Online citations, reference lists, and bibliographies.

Childbirth And Female Sexual Function Later In Life

J. Fehniger, J. Brown, J. Creasman, S. K. Van Den Eeden, D. Thom, L. Subak, A. Huang
Published 2013 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
OBJECTIVE: To examine relationships among parity, mode of delivery, and other parturition-related factors with women's sexual function later in life. METHODS: Self-administered questionnaires examined sexual desire, activity, satisfaction, and problems in a multiethnic cohort of women aged 40 years and older with at least one past childbirth event. Trained abstractors obtained information on parity, mode of delivery, and other parturition-related factors from archived records. Multivariable regression models examined associations with sexual function controlling for age, race or ethnicity, partner status, diabetes, and general health. RESULTS: Among 1,094 participants, mean (standard deviation) age was 56.3 (±8.7) years, 568 (43%) were racial or ethnic minorities (214 African American, 171 Asian, and 183 Latina), and 963 (88%) were multiparous. Fifty-six percent (n=601) reported low sexual desire; 53% (n=577) reported less than monthly sexual activity, and 43% (n=399) reported low overall sexual satisfaction. Greater parity was not associated with increased risk of reporting low sexual desire (adjusted odds ratio [OR] 1.08, confidence interval [CI] 0.96–1.21 per each birth), less than monthly sexual activity (adjusted OR 1.05, CI 0.93–1.20 per each birth), or low sexual satisfaction (adjusted OR 0.96, CI 0.85–1.09 per each birth). Compared with vaginal delivery alone, women with a history of cesarean delivery were not significantly more likely to report low desire (adjusted OR 0.71, CI 0.34–1.47), less than monthly sexual activity (adjusted OR 1.03, CI 0.46–2.32), or low sexual satisfaction (adjusted OR 0.57, CI 0.26–1.22). Women with a history of operative-assisted delivery were more likely to report low desire (adjusted OR 1.38, CI 1.04–1.83). CONCLUSIONS: Among women with at least one childbirth event, parity and mode of delivery are not major determinants of sexual desire, activity, or satisfaction later in life. LEVEL OF EVIDENCE: II
This paper references
10.1111/j.1552-6909.1986.tb01369.x
Changes in sexual relationships in postpartum couples.
S. H. Fischman (1986)
10.1016/S1090-798X(09)79054-X
Sexual Function 6 Months After First Delivery
J. S. Dungan (2009)
10.1007/s00192-008-0680-1
Preferences and concerns for delivery: an antepartum survey
Jessica N. Bracken (2008)
10.1016/0002-9378(94)90070-1
Relationship of episiotomy to perineal trauma and morbidity, sexual dysfunction, and pelvic floor relaxation.
M. Klein (1994)
10.1097/AOG.0b013e3181898cdb
Sexual Problems and Distress in United States Women: Prevalence and Correlates
J. Shifren (2008)
Women’s health 18 years after rupture of the anal sphincter during childbirth: urinary incontinence, sexual function, and physical and mental health
M Otero (2006)
What's in This Month's Issue of Obstetrics & Gynecology? Sign up for the eTOC and find out
10.1007/s11606-008-0820-9
Correlates of Sexual Satisfaction Among Sexually Active Postmenopausal Women in the Women’s Health Initiative-Observational Study
Jennifer S McCall-Hosenfeld (2008)
10.1159/000113464
Sexuality after Delivery with Episiotomy: A Long-Term Follow-Up
Hanna Ejegård (2008)
10.1067/MOB.2001.113855
Postpartum sexual functioning and its relationship to perineal trauma: a retrospective cohort study of primiparous women.
L. Signorello (2001)
10.1097/01.AOG.0000241092.79282.87
Cesarean Delivery on Maternal Request: Maternal and Neonatal Outcomes
A. Visco (2006)
10.1056/NEJMOA021788
Urinary incontinence after vaginal delivery or cesarean section.
G. Rørtveit (2003)
10.1111/j.1743-6109.2009.01232.x
RETRACTED: The effect of the mode of delivery on the quality of life, sexual function, and sexual satisfaction in primiparous women and their husbands.
M. R. Safarinejad (2009)
10.1016/J.AJOG.2005.10.796
Women's health 18 years after rupture of the anal sphincter during childbirth: II. Urinary incontinence, sexual function, and physical and mental health.
M. Otero (2006)
10.1111/j.1532-5415.2009.02353.x
Sexual function and aging in racially and ethnically diverse women.
Alison J. Huang (2009)
10.1080/009262300278597
The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function.
R. Rosen (2000)
10.1097/AOG.0b013e31825ec5fa
Diabetes Mellitus and Sexual Function in Middle-Aged and Older Women
K. Copeland (2012)
10.1056/NEJMOA067423
A study of sexuality and health among older adults in the United States.
S. T. Lindau (2007)
10.1016/j.juro.2009.01.046
Sexual function among overweight and obese women with urinary incontinence in a randomized controlled trial of an intensive behavioral weight loss intervention.
Alison J. Huang (2009)
10.1053/j.semperi.2012.04.024
Decision making for primary cesarean delivery: the role of patient and provider preferences.
A. Kaimal (2012)
10.1111/j.1743-6109.2006.00241.x
What can prevalence studies tell us about female sexual difficulty and dysfunction?
R. Hayes (2006)
10.2337/dc10-0524
Sexuality Among Middle-Aged and Older Adults With Diagnosed and Undiagnosed Diabetes
S. Lindau (2010)
10.22037/UJ.V9I2.1478
Sexual function of primiparous women after elective cesarean section and normal vaginal delivery.
L. Hosseini (2012)
10.1001/JAMA.281.6.537
Sexual dysfunction in the United States: prevalence and predictors.
E. Laumann (1999)
10.1080/01443610600903701
Female genital tract morbidity and sexual function following vaginal delivery or lower segment caesarean section
A. Griffiths (2006)
10.1111/1471-0528.12020
Prevalence and risk factors for pelvic organ prolapse 20 years after childbirth: a national cohort study in singleton primiparae after vaginal or caesarean delivery
M. Gyhagen (2013)
10.1080/00926230701636163
Female Sexual Function and Its Associations with Number of Children, Pregnancy, and Relationship Satisfaction
K. Witting (2008)
10.1097/DCR.0b013e318265795d
Fecal Incontinence Decreases Sexual Quality of Life, But Does Not Prevent Sexual Activity in Women
Laurel R. Imhoff (2012)
10.1016/J.AJOG.2004.08.004
Maternal outcomes at 2 years after planned cesarean section versus planned vaginal birth for breech presentation at term: the international randomized Term Breech Trial.
M. Hannah (2004)
10.1111/j.1743-6109.2010.01955.x
Sexual complaints, pelvic floor symptoms, and sexual distress in women over forty.
L. Knoepp (2010)
10.1089/jwh.2008.1198
Does the mode of delivery influence sexual function after childbirth?
K. Klein (2009)
10.1007/s00737-002-0141-7
Sexual dysfunction in women: population based epidemiological study
N. Kadri (2002)
10.1097/AOG.0b013e3182479611
Sex After Childbirth: Postpartum Sexual Function
L. Leeman (2012)
10.1097/01.AOG.0000218096.54169.34
Parity, Mode of Delivery, and Pelvic Floor Disorders
E. Lukacz (2006)
10.2105/ajph.82.5.703
Overcoming the absence of socioeconomic data in medical records: validation and application of a census-based methodology.
N. Krieger (1992)
10.1097/01.AOG.0000207677.03235.76
Effect of Parity on Sexual Function: An Identical Twin Study
S. Botros (2006)
10.1111/j.1743-6109.2008.00985.x
Biologic correlates of sexual function in women with stress urinary incontinence.
Shwu-Huey Yang (2008)
10.1590/S1679-45082010AO1543
Urinary incontinence after vaginal delivery or cesarean section.
João Bosco Ramos Borges (2010)
10.1016/S0022-5347(05)00039-X
Differences in prevalence of urinary incontinence by race/ethnicity.
D. Thom (2006)
10.1097/AOG.0b013e318240df4f
Pelvic Floor Disorders After Vaginal Birth: Effect of Episiotomy, Perineal Laceration, and Operative Birth
V. Handa (2012)
10.1097/AOG.0b013e31823f0c82
Pelvic floor disorders 5-10 years after vaginal or cesarean childbirth.
Nicola Perone (2012)



