Ellie McDonald|Deirdre Gartland|Rhonda Small|Stephanie Brown
Dyspareunia and childbirth: a prospective cohort study
Murdoch Children's Research Institute|Murdoch Children's Research Institute|La Trobe University|Murdoch Children's Research Institute|University of Melbourne
investigate relationship mode delivery perineal trauma dyspareuniaprospective cohort studysix maternity hospitals melbourne australiaa total 1507 nulliparous women recruited first second trimesters pregnancydata baseline postnatal questionnaires 3 6 12 18 months analysed using univariable multivariable logistic regressionstudydesigned selfreport measure dyspareunia 18 months postpartumin 12441507 83 women completed baseline four postpartum questionnaires 12111237 98 resumed vaginal intercourse 18 months postpartum 2891211 24 women reporting dyspareunia compared women spontaneous vaginal delivery intact perineum unsutured tear women emergency caesarean section adjusted odds ratio aor 241 95 confidence interval 95 ci 1440 p 0001 vacuum extraction aor 228 95 ci 1341 p 0005 elective caesarean section aor 171 95 ci 0932 p 0087 increased odds reporting dyspareunia 18 months postpartum adjusting maternal age potential confoundersobstetric intervention associated persisting dyspareunia greater recognition increased understanding roles mode delivery perineal trauma contributing postpartum maternal morbidities ways prevent postpartum dyspareunia possible warranted