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Womens sexual health after childbirth

Barret, G., Pendry, E., Peacock, J., Victor, C., Thakar, R. and Manyonda, I. (2000) Womens sexual health after childbirth BJOG: An International Journal of Obstetrics & Gynaecology, 107, (2), pp. 186-195.

Record type: Article


OBJECTIVE: To investigate the impact of childbirth on the sexual health of primiparous women and identify factors associated with dyspareunia. DESIGN: Cross-sectional study using obstetric records, and postal survey six months after delivery. SETTING: Department of Obstetrics and Gynaecology, St George's Hospital, London. POPULATION: All primiparous women (n = 796) delivered of a live birth in a six month period. METHODS: Quantitative analysis of obstetric and survey data. MAIN OUTCOME MEASURES: Self reported sexual behaviour and sexual problems (e.g. vaginal dryness, painful penetration, pain during sexual intercourse, pain on orgasm, vaginal tightness, vaginal looseness, bleeding/irritation after sex, and loss of sexual desire); consultation for postnatal sexual problems. RESULTS: Of the 484 respondents (61% response rate), 89% had resumed sexual activity within six months of the birth. Sexual morbidity increased significantly after the birth: in the first three months after delivery 83% of women experienced sexual problems, declining to 64% at six months, although not reaching pre-pregnancy levels of 38% . Dyspareunia in the first three months after delivery was, after adjustment, significantly associated with vaginal deliveries (P = 0 x 01) and previous experience of dyspareunia (P = 0 x 03). At six months the association with type of delivery was not significant (P = 0 x 4); only experience of dyspareunia before pregnancy (P < 0 x 0001) and current breastfeeding were significant (P = 0 x 0006). Only 15% of women who had a postnatal sexual problem reported discussing it with a health professional. CONCLUSIONS: Sexual health problems were very common after childbirth, suggesting potentially high levels of unmet need.

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Published date: 2000


Local EPrints ID: 72790
ISSN: 0306-5456
PURE UUID: 1e2a13f6-ab25-4a79-a504-54ad3b2594d3

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Date deposited: 23 Feb 2010
Last modified: 12 Oct 2017 16:32

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Author: G. Barret
Author: E. Pendry
Author: J. Peacock
Author: C. Victor
Author: R. Thakar
Author: I. Manyonda

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