ArticleInternational urogynecology journal2016
Sexual activity and dyspareunia the first year postpartum in relation to degree of perineal trauma.
Article in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 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.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Postpartum perineal pain and its association with sub-classified second-degree tears and perineal trauma-A follow-up of a randomized controlled trial.Acta obstetricia et gynecologica Scandinavica · 2024Trial
- Trial
- IUGA International Guidelines on Obstetric Anal Sphincter Injuries.International urogynecology journal · 2026Article
- Mode of Subsequent Delivery After Obstetric Anal Sphincter Injuries (OASIs).International urogynecology journal · 2026Review
- Self-reported pelvic floor dysfunction 12 months after an obstetric anal sphincter injury in relation to maternal body mass index.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Secular Trends in Recurrent Obstetric Anal Sphincter Injuries among 297,190 Women in Norway: A Cohort Study.International urogynecology journal · 2026Article
- Episiotomy and the risk of obstetric anal sphincter injury in nulliparous women with a prolonged second stage.Archives of gynecology and obstetrics · 2026Article
- Sexual Function After Obstetric Anal Sphincter Injuries (OASIs): A Systematic Review and Meta-Analysis.International urogynecology journal · 2026Review
- Trajectories and Determinants of Female Sexual Function from Pregnancy to 12 Months Postpartum: Obstetric Trauma, Sleep Quality, Depressive Symptoms, and Relationship Satisfaction.Journal of clinical medicine · 2026Article
- Maternal self-esteem and postpartum sexual health in Polish women.Frontiers in public health · 2026Article
- Long-Term Results after Early Secondary Repair of Obstetric Anal Sphincter Injury: A Case Series and Literature Review.International urogynecology journal · 2025Review
- Evaluating the prognostic association between race and perineal trauma: a systematic review protocol.BMJ open · 2025Article
- The severity of second-degree perineal tears and dyspareunia during one year postpartum: A prospective cohort study.Acta obstetricia et gynecologica Scandinavica · 2025Observational
- Intimate partner sexual violence and early resumption of sexual intercourse among married postpartum women in Ethiopia: a survival analysis using Performance Monitoring for Action data.Frontiers in global women's health · 2025Article
- Article
- The meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry.BMC pregnancy and childbirth · 2021Article
- Effectiveness of structured education and training in perineal wound assessment and repair for midwives and midwifery students: A review of the literature.European journal of midwifery · 2021Review
- Article
- Subspecialty care for peripartum pelvic floor disorders.American journal of obstetrics and gynecology · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisKnowledge on sexual complaints and time to sexual resumption after obstetric anal sphincter injury (OASI) is scarce. The aim of the study was to investigate self-reported sexual activity and coital problems 1 year postpartum in relation to perineal trauma, in addition to delivery mode.
methodsAmong 2,846 women recruited during pregnancy, all women who delivered with OASI (n = 42, all third-degree perineal tears), in addition to 20 randomly selected controls per OASI case, a total of 882 women, were sent a self-administered questionnaire addressing time to coital resumption after delivery and potential coital difficulty 1 year postpartum.
resultsBy 8 weeks, half of the 561 responders (51.4 %) had resumed intercourse, increasing to 75.2 % by 12 weeks and 94.7 % 1 year postpartum. In multivariate regression analysis OASI was the strongest predictor for postponed coital onset, defined as after 8 weeks (aOR 5.52, CI 1.59-19.16). OASI was also the only significant predictor for dyspareunia 1 year after delivery (aOR 3.57, CI 1.39-9.19). Episiotomy was neither a risk factor for postponed coital onset nor for dyspareunia. There were no differences between episiotomy and second-degree laceration injury groups regarding postponed coital onset (p = 0.45) or dyspareunia (p = 0.67) 1 year postpartum.
conclusionsObstetric anal sphincter injury was a strong and independent predictor for both postponed coital resumption after delivery and for dyspareunia 1 year postpartum, whereas episiotomy and spontaneous second-degree lacerations were not. Our main finding of affected sexual activity after OASI further supports the need to reduce the rates of this obstetric injury to a minimum.
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Registered trials
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