Abstract
Purpose
Although childbirth has been studied extensively with regard to postpartum sexuality, the association between the psychological aspects of childbirth and postpartum sexuality has rarely been examined. This research is aimed at studying the possible association of mode of delivery, childbirth experience, sexual functioning, and sexual satisfaction.
Methods
Three hundred seventy-six primiparous and nulliparous women completed this web-based survey 100–390 days postpartum. The participants completed a socio-demographic and delivery details questionnaire, the Childbirth Perception Questionnaire (CPQ), the Index of Sexual Satisfaction (ISS) and the Sexual Function Questionnaire’s Medical Impact Scale (SFQ-MIS).
Results
Structural equation modeling showed that there are indirect effects of mode of delivery on sexual functioning and sexual satisfaction through childbirth experience. Specific significant indirect paths were found: mode of delivery to sexual functioning through childbirth experience [B = − 0.26, p = 0.023, 95% CI = (− 0.40, − 0.10)] and from mode of delivery to sexual satisfaction through childbirth experience [B = 0.11, p = 0.013, 95% CI = (0.05, 0.21)]. No significant direct effects were found between mode of delivery and sexual functioning or sexual satisfaction.
Conclusions
The results point to the association of the psychological experience of childbirth, sexual functioning and sexual satisfaction. In addition, we found a possible indirect link between mode of delivery and postpartum sexuality. It can be concluded that the psychological factors associated with childbirth are important to the understanding of postpartum sexuality.
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References
McBride H, Kwee J (2017) Sex after baby: women’s sexual function in the postpartum period. Curr Sex Health Rep 9:142–149
Kahramanoglu I, Baktiroglu M, Hamzaoglu K, Kahramanoglu O, Verit FF, Yucel O (2017) The impact of mode of delivery on the sexual function of primiparous women: a prospective study. Arch Gynecol Obstet 295:907–916
Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V et al (2010) Female sexual function during pregnancy and after childbirth. J Sex Med 7:2782–2790
Barrett G, Pendry E, Peacock J, Victor C, Thakar R, Manyonda I (2000) Women’s sexual health after childbirth. BJOG 107:186–195
Connolly A, Thorp J, Pahel L (2005) Effects of pregnancy and childbirth on postpartum sexual function: a longitudinal prospective study. Int Urogynecol J 16:263–267
Faisal-Cury A, Huang H, Chan Y, Menezes PR (2013) The relationship between depressive/anxiety symptoms during pregnancy/postpartum and sexual life decline after delivery. J Sex Med 10:1343–1349
Jawed-Wessel S, Sevick E (2017) The impact of pregnancy and childbirth on sexual behaviors: a systematic review. J Sex Res 54:411
De Souza A, Dwyer P, Charity M, Thomas E, Ferreira C, Schierlitz L (2015) The effects of mode delivery on postpartum sexual function: a prospective study. BJOG 122:1410–1418
Faisal-Cury A, Menezes PR, Quayle J, Matijasevich A, Diniz SG (2015) The relationship between mode of delivery and sexual health outcomes after childbirth. J Sex Med 12:1212–1220
Yeniel A, Petri E (2014) Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J 25:5–14
Handelzalts JE, Waldman Peyser A, Krissi H, Levy S, Wiznitzer A, Peled Y (2017) Indications for emergency intervention, mode of delivery, and the childbirth experience. PLoS ONE 12:e0169132
Hipp LE, Kane Low L, van Anders SM (2012) Exploring women’s postpartum sexuality: social, psychological, relational, and birth-related contextual factors. J Sex Med 9:2330–2341
Padawer JA, Fagan C, Janoff-Bulman R, Strickland BR, Chorowski M (1988) Women’s psychological adjustment following emergency cesarean versus vaginal delivery. Psychol Women Q 12:25–34
Bertucci V, Boffo M, Mannarini S, Serena A, Saccardi C, Cosmi E et al (2012) Assessing the perception of the childbirth experience in Italian women: a contribution to the adaptation of the childbirth perception questionnaire. Midwifery 28:265–274
Van de Vijver F, Hambleton RK (1996) Translating tests. Eur Psychol 1:89–99
Hudson WW, Harrison DF, Crosscup PC (1981) A short-form scale to measure sexual discord in dyadic relationships. J Sex Res 17:157–174
Zerach G, Anat B, Solomon Z, Heruti R (2010) Posttraumatic symptoms, marital intimacy, dyadic adjustment, and sexual satisfaction among ex-prisoners of war. J Sex Med 7:2739–2749
Jawed-Wessel S, Schick V, Herbenick D (2013) The Sexual Function Questionnaire’s Medical Impact Scale (SFQ-MIS): validation among a sample of first-time mothers. J Sex Med 10:2715–2722
Jawed-Wessel S, Herbenick D, Schick V (2017) The relationship between body image, female genital self-image, and sexual function among first-time mothers. J Sex Marital Ther 43(7):618–632
Arikan D, Özer A, Arikan I, Coskun A, Kiran H (2011) Turkish obstetricians’ personal preference for mode of delivery and attitude toward cesarean delivery on maternal request. Arch Gynecol Obstet 284:543–549
Bracken J, Dryfhout V, Goldenhar L, Pauls R (2008) Preferences and concerns for delivery: an antepartum survey. Int Urogynecol J 19:1527–1531
Waldenström U, Borg IM, Olsson B, Sköld M, Wall S (1996) The childbirth experience: a study of 295 new mothers. Birth 23:144–153
Waldenström U, Hildingsson I, Rubertsson C, Rådestad I (2004) A negative birth experience: prevalence and risk factors in a national sample. Birth 31:17–27
Blomquist JL, Quiroz LH, MacMillan D, Mccullough A, Handa VL (2011) Mothers’ satisfaction with planned vaginal and planned cesarean birth. Am J Perinatol 28:383–388
Schindl M, Birner P, Reingrabner M, Joura E, Husslein P, Langer M (2003) Elective cesarean section vs. spontaneous delivery: a comparative study of birth experience. Acta Obstet Gynecol Scand 82:834–840
Nilver H, Begley C, Berg M (2017) Measuring women’s childbirth experiences: a systematic review for identification and analysis of validated instruments. BMC Pregnancy Childbirth 17:203
Signorello LB, Harlow BL, Chekos AK, Repke JT (2001) Postpartum sexual functioning and its relationship to perineal trauma: a retrospective cohort study of primiparous women. Am J Obstet Gynecol 184:881–890
Simic M, Cnattingius S, Petersson G, Sandström A, Stephansson O (2017) Duration of second stage of labor and instrumental delivery as risk factors for severe perineal lacerations: population-based study. BMC Pregnancy Childbirth 17:72
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JEH: Project development, data analysis, manuscript writing. SL: Project development, data analysis, manuscript writing. YP: Manuscript writing. LY: Project development, data collection, data analysis. GG: Data analysis, manuscript writing.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Handelzalts, J.E., Levy, S., Peled, Y. et al. Mode of delivery, childbirth experience and postpartum sexuality. Arch Gynecol Obstet 297, 927–932 (2018). https://doi.org/10.1007/s00404-018-4693-9
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DOI: https://doi.org/10.1007/s00404-018-4693-9