Factors associated with persistent sexual dysfunction and pain 12 months postpartum.
Sex Reprod Healthc
; 41: 101001, 2024 Sep.
Article
en En
| MEDLINE
| ID: mdl-38991483
ABSTRACT
OBJECTIVE:
Identify factors associated with persistent sexual dysfunction and pain 12-months postpartum in an underserved population.METHODS:
Extending Maternal Care After Pregnancy (eMCAP) is a program addressing health needs/disparities of patients at risk for worse perinatal outcomes. Participants completed the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) and Urinary Distress Index (UDI-6) 12-months postpartum. The PISQ-12 was dichotomized with scores < 32.5 indicating sexual dysfunction. Urinary incontinence (UI) was defined as at-least-somewhat bothersome (vs. none or not-at-all bothersome) urgency urinary incontinence (UUI) or stress urinary incontinence (SUI). Screening for anxiety and depression was completed using Generalized Anxiety Disorder-7 (GAD-7) and Edinburgh Postnatal Depression Scale (EPDS). Bivariate and multivariable logistic regression analyses were performed for sexual dysfunction vs. normal-function, and pain vs. no-pain, using demographic, peri/postpartum, and social-determinant-of-health variables as correlating factors.RESULTS:
328 sexually active patients provided data. On bivariate analysis, sexual dysfunction (n = 31, 9.5%) vs. normal function (n = 297, 90.5%) groups showed no differences in age, BMI, parity, mode of delivery, episiotomy/laceration types, or breastfeeding. Sexual dysfunction was significantly associatedwith both UUI and SUI 12 (39%) vs. 46 (15%) had UUI, p = 0.001, and 20 (65%) vs. 97 (33%) had SUI, P < 0.001; the dysfunction group also had higher GAD-7 and EPDS scores and greater overall stress levels. On multivariable analysis, SUI and stress remained significantly associated OR (95% CI) 2.45 (1.02-6.03) and 1.81 (1.32-2.49), respectively. Comparing pain (n = 45, 13.7%) vs. no-pain (n = 283, 86.2%), dyspareunia patients endorsed greater stress levels.CONCLUSION:
The interplay between sexual health, incontinence, and mental health deserves further study, and all three should be routinely addressed in postpartum care.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Disfunciones Sexuales Fisiológicas
/
Periodo Posparto
Límite:
Adult
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Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Sex Reprod Healthc
Asunto de la revista:
ENFERMAGEM
/
MEDICINA REPRODUTIVA
/
OBSTETRICIA
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Países Bajos