29.7% cesarean Hannah et al. Genital pain Randomized 1596, all 1.8-5.5% genital pain Planned vaginal delivery was and of planned parities 18% dyspareunia associated with higher risk for dyspareunia cesarean vs. genital pain vaginal 25-27% any pain No differences between cesarean delivery 3 and vaginal delivery for months dyspareunia Kennedy et al. Vulvar pain Prospective 63-103, all At 3 months Increase in of dyspareunia and Pregnancy to 3 parities postpartum (N = 63) postpartum dyspareunia months 8% vulvar pain Vaginal deliveries associated postpartum 39% dyspareunia with dyspareunia (but not vulvar pain) Glazener27 Perineal pain Retrospective 1116 at 2 Perineal: Perineal pain persisting after 2 and 2 months and months 22% at 2 months months was associated with dyspareunia 2-18 months 438 at 10% between 2-18 instrumental delivery months months Did not report risk factors for (reflecting dyspareunia on time Dyspareunia: between 28% at 2 months months), 19.7% between 2-18 all parities months Williams et al. Perineal pain Retrospective 482, all 32.6% for perineal Instrumental delivery and being , and 12 months parities pain of Asian descent associated with dyspareunia 30.3% for dyspareunia greater perineal pain Older age, perineal trauma associated with dyspareunia (but not mode of delivery) deliveries” to vaginal deliveries by vacuum or forceps. Studies are listed in order of the length of follow-up. Note. “Instrumental
29.7% cesarean Hannah et al. Genital pain and dyspareunia Randomized of planned cesarean vs. vaginal delivery 3 months 1596, all parities 1.8-5.5% genital pain 18% dyspareunia 25-27% any pain Planned vaginal delivery was associated with higher risk for genital pain No differences between cesarean and vaginal delivery for dyspareunia Kennedy et al. Vulvar pain and dyspareunia Prospective Pregnancy to 3 months postpartum 63-103, all parities At 3 months postpartum (N = 63) 8% vulvar pain 39% dyspareunia Increase in of dyspareunia postpartum Vaginal deliveries associated with dyspareunia (but not vulvar pain) Glazener27 Perineal pain and dyspareunia Retrospective 2 months and 2-18 months 1116 at 2 months 438 at months (reflecting on time between months), all parities Perineal: 22% at 2 months 10% between 2-18 months Dyspareunia: 28% at 2 months 19.7% between 2-18 months Perineal pain persisting after 2 months was associated with instrumental delivery Did not report risk factors for dyspareunia Williams et al. , Perineal pain and dyspareunia Retrospective 12 months 482, all parities 32.6% for perineal pain 30.3% for dyspareunia Instrumental delivery and being of Asian descent associated with greater perineal pain Older age, perineal trauma associated with dyspareunia (but not mode of delivery) Note. “Instrumental deliveries” to vaginal deliveries by vacuum or forceps. Studies are listed in order of the length of follow-up.
Comparing-the-prevalence-risk-factors-and-repercussions-of-postpartum-genito-pelvic-pain-and-dyspareunia-Accepted-copy.docx