Evidence map›Paper›PMID 36780020›Full record

ArticleInternational urogynecology journal2023

Correlates of health-seeking behavior for sexual dysfunction after childbirth: a cross-sectional study.

Megan Abrams, David Sheyn, Erika Kelley, Adonis Hijaz, Rachel Pope

Abstract read
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Megan AbramsUrology Institute, Case Western Reserve University Hospitals, 11100 Euclid Ave, Cleveland, OH, 44102, USA. Megan.Abrams@uhhospitals.org.ORCID 0000-0001-6033-0763
David SheynUrology Institute, Case Western Reserve University Hospitals, 11100 Euclid Ave, Cleveland, OH, 44102, USA.
Erika KelleyDepartment of Reproductive Biology, Case Western Reserve University Hospitals, Cleveland, OH, USA.
Adonis HijazUrology Institute, Case Western Reserve University Hospitals, 11100 Euclid Ave, Cleveland, OH, 44102, USA.
Rachel PopeUrology Institute, Case Western Reserve University Hospitals, 11100 Euclid Ave, Cleveland, OH, 44102, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisPersistent sexual dysfunction (SD) after childbirth is common, but many patients do not receive adequate care, for unknown reasons. The aim of this study is to examine correlates for health care-seeking behavior for SD within 3 years after birth.

methodsSubjects filled out an electronic survey regarding sexual function, obstetric, relationship, and demographic characteristics. The Sexual Function Questionnaire's Medical Impact Scale) as well as a number of novel, targeted survey questions were used to measure the impact of childbirth on sexual function. Patients were stratified into those without SD, and those with SD, both seeking and not seeking care. These domains were then compared in a series of univariate, bivariate, and multivariate analyses.

resultsOf 531 patients who completed the survey, 449 women (84.5%) reported some form of SD after birth. Only 16.0% of those with SD sought care for SD. Variables associated with care seeking include difficulty with perineal healing (adjusted odds ratio [aOR]=4.53, 95% confidence interval [CI]: 1.54-13.38), transfusion after birth (aOR=3.71, 95% CI: 1.44-9.56), current dyspareunia (aOR=3.41, 95% CI: 1.31-8.87). Factors associated with decreased probability of seeking care include children under 18 years in the home (aOR=0.61 per child, 95% CI: 0.43-0.88), number of cesarean births (aOR=0.46 per delivery, 95% CI: 0.29-0.74).

conclusionsThis study highlights that many more women suffer from SD after childbirth than seek care, and identified several important risk factors associated with decreased care seeking. Future work should focus on decreasing the difficulty of accessing care for SD after childbirth.

Indexed as

DyspareuniaSexual Dysfunction, PhysiologicalAdolescentChildCross-Sectional StudiesFemaleHumansParturitionPatient Acceptance of Health CarePregnancySexual BehaviorBirth injuryChildbirthDyspareuniaHelp-seeking behaviorPostnatal careSexual health

Identifiers

What OpenQuestion holds

Textmetadata
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.