Sexual dysfunction and mode of delivery in Chinese primiparous women: a systematic review and meta-analysis

BMC Pregnancy and Childbirth

Research Article

Song Li¹  Li Liu²  Wen Wang³  Zhengping Liu³  Xiaoling Guo³  Dazhi Fan⁴  Song Wu⁵  Guo Tian⁶ 

[1] Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, 230032, Hefei, Anhui, China;Chaohu Hospital Affiliated Anhui Medical University, 238000, Chaohu, Anhui, China;Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, 230032, Hefei, Anhui, China;The First Affiliated Hospital, College of Medicine, Zhejiang University, 310003, Hang Zhou, Zhejiang, China;Foshan Institute of Fetal Medicine, Southern Medical University Affiliated Maternal & Child Health Hospital of Foshan, 528000, Foshan, Guangdong, China;Department of Obstetrics, Southern Medical University Affiliated Maternal & Child Health Hospital of Foshan, 528000, Foshan, Guangdong, China;Foshan Institute of Fetal Medicine, Southern Medical University Affiliated Maternal & Child Health Hospital of Foshan, 528000, Foshan, Guangdong, China;Department of Obstetrics, Southern Medical University Affiliated Maternal & Child Health Hospital of Foshan, 528000, Foshan, Guangdong, China;Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, 230032, Hefei, Anhui, China;School of Integrated Traditional and Western Medicine, Anhui University of Chinese Medicine, 230038, Hefei, Anhui, China;The First Affiliated Hospital, College of Medicine, Zhejiang University, 310003, Hang Zhou, Zhejiang, China;

关键词: Cesarean delivery;    Vaginal delivery;    Sexual function;    Meta-analysis;   

DOI  :  10.1186/s12884-017-1583-2

 received in 2015-11-24, accepted in 2017-11-17,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundUp to now, there is controversy over the effect of delivery mode cesarean delivery and spontaneous vaginal delivery on sexual function. Therefore, we did a systematic review and meta-analysis in postpartum women to explore the mode of delivery, cesarean delivery, and spontaneous vaginal delivery and differences in postpartum sexual function (short- and long-term) in Chinese primiparous women.MethodsComprehensive electronic searches of PubMed, EMBASE, Web of Science, Elsevier Science Direct, Cochrane Library, the Chinese Biological Medical Literature database and the Chinese National Knowledge Infrastructure database were conducted to identify any study in each database published to August 31, 2017. The primary outcome was the sexual satisfaction and the secondary outcomes were resumed intercourse and sexual pain in the postpartum.ResultsWe identified 10 studies with a total population of 2851 in the present meta-analysis. Five and six eligible articles were respectively included for sexual satisfaction in postpartum at 3- and 6 months. Compared with vaginal delivery group, two time points were all not found statistically significance (OR 1.53, 95%CI 0.93–2.49; OR 1.15, 95%CI 0.95–1.39, respectively) in cesarean and spontaneous vaginal delivery group; in resumed intercourse and sexual pain domains, they were all significantly, with an overall OR of 2.05 (95%CI 1.36–3.11) at 3 months, 1.50 (95%CI 1.04–2.16) at 6 months and 0.29 (95%CI 0.24, 0.36) at 3 months, 0.73 (95%CI 0.58, 0.93) at 6 months, respectively. With the passage of time, the gap was closing. Sensitivity analysis was indicated a good stability of the meta-analysis in each domain.ConclusionsIn conclusion, this meta-analysis indicated that the mode of delivery, cesarean and spontaneous vaginal delivery did not affect postpartum sexual satisfaction (short- and long-term) and appeared to have minimal effect on the long-term resumed intercourse and sexual pain in Chinese primiparous women. Primiparous women should be more cautious to choose cesarean section in order to preserve sexual function.

【 授权许可】

CC BY   
© The Author(s). 2017