ArticleObstetrics and gynecology2013
Childbirth and female sexual function later in life.
Article in Obstetrics and gynecology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- The Impact of Mode of Birth, and Episiotomy, on Postpartum Sexual Function in the Medium- and Longer-Term: An Integrative Systematic Review.International journal of environmental research and public health · 2023Pooled it
- The efficacy and safety of a combined multipolar radiofrequency with pulsed electromagnetic field technology for the treatment of vaginal laxity: a double-blinded, randomized, sham-controlled trial.Lasers in medical science · 2022Trial
- Sexual and bowel function in women with obstetric anal sphincter injuries after perineoplasty and sphincterorrhaphy.Narra J · 2026Article
- Associations of Sexual Desire with Demographic and Relationship Variables.Scientific reports · 2026Article
- Is Reproductive Orientation Associated with Sexual Satisfaction Among Partnered U.S. Women?Archives of sexual behavior · 2021Article
- Nonablative, Noncoagulative Multipolar Radiofrequency and Pulsed Electromagnetic Field Treatment Improves Vaginal Laxity and Sexual Function.Women's health reports (New Rochelle, N.Y.) · 2021Article
- Mode of birth and long-term sexual health: a follow-up study of mothers in the Danish National Birth Cohort.BMJ open · 2019Article
- Prevalence of and risk factors associated with sexual health issues in primiparous women at 6 and 12 months postpartum; a longitudinal prospective cohort study (the MAMMI study).BMC pregnancy and childbirth · 2018Article
- Urine leakage during sexual activity among ethnically diverse, community-dwelling middle-aged and older women.American journal of obstetrics and gynecology · 2017Observational
- Factors Affecting Sexual Function in Midlife Women: Results from the Midlife Women's Health Study.Journal of women's health (2002) · 2017Article
- Article
- Sexual Function Across Aging.Current psychiatry reports · 2016Review
- Association between sexual health and delivery mode.Sexual medicine · 2014Article
- A Nurses' Guide for Egyptian Women Regarding Female Sexual Function During COVID-19 Pandemic: A QuasiSAGE open nursingArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo examine relationships among parity, mode of delivery, and other parturition-related factors with women's sexual function later in life.
methodsSelf-administered questionnaires examined sexual desire, activity, satisfaction, and problems in a multiethnic cohort of women aged 40 years and older with at least one past childbirth event. Trained abstractors obtained information on parity, mode of delivery, and other parturition-related factors from archived records. Multivariable regression models examined associations with sexual function controlling for age, race or ethnicity, partner status, diabetes, and general health.
resultsAmong 1,094 participants, mean (standard deviation) age was 56.3 (±8.7) years, 568 (43%) were racial or ethnic minorities (214 African American, 171 Asian, and 183 Latina), and 963 (88%) were multiparous. Fifty-six percent (n=601) reported low sexual desire; 53% (n=577) reported less than monthly sexual activity, and 43% (n=399) reported low overall sexual satisfaction. Greater parity was not associated with increased risk of reporting low sexual desire (adjusted odds ratio [OR] 1.08, confidence interval [CI] 0.96-1.21 per each birth), less than monthly sexual activity (adjusted OR 1.05, CI 0.93-1.20 per each birth), or low sexual satisfaction (adjusted OR 0.96, CI 0.85-1.09 per each birth). Compared with vaginal delivery alone, women with a history of cesarean delivery were not significantly more likely to report low desire (adjusted OR 0.71, CI 0.34-1.47), less than monthly sexual activity (adjusted OR 1.03, CI 0.46-2.32), or low sexual satisfaction (adjusted OR 0.57, CI 0.26-1.22). Women with a history of operative-assisted delivery were more likely to report low desire (adjusted OR 1.38, CI 1.04-1.83).
conclusionsAmong women with at least one childbirth event, parity and mode of delivery are not major determinants of sexual desire, activity, or satisfaction later in life. LEVEL OF EVIDENCE: II.
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Registered trials
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