Evidence map›Paper›PMID 34568142›Full record

ArticleJournal of family medicine and primary care2021

Risk of non-resumption of vaginal sex and dyspareunia among cesarean-delivered women.

Prakash Prabhakarrao Doke, Varsha Mahesh Vaidya, Arvinder Pal Singh Narula, Archana Vasantrao Patil, Tushar Madhavrao Panchanadikar, Girija Narendra Wagh

Open access · goldAbstract read
In one paragraph

Article in Journal of family medicine and primary care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 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

6 authors at 2 institutions in 1 country.

Prakash Prabhakarrao DokeDepartment of Community Medicine, Bharati Vidyapeeth Deemed University Medical College, Pune, Maharashtra, India.
Varsha Mahesh VaidyaDepartment of Community Medicine, Bharati Vidyapeeth Deemed University Medical College, Pune, Maharashtra, India.
Arvinder Pal Singh NarulaDepartment of Community Medicine, Bharati Vidyapeeth Deemed University Medical College, Pune, Maharashtra, India.
Archana Vasantrao PatilHealth Services, Government of Maharashtra, Pune, Maharashtra, India.
Tushar Madhavrao PanchanadikarDepartment of Obstetrics and Gynecology, Bharati Vidyapeeth Deemed University Medical College, Pune, Maharashtra, India.
Girija Narendra WaghDepartment of Obstetrics and Gynecology, Bharati Vidyapeeth Deemed University Medical College, Pune, Maharashtra, India.
Bharati Vidyapeeth Deemed University · INGovernment of Maharashtra · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextMany women have postpartum sexual dysfunction. The mode of delivery is an important determinant.

aimsTo calculate the risk ratio of non-resumption of vaginal sex and dyspareunia during the postpartum period among cesarean-delivered women. SETTINGS AND

designThis large multisite study was conducted in 13 selected hospitals in Pune District during 2017-19. METHODS AND MATERIAL: A total of 3,112 women (half cesarean delivered and half vaginally) were interviewed by trained health workers using a structured questionnaire. Women were interviewed at 4 weeks, 6 weeks, and 6 months. STATISTICAL ANALYSIS USED: Chi-square test was applied. A risk ratio with a 95% confidence interval was calculated.

resultsAt 6 weeks, the risk ratio of non-resumption of vaginal sex was significantly high among cesarean-delivered participants (1.14). Cesarean-delivered women had a lesser risk ratio of dyspareunia at both follow-ups (0.59, 0.49). Even at 6 months, about one-third vaginally delivered women had dyspareunia. The proportion of women non-resuming vaginal sex gradually decreased from 6 weeks to 6 months. The proportion of women having dyspareunia also decreased from 6 weeks to 6 months following childbirth. Residence in the rural area and cesarean delivery were the significant determinants of an early resumption of vaginal sex. Dyspareunia was significantly high among vaginal delivered than cesarean. About 25% of women continued to have dyspareunia up to 6 months.

conclusionsA large number of women suffer from dyspareunia; hence antenatal and postnatal care should include some counseling and management about the resumption of sex and dyspareunia.

Indexed as

Cesareandyspareuniaearly resumption of sexual activitypostpartumvaginal

Identifiers

PMID34568142
PMCPMC8415658
OpenAlexW3190173550

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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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.