Mode of birth and long-term sexual health: a follow-up study of mothers in the Danish National Birth Cohort

Sarah Hjorth*, Helene Kirkegaard, Jørn Olsen, Jim G Thornton, Ellen A Nohr

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Resumé

OBJECTIVES: To investigate the relation between mode of birth and women's long-term sexual health.

DESIGN: Maternal follow-up of the Danish National Birth Cohort (1996-2002) in 2013-2014 including questions on sexual health. Logistic regression was used to relate registry-based information about mode of birth and perineal tears with data on sexual problems.

SETTING: Denmark.

PARTICIPANTS: Of 82 569 eligible mothers in the Danish National Birth Cohort, 43 639 (53%) completed the follow-up. Of these, 37 417 women had a partner, and answered at least one question on sexual health.

MAIN OUTCOME MEASURES: Self-reported sexual health.

RESULTS: Participants were on average 44 years old, and 16 years after their first birth. The frequency of sexual problems among women with only spontaneous vaginal births, the reference group, was 37%. For women who only had caesarean sections, more problems were reported (OR 1.18; 95% CI 1.09 to 1.28). For women who had a spontaneous vaginal birth subsequent to a caesarean, and for women with only vaginal births who had experienced one or more instrumental vaginal births, the odds of sexual problems did not differ from women with only spontaneous vaginal births (OR 1.00; 95% CI 0.91 to 1.11) and (OR 1.01; 95% CI 0.95 to 1.08), respectively.

CONCLUSIONS: These findings indicate that caesarean section does not protect against long-term sexual problems. Rather, vaginal birth, even after caesarean section, was associated with fewer long-term sexual problems.

OriginalsprogEngelsk
Artikelnummere029517
TidsskriftBMJ Open
Vol/bind9
Udgave nummer11
Antal sider8
ISSN2044-6055
DOI
StatusUdgivet - 3. nov. 2019

Fingeraftryk

Reproductive Health
Mothers
Vaginal Birth after Cesarean
Denmark
Registries
Logistic Models

Bibliografisk note

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Citer dette

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title = "Mode of birth and long-term sexual health: a follow-up study of mothers in the Danish National Birth Cohort",
abstract = "OBJECTIVES: To investigate the relation between mode of birth and women's long-term sexual health.DESIGN: Maternal follow-up of the Danish National Birth Cohort (1996-2002) in 2013-2014 including questions on sexual health. Logistic regression was used to relate registry-based information about mode of birth and perineal tears with data on sexual problems.SETTING: Denmark.PARTICIPANTS: Of 82 569 eligible mothers in the Danish National Birth Cohort, 43 639 (53{\%}) completed the follow-up. Of these, 37 417 women had a partner, and answered at least one question on sexual health.MAIN OUTCOME MEASURES: Self-reported sexual health.RESULTS: Participants were on average 44 years old, and 16 years after their first birth. The frequency of sexual problems among women with only spontaneous vaginal births, the reference group, was 37{\%}. For women who only had caesarean sections, more problems were reported (OR 1.18; 95{\%} CI 1.09 to 1.28). For women who had a spontaneous vaginal birth subsequent to a caesarean, and for women with only vaginal births who had experienced one or more instrumental vaginal births, the odds of sexual problems did not differ from women with only spontaneous vaginal births (OR 1.00; 95{\%} CI 0.91 to 1.11) and (OR 1.01; 95{\%} CI 0.95 to 1.08), respectively.CONCLUSIONS: These findings indicate that caesarean section does not protect against long-term sexual problems. Rather, vaginal birth, even after caesarean section, was associated with fewer long-term sexual problems.",
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Mode of birth and long-term sexual health : a follow-up study of mothers in the Danish National Birth Cohort. / Hjorth, Sarah; Kirkegaard, Helene; Olsen, Jørn; Thornton, Jim G; Nohr, Ellen A.

I: BMJ Open, Bind 9, Nr. 11, e029517, 03.11.2019.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Mode of birth and long-term sexual health

T2 - a follow-up study of mothers in the Danish National Birth Cohort

AU - Hjorth, Sarah

AU - Kirkegaard, Helene

AU - Olsen, Jørn

AU - Thornton, Jim G

AU - Nohr, Ellen A

N1 - © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2019/11/3

Y1 - 2019/11/3

N2 - OBJECTIVES: To investigate the relation between mode of birth and women's long-term sexual health.DESIGN: Maternal follow-up of the Danish National Birth Cohort (1996-2002) in 2013-2014 including questions on sexual health. Logistic regression was used to relate registry-based information about mode of birth and perineal tears with data on sexual problems.SETTING: Denmark.PARTICIPANTS: Of 82 569 eligible mothers in the Danish National Birth Cohort, 43 639 (53%) completed the follow-up. Of these, 37 417 women had a partner, and answered at least one question on sexual health.MAIN OUTCOME MEASURES: Self-reported sexual health.RESULTS: Participants were on average 44 years old, and 16 years after their first birth. The frequency of sexual problems among women with only spontaneous vaginal births, the reference group, was 37%. For women who only had caesarean sections, more problems were reported (OR 1.18; 95% CI 1.09 to 1.28). For women who had a spontaneous vaginal birth subsequent to a caesarean, and for women with only vaginal births who had experienced one or more instrumental vaginal births, the odds of sexual problems did not differ from women with only spontaneous vaginal births (OR 1.00; 95% CI 0.91 to 1.11) and (OR 1.01; 95% CI 0.95 to 1.08), respectively.CONCLUSIONS: These findings indicate that caesarean section does not protect against long-term sexual problems. Rather, vaginal birth, even after caesarean section, was associated with fewer long-term sexual problems.

AB - OBJECTIVES: To investigate the relation between mode of birth and women's long-term sexual health.DESIGN: Maternal follow-up of the Danish National Birth Cohort (1996-2002) in 2013-2014 including questions on sexual health. Logistic regression was used to relate registry-based information about mode of birth and perineal tears with data on sexual problems.SETTING: Denmark.PARTICIPANTS: Of 82 569 eligible mothers in the Danish National Birth Cohort, 43 639 (53%) completed the follow-up. Of these, 37 417 women had a partner, and answered at least one question on sexual health.MAIN OUTCOME MEASURES: Self-reported sexual health.RESULTS: Participants were on average 44 years old, and 16 years after their first birth. The frequency of sexual problems among women with only spontaneous vaginal births, the reference group, was 37%. For women who only had caesarean sections, more problems were reported (OR 1.18; 95% CI 1.09 to 1.28). For women who had a spontaneous vaginal birth subsequent to a caesarean, and for women with only vaginal births who had experienced one or more instrumental vaginal births, the odds of sexual problems did not differ from women with only spontaneous vaginal births (OR 1.00; 95% CI 0.91 to 1.11) and (OR 1.01; 95% CI 0.95 to 1.08), respectively.CONCLUSIONS: These findings indicate that caesarean section does not protect against long-term sexual problems. Rather, vaginal birth, even after caesarean section, was associated with fewer long-term sexual problems.

U2 - 10.1136/bmjopen-2019-029517

DO - 10.1136/bmjopen-2019-029517

M3 - Journal article

C2 - 31685494

VL - 9

JO - B M J Open

JF - B M J Open

SN - 2044-6055

IS - 11

M1 - e029517

ER -