J Obstet Gynaecol. 2006 Oct;26(7):645-9.
Female genital tract morbidity and sexual function following vaginal delivery or lower segment caesarean section.
Griffiths A, Watermeyer S, Sidhu K, Amso NN, Nix B.
Department of Obstetrics and Gynaecology, University Hospital of Wales and the University of Wales College of Medicine, Cardiff, UK. Dr. Anthony36.freeserve.co.uk
A total of 208 women were assessed 2 years' post-delivery to record the prevalence of subjective urinary and faecal incontinence, incontinence of flatus, dyspareunia, subjective depression and sexual satisfaction. This was correlated with mode of delivery. A sample population was selected from the Cardiff Birth Survey Database, in accordance with strict inclusion and exclusion criteria. Each woman was invited to complete and return a postal questionnaire addressing symptoms of pelvic floor dysfunction. There was a significant decrease in sexual satisfaction scores in women who underwent vaginal delivery in comparison with those who underwent elective caesarean section at 2 years follow-up. There was also a significant increase in the prevalence of urinary incontinence, incontinence of flatus, dyspareunia and subjective depression in women who underwent vaginal delivery.
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