Evidence map›Paper›PMID 26596506›Full record

SynthesisBMC pregnancy and childbirth2015

Sexual life and dysfunction after maternal morbidity: a systematic review.

Carla B Andreucci, Jamile C Bussadori, Rodolfo C Pacagnella, Doris Chou, Veronique Filippi, Lale Say, Jose G Cecatti, Brazilian COMMAG Study Group, WHO Maternal Morbidity Working Group

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Carla B AndreucciDepartment of Obstetrics and Gynecology, University of Campinas, Campinas, Brazil. carlandrpld@gmail.com.
Jamile C BussadoriFederal University of Sao Carlos, Sao Carlos, Brazil. jamilebussadori@gmail.com.
Rodolfo C PacagnellaDepartment of Obstetrics and Gynecology, University of Campinas, Campinas, Brazil. rodolfopacagnella@gmail.com.
Doris ChouReproductive Health Research unit, World Health Organization, Geneva, Switzerland. choud@who.int.
Veronique FilippiLondon School of Hygiene and Tropical Medicine, University of London, London, England, UK. veronique.filippi@lshtm.ac.uk.
Lale SayReproductive Health Research unit, World Health Organization, Geneva, Switzerland. sayl@who.int.
Jose G CecattiDepartment of Obstetrics and Gynecology, University of Campinas, Campinas, Brazil. cecatti@unicamp.br.
Brazilian COMMAG Study Group
WHO Maternal Morbidity Working Group
Universidade Estadual de Campinas (UNICAMP) · BRUniversidade Federal de São Carlos · BRUniversity of London · GB

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundBecause there is a lack of knowledge on the long-term consequences of maternal morbidity/near miss episodes on women's sexual life and function we conducted a systematic review with the purpose of identifying the available evidence on any sexual impairment associated with complications from pregnancy and childbirth.

methodsSystematic review on aspects of women sexual life after any maternal morbidity and/or maternal near miss, during different time periods after delivery. The search was carried out until May 22(nd), 2015 including studies published from 1995 to 2015. No language or study design restrictions were applied. Maternal morbidity as exposure was split into general or severe/near miss. Female sexual outcomes evaluated were dyspareunia, Female Sexual Function Index (FSFI) scores and time to resume sexual activity after childbirth. Qualitative syntheses for outcomes were provided whenever possible.

resultsA total of 2,573 studies were initially identified, and 14 were included for analysis after standard selection procedures for systematic review. General morbidity was mainly related to major perineal injury (3(rd) or 4(th) degree laceration, 12 studies). A clear pattern for severity evaluation of maternal morbidity could not be distinguished, unless when a maternal near miss concept was used. Women experiencing maternal morbidity had more frequently dyspareunia and resumed sexual activity later, when compared to women without morbidity. There were no differences in FSFI scores between groups. Meta-analysis could not be performed, since included studies were too heterogeneous regarding study design, evaluation of exposure and/or outcome and time span.

conclusionInvestigation of long-term repercussions on women's sexual life aspects after maternal morbidity has been scarcely performed, however indicating worse outcomes for those experiencing morbidity. Further standardized evaluation of these conditions among maternal morbidity survivors may provide relevant information for clinical follow-up and reproductive planning for women.

Indexed as

DyspareuniaFemaleHumansMaternal Health ServicesMorbidityObstetric Labor ComplicationsParturitionPerineumPostpartum PeriodPregnancySexual Dysfunction, Physiological

Identifiers

PMID26596506
PMCPMC4657322
OpenAlexW2176081538

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.