{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:15:30Z","timestamp":1786979730875,"version":"build-2736575974"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and hypothesis<\/jats:title>\n                    <jats:p>The aim of this prospective study was to examine the impact of sociodemographic, pregnancy and obstetric characteristics on sexual function 12\u00a0months postpartum in primiparous women. We hypothesized that sexual function would decrease after childbirth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between 1 October 2014 and 1 October 2017, all nulliparous women in early pregnancy registering for maternity health care in Region \u00d6rebro County, Sweden, were invited to participate in this prospective study. A total of 958 women were included. Sexual activity and function were measured at early pregnancy, 8\u00a0weeks postpartum and 12\u00a0months postpartum using the Pelvic Organ Prolapse\/Urinary Incontinence Sexual Questionnaire (PISQ-12). The associations between sociodemographic, pregnancy and obstetric characteristics and sexual activity and function from early pregnancy to 12\u00a0months postpartum were examined using linear and logistic models based on generalized estimating equations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We found that the prevalence of sexually active women decreased from 98.0% in early pregnancy to 66.7% at 8\u00a0weeks postpartum, but increased to 90.0% at 12\u00a0months postpartum. Age\u2009\u2265\u200935\u00a0years, second-degree perineal tear and current breastfeeding were statistically significant risk factors for sexual inactivity at 12\u00a0months postpartum. Poor self-reported health in early pregnancy was statistically significantly associated with decreased sexual function at 12\u00a0months postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A majority of women resumed sexual activity at 8\u00a0weeks postpartum and most women at 12\u00a0months postpartum; the decrease in sexual function at 12\u00a0months postpartum was small and few risk factors were observed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-021-05029-w","type":"journal-article","created":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T02:16:29Z","timestamp":1641003389000},"page":"1567-1582","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Sexual function in primiparous women: a prospective study"],"prefix":"10.1007","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4005-2182","authenticated-orcid":false,"given":"Hedda","family":"Dahlgren","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus H.","family":"Jansson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Franz\u00e9n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayako","family":"Hiyoshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Nilsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,1,1]]},"reference":[{"issue":"1","key":"5029_CR1","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1097\/SPV.0b013e31827bfd7b","volume":"19","author":"AK Crane","year":"2013","unstructured":"Crane AK, Geller EJ, Bane H, Ju R, Myers E, Matthews CA. 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