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The Role of Operative Vaginal Delivery in Postpartum Sexual Dysfunction: MOODS - A Prospective Study
Natacha Quintal de Sousa1, Ana Catarina Borges1, Rita Sarabando1
1Department of Obstetrics and Gynecology, Hospital de Braga, Braga, Portugal.
The Journal of Sexual Medicine
|May 31, 2021
Summary
Operative vaginal delivery is linked to postpartum sexual dysfunction, particularly in the early months. While symptoms improve over time, sexual health assessments are crucial for new mothers.
Area of Science:
- Reproductive Health
- Women's Health
- Sexual Medicine
Background:
- Childbirth significantly impacts women's sexual health.
- The effects of operative vaginal delivery on postpartum sexual function remain unclear, with inconsistent research findings.
Purpose of the Study:
- To evaluate the impact of operative versus spontaneous vaginal delivery on postpartum sexual function.
Main Methods:
- A prospective study involving 304 women undergoing vaginal delivery.
- The Female Sexual Function Index (FSFI) questionnaire was used to assess sexual function at 3, 6, and 12 months postpartum.
Main Results:
- Sexual dysfunction was prevalent, affecting 62% at 3 months, 43% at 6 months, and 48% at 1 year.
- Operative vaginal delivery was associated with significantly lower FSFI scores and higher rates of sexual dysfunction at 3 months postpartum.
- No significant differences in sexual function were observed between different operative instruments.
Conclusions:
- Operative vaginal delivery can negatively impact postpartum sexual function, especially in the short term.
- Perineal trauma and mode of delivery are significant factors in postpartum sexual dysfunction.
- Regular assessment of women's sexual health throughout pregnancy and postpartum is recommended.