This paper is referenced by
10.1016/j.jsxm.2016.01.019
Psychological and Interpersonal Dimensions of Sexual Function and Dysfunction.
L. Brotto (2016)
10.1002/sm2.46
Association Between Sexual Health and Delivery Mode
M. Song (2014)
10.1371/journal.pone.0178915
Sexual function and postpartum depression 6 months after attempted operative vaginal delivery according to fetal head station: A prospective population-based cohort study
G. Ducarme (2017)
10.1111/birt.12321
Perceptions of the effects of childbirth on sexuality among nulliparous individuals
Jaclyn Cappell (2018)
10.1007/s00404-017-4299-7
The impact of mode of delivery on the sexual function of primiparous women: a prospective study
Ilker Kahramanoglu (2017)
A Biopsychosocial Approach to Persistent Postpartum Pain and Postpartum Sexual Function
Jaclyn Cappell (2014)
10.1016/S0968-8080(14)44814-6
Sexual and reproductive health and rights of older men and women: addressing a policy blind spot
I. Aboderin (2014)
10.1186/s12884-018-1838-6
Prevalence of and risk factors associated with sexual health issues in primiparous women at 6 and 12 months postpartum; a longitudinal prospective cohort study (the MAMMI study)
Deirdre O'malley (2018)
10.1007/s11920-016-0661-x
Sexual Function Across Aging
A. Clayton (2016)
10.1136/bmjopen-2019-029517
Mode of birth and long-term sexual health: a follow-up study of mothers in the Danish National Birth Cohort
Sarah Hjorth (2019)
10.1089/jwh.2016.6135
Factors Affecting Sexual Function in Midlife Women: Results from the Midlife Women's Health Study.
R. Smith (2017)
10.21608/scumj.2018.43545
The Effect of Mode of Delivery on Postpartum Female Sexual Function in Suez Canal University Hospitals
H. M. Saad (2018)
10.1016/j.ajog.2017.05.069
Urine leakage during sexual activity among ethnically diverse, community‐dwelling middle‐aged and older women
Nagambika Munaganuru (2017)
Opinions of Postpartum Women about the Impact of Pregnancy and Childbirth on Sexual Life
Ieva Briedite (2017)
10.1080/13697137.2017.1315087
Relationship between delivery modes and genitourinary syndrome among postmenopausal women
Masomeh Yaralizadeh (2017)
10.1016/j.midw.2017.07.001
Women's experiences of routine care during labour and childbirth and the influence of medicalisation: A qualitative study from Iran.
F. Pazandeh (2017)
10.5772/59496
Sexual Activity during Pregnancy in Childbirth and after Childbirth
Teja Škodič Zakšek (2015)
10.1111/aogs.12687
Female genital cosmetic surgery: beyond a mechanistic view of sexual satisfaction
G. Barbara (2015)
Semantic Scholar Logo Some data provided by SemanticScholar