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Postpartum adverse effects and sexual satisfaction following cesarean delivery in Beijing
Author(s) -
Qian Ruiya,
Chen Zhenghong,
Tang Lirong,
Zhang Weiyuan
Publication year - 2016
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2015.07.010
Subject(s) - medicine , vaginal delivery , urinary incontinence , obstetrics , cesarean delivery , gynecology , sexual function , decreased libido , postpartum period , adverse effect , patient satisfaction , incidence (geometry) , libido , pregnancy , surgery , physics , optics , genetics , biology
Objective To investigate short‐ and long‐term postpartum complications of different delivery methods in terms of sexual satisfaction, stress urinary incontinence (SUI), and pelvic‐floor dysfunction in the Beijing region. Methods A questionnaire‐based study was conducted between June 30, 2013 and July 1, 2014. Female residents of Beijing aged 20–65 years, who were attending routine physical examinations, were enrolled and completed a face‐to‐face survey including questions on short‐ and long‐term complications related to sexual satisfaction, SUI, and pelvic‐floor dysfunction postpartum. Results In total, 2649 individuals were enrolled. In comparison with patients that underwent vaginal delivery, patients that had undergone cesarean delivery experienced a greater length of time before resuming intercourse (2.70 ± 2.09 months vs 4.32 ± 4.10 months; P < 0.001) and higher incidences of decreased libido (93 [6.1%] vs 234 [20.7%]; P < 0.001), vaginal dryness (39 [2.6%] vs 177 [15.7%]; P < 0.001), sexual dissatisfaction (117 [7.7%] vs 234 [20.7%]; P < 0.001), and painful intercourse (48 [3.2%] vs 252 [22.3%]; P < 0.001) after delivery. Cesarean delivery did not demonstrate any long‐term protective effects against future SUI in comparison with vaginal delivery. Conclusion Cesarean delivery resulted in a greater incidence of adverse effects on postpartum sexual function and cesarean delivery provides no long‐term protective effects against postpartum SUI.