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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.

Author information

1
Department of Gynecology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.
2
Department of Neuroepidemiology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China.
3
Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China. Electronic address: zhangweiyuan05@163.com.

Abstract

OBJECTIVE:

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.

METHODS:

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.

RESULTS:

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.

CONCLUSION:

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.

KEYWORDS:

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

PMID:
26563493
DOI:
10.1016/j.ijgo.2015.07.010
[Indexed for MEDLINE]

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