{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:44:52Z","timestamp":1789843492570,"version":"4.0.1"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology & Obste"],"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n In the present study, we aimed to evaluate the impact of vaginal birth after cesarean (VBAC) on quality of life, sexual function, sleep quality, and urinary incontinence and compare the results with those of vaginal birth (VB) and cesarean delivery (CD) via validated questionnaires.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A single\u2010center retrospective cross\u2010sectional observational study was conducted at the Bezmialem Vak\u0131f University between 2017 and 2022. The participants were classified into three groups: VB (\n n<\/jats:italic>\n \u2009=\u200949), CD (\n n<\/jats:italic>\n \u2009=\u200954), and VBAC (\n n<\/jats:italic>\n \u2009=\u200955). Postpartum maternal health outcomes were assessed via validated questionnaires: the Pittsburgh Sleep Quality Index (PSQI), Female Sexual Function Index (FSFI), Postpartum Quality of Life (PP\u2010QoL), and International Consultation on Incontinence Questionnaire\u2010Short Form (ICIQ\u2010SF). Statistical analyses were performed using SPSS version 29.0.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n There were no significant differences among the groups in terms of total PSQI scores or ICIQ\u2010SF scores. However, the total FSFI and PP\u2010QoL scores were significantly higher in the VBAC group (\n P\u2009<<\/jats:italic>\n \u20090.001). Among the FSFI subdomains, only desire and pain scores remained significantly different after Bonferroni correction.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Our findings suggest that while sleep quality and urinary incontinence symptoms did not significantly differ among the delivery groups, PP\u2010QoL and FSFI scores were higher in the VBAC group than in the VB and CD groups.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ijgo.71150","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:44:12Z","timestamp":1781613852000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The impact of the vaginal birth after cesarean as a new delivery mode on quality of life, sexual function, sleep quality and urinary incontinence during the postpartum period and comparison with the results of vaginal birth and cesarean delivery"],"prefix":"10.1002","author":[{"given":"Berrak","family":"Bekta\u015f","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Bezmialem Vakif University Medical Faculty Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7931-5172","authenticated-orcid":false,"given":"Can Ozan","family":"Ulusoy","sequence":"additional","affiliation":[{"name":"Perinatology Department Ministry of Health, Etlik City Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8515-6722","authenticated-orcid":false,"given":"Husamettin","family":"Uslu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynecology Bruksel IVF & Endoscopic Laser Surgery Center Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4126-0541","authenticated-orcid":false,"given":"Melda","family":"Kuyucu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Bezmialem Vakif University Medical Faculty Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0941-2314","authenticated-orcid":false,"given":"Bulut","family":"Varli","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ankara University School of Medicine Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7352-8373","authenticated-orcid":false,"given":"Mehmet Efe","family":"Naml\u0131","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Ministry of Health, Ankara Ataturk Sanatorium Research and Training Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0306-6422","authenticated-orcid":false,"given":"P\u0131nar","family":"\u00d6zcan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynecology Bruksel IVF & Endoscopic Laser Surgery Center Istanbul Turkey"},{"name":"Department of Obstetrics and Gynecology Istanbul Ni\u015fanta\u015f\u0131 University School of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"issue":"2","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"e110","DOI":"10.1097\/AOG.0000000000003078","article-title":"Vaginal birth after cesarean delivery","volume":"133","author":"ACOG Practice Bulletin No. 205","year":"2019","journal-title":"Obstet Gynecol"},{"issue":"1","key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"158","DOI":"10.4103\/ipj.ipj_51_22","article-title":"Is cesarean section a clinical marker for psychiatric and sleep disorder in young mothers? 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