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Table 4 Perineal trauma as a risk factor for sexual health issues at 6 and 12 months postpartum

From: Prevalence of and risk factors associated with sexual health issues in primiparous women at 6 and 12 months postpartum; a longitudinal prospective cohort study (the MAMMI study)

 

6 months postpartum

12 months postpartum

 

n/total

%

Unadjusted OR

95% CI

p value

n/total

%

Unadjusted OR

95% CI

p value

Dyspareunia

          

 Intact

77/252

30.6

1.0 (ref.)

  

40/250

16

1.0 (ref.)

  

 1st degree tear

11/39

28.2

0.9

0.4–1.9

0.766

7/40

17.5

1.1

0.5–2.7

0.811

 2nd degree tear

66/161

41

1.6

1.0–2.3

0.03*

35/158

22.2

1.5

0.9–2.5

0.119

 3rd degree tear

13/21

61.9

3.7

1.5–9.3

0.005*

8/25

32

2.5

1.0–6.1

0.05*

 Episiotomy

121/281

43.1

1.7

1.2–2.5

0.003*

69/288

24

1.6

1.1–2.6

0.023*

 Labial or vaginal wall tear

10/24

41.7

1.6

0.7–3.8

0.267

7/24

29.2

2.1

0.8–5.6

0.109

Lack of vaginal lubrication

       

 Intact

101/251

40.2

1.0 (ref.)

  

91/254

35.8

1.0 (ref.)

  

 1st degree tear

16/39

41

1.0

0.5–2.1

0.926

14/42

33.3

0.89

0.5–1.8

0.754

 2nd degree tear

72/163

44.2

1.2

0.8–1.8

0.428

57/162

35.2

1.0

0.6–1.5

0.894

 3rd degree tear

12/23

52.2

1.6

0.7–3.8

0.269

9/24

37.5

1.0

0.4–2.6

0.87

 Episiotomy

128/288

44.4

1.2

0.8–1.7

0.325

97/289

33.6

0.9

0.6–1.3

0.58

 Labial or vaginal wall tear

11/25

44

1.2

0.5–2.7

0.715

10/24

41.7

1.3

0.5–3.0

0.57

Loss of interest in sexual activity

        

 Intact

103/253

40.7

1.0 (ref.)

  

94/249

37.8

1.0 (ref.)

  

 1st degree tear

17/41

41.5

1.0

0.5–2.0

0.928

19/42

45.2

1.4

0.7–2.6

0.358

 2nd degree tear

88/163

54

1.7

1.1–2.5

0.008*

69/162

42.6

1.2

0.8–1.8

0.327

 3rd degree tear

15/24

62.5

2.4

1.0–5.8

0.044*

9/25

36

0.9

0.4–2.2

0.863

 Episiotomy

138/288

47.9

1.3

0.9–1.9

0.093

114/289

39.4

1.1

0.8–1.5

0.687

 Labial or vaginal wall tear

10/24

41.7

1.0

0.4–2.4

0.927

8/24

33.3

0.8

0.3–2.0

0.67

  1. *indicates statistical signficance at p < 0.05