Factors associated with persistent sexual dysfunction and pain 12 months postpartum

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-06-28 DOI:10.1016/j.srhc.2024.101001

Sonia Bhandari Randhawa, Andrea Rizkallah, David B. Nelson, Elaine L. Duryea, Catherine Y. Spong, Jessica E. Pruszynski, David D. Rahn

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引用次数: 0

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 associated with 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.

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产后 12 个月持续性功能障碍和疼痛的相关因素。

目的：在服务不足的人群中确定与产后 12 个月持续性功能障碍和疼痛相关的因素：确定与服务不足人群产后 12 个月持续性功能障碍和疼痛相关的因素：妊娠后产妇护理扩展计划（eMCAP）是一项针对有围产期后果恶化风险的患者的健康需求/差异的计划。参与者在产后 12 个月完成盆腔器官脱垂/尿失禁性问卷 (PISQ-12) 和尿窘迫指数 (UDI-6)。PISQ-12 采用二分法计分：328 名性生活活跃的患者提供了数据。通过双变量分析，性功能障碍组（31 人，9.5%）与功能正常组（297 人，90.5%）在年龄、体重指数、胎次、分娩方式、外阴切开术/撕裂类型或母乳喂养方面没有差异。性功能障碍与 UUI 和 SUI 均有显著相关性：12（39%）对 46（15%）有 UUI，P = 0.001；20（65%）对 97（33%）有 SUI，P 结论：性健康、尿失禁和心理健康之间的相互作用值得进一步研究，在产后护理中应常规处理这三者之间的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.