干旱区生态环境知识资源中心(Arid): Coital resumption after delivery among OASIS patients: differences between instrumental and spontaneous delivery

Arid

DOI	10.1186/s12905-019-0845-8
	Coital resumption after delivery among OASIS patients: differences between instrumental and spontaneous delivery
	Angles-Acedo, Sonia; Ros-Cerro, Cristina; Escura-Sancho, Silvia; Elias-Santo-Domingo, Nuria; Jose Palau-Pascual, M.; Espuna-Pons, Montserrat
通讯作者	Ros-Cerro, Cristina
来源期刊	BMC WOMENS HEALTH
EISSN	1472-6874
出版年	2019
卷号	19 期号:1
英文摘要	Background Obstetric anal sphincter injuries (OASIS) are associated with sexual dysfunction and a lower likelihood of sexual activity in the postpartum period. The aim of the present study was to compare coital resumption and the variables influencing this activity after delivery in women with and without a history of obstetric anal sphincter injury (OASIS) and according to the mode of delivery. Methods A prospective, observational, case-control study was performed at 6 months postpartum in 318 women: 140 with a history of primary repaired OASIS and 178 women without OASIS. Demographic and obstetric data, breastfeeding, and symptoms of urinary and anal incontinence were collected. Patients were asked about coital resumption and completed the validated specific Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12). Continuous and non-continuous variables were compared using ANOVA and the Fisher exact tests, respectively. A multivariate logistic regression model and a multiple regression analysis were constructed to assess the impact of demographic and clinical variables on the percentage of coital resumption and on the PISQ-12 score, respectively. Results After a spontaneous delivery (SD), patients without OASIS showed a higher percentage of coital resumption than those with OASIS (98% vs. 77%; p = 0.003), and the PISQ-12 score was also higher (p < 0.001). PISQ-12 score was better in women with SD compared to those with operative vaginal delivery (OVD)(p < 0.001), independently of the history of OASIS. Current breastfeeding, a higher Wexner score and OVD negatively influenced the PISQ-12 score. Conclusions After SD, women with OASIS resumed coital activity later than women without OASIS. Women with OVD resumed coital activity later, and had a lower PISQ-12 score than women with SD.
英文关键词	Mode of delivery OASIS Perineal trauma Coital resumption Female sexual function Vaginal delivery
类型	Article
语种	英语
国家	Spain
开放获取类型	Green Published, gold
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000501216500001
WOS关键词	OPERATIVE VAGINAL DELIVERY ; ANAL-SPHINCTER INJURIES ; URINARY-INCONTINENCE ; SEXUAL FUNCTION ; WOMEN ; POSTPARTUM ; DYSPAREUNIA ; CHILDBIRTH ; EPISIOTOMY
WOS类目	Public, Environmental & Occupational Health ; Obstetrics & Gynecology
WOS研究方向	Public, Environmental & Occupational Health ; Obstetrics & Gynecology
EI主题词	2019-12-06
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/311609
作者单位	Univ Barcelona, Hosp Clin Barcelona, ICGON, Pelv Floor Unit, Villarroel 170, E-08036 Barcelona, Spain
推荐引用方式 GB/T 7714	Angles-Acedo, Sonia,Ros-Cerro, Cristina,Escura-Sancho, Silvia,et al. Coital resumption after delivery among OASIS patients: differences between instrumental and spontaneous delivery[J],2019,19(1).
APA	Angles-Acedo, Sonia,Ros-Cerro, Cristina,Escura-Sancho, Silvia,Elias-Santo-Domingo, Nuria,Jose Palau-Pascual, M.,&Espuna-Pons, Montserrat.(2019).Coital resumption after delivery among OASIS patients: differences between instrumental and spontaneous delivery.BMC WOMENS HEALTH,19(1).
MLA	Angles-Acedo, Sonia,et al."Coital resumption after delivery among OASIS patients: differences between instrumental and spontaneous delivery".BMC WOMENS HEALTH 19.1(2019).