Sexual function and postpartum depression 6 months after attempted operative vaginal delivery according to fetal head station: A prospective population-based cohort studyReportar como inadecuado




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Objective

To evaluate the effect of the fetal head station at attempted operative vaginal delivery aOVD, and specifically midpelvic or low aOVD, on female and male sexual function and symptoms of postpartum depression PPD at 6 months.

Design

Prospective population-based cohort study.

Setting

1,941 women with singleton term fetuses in vertex presentation with midpelvic or low aOVD between 2008 and 2013 in a tertiary care university hospital.

Methods

Symptoms of female sexual dysfunction using the Pelvic Organ Prolapse-Urinary Incontinence-Sexual Function Short Form Questionnaire PISQ-12, symptoms of PPD using the Edinburgh Postnatal Depression Scale EPDS score, symptoms of male sexual dysfunction using the International Index of Erectile Function IIEF-15 and perineal pain were assessed 6 months after aOVD. We measured the association between midpelvic or low aOVD and symptoms of female and male sexual function and symptoms of PPD at 6 months using multiple regression and adjusting for demographics, and risk factors of sexual dysfunction, symptoms of PPD and perineal pain with adjusted odds ratios aORs and 95% confidence intervals 95% CI.

Results

The study included 907 women 46.7% who responded to the questionnaire; 18.4% 167-907 had midpelvic aOVD, and 81.6% 740-907 low. Most women 873-907 96.3% of those with partners reported sexual activity at 6 months. No significant difference was observed for PISQ-12, EPDS, IIEF-15 scores and perineal pain between mid and low pelvic groups. Compared with low pelvic aOVD, midpelvic aOVD was not significantly associated with either female or male sexual dysfunction p = 0.89 and p = 0.76, respectively, or maternal symptoms of PPD p = 0.83. Perineal pain significantly increased the risk of male and female sexual dysfunction and maternal symptoms of PPD at 6 months p = 0.02, p = 0.006, and p = 0.02, respectively.

Conclusion

Midpelvic compared with low pelvic aOVD was not associated with an increase in sexual dysfunction, nor with symptoms of PPD at 6 months.



Autor: Guillaume Ducarme , Jean-François Hamel, Stéphanie Brun, Hugo Madar, Benjamin Merlot, Loïc Sentilhes

Fuente: http://plos.srce.hr/



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