ArticleBJOG : an international journal of obstetrics and gynaecology2022
Mode of delivery and maternal sexual wellbeing: A longitudinal study.
Article in BJOG : an international journal of obstetrics and gynaecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed, 10 citations in OpenAlex.
- Practice for Parturition: Does Sexual Activity Improve Labor and Birth Outcomes?Archives of sexual behavior · 2025Review
- Pelvic floor-related sexual functioning in the first 24 months postpartum: Findings of a large cross-sectional study.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Sexual experiences and behaviours of the parents in the Avon Longitudinal Study of Parents and Childhood (ALSPAC).Wellcome open research · 2024Article
- Mode of delivery and maternal sexual wellbeing: A longitudinal study.BJOG : an international journal of obstetrics and gynaecology · 2022Article
- The mother during pregnancy and the puerperium: Detailed data abstracted from the clinical obstetric records of ALSPAC pregnancies.Wellcome open research · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
objectivesTo investigate the association between mode of delivery and subsequent maternal sexual wellbeing.
designProspective birth cohort study.
settingAvon (in Bristol area), UK. POPULATION: Participants in the Avon Longitudinal Study of Parents and Children (ALSPAC).
methodsMode of delivery was abstracted from obstetric records and sexual wellbeing measures were collected via a self-report questionnaire. Missing data were imputed using multiple imputation, and ordinal logistic regression models for ordered categorical outcomes were adjusted for the covariates maternal age at delivery, pre-pregnancy body mass index, diabetes during pregnancy, socio-economic position, parity, depression and anxiety.
main outcome measuresSexual enjoyment and frequency at four time points postpartum (between 33 months and 18 years) and two types of sex-related pain (pain in the vagina during sex and elsewhere after sex) at 11 years postpartum.
resultsWe found no association between mode of delivery and sexual enjoyment (e.g. adjusted odds ratio [OR] 1.11, 95% confidence interval [95% CI] 0.97-1.27 at 33 months) or sexual frequency (OR 0.99, 95% CI 0.88-1.12 at 33 months). Caesarean section was associated with an increased odds of pain in the vagina during sex at 11 years postpartum as compared with vaginal delivery in the adjusted model (OR 1.74, 95% CI 1.46-2.08).
conclusionsThese findings provide no evidence supporting associations between caesarean section and sexual enjoyment or frequency. However, mode of delivery was shown to be associated with dyspareunia, which may not be limited to abdominal scarring.
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Registered trials
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