completed a face-to-face survey including questions on short- and long-term complications related to sexual satisfaction, SUI, and pelvic-floor dysfunction postpartum.


In total, 2649 individuals were enrolled. In comparison with patients that underwent vaginal delivery, patients that had undergone cesarean delivery experienced a greater length of time before resuming intercourse (2.70±2.0 9months vs 4.32±4.10 months; P<0.001) and higher incidences of decreased libido (93 [6.1%] vs 234 [20.7%]; P<0.001), vaginal dryness (39 [2.6%] vs 177 [15.7%]; P<0.001), sexual dissatisfaction (117 [7.7%] vs 234 [20.7%]; P<0.001), and painful intercourse (48 [3.2%] vs 252 [22.3%]; P<0.001) after delivery. Cesarean delivery did not demonstrate any long-term protective effects against future SUI in comparison with vaginal delivery.


Cesarean delivery resulted in a greater incidence of adverse effects on postpartum sexual function and cesarean delivery provides no long-term protective effects against postpartum SUI.


Cesarean delivery; Postpartum period; Sexual behavior; Urinary incontinence; Vaginal delivery

[Indexed for MEDLINE]

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