{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:23:23Z","timestamp":1791469403083,"version":"4.3.4"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2010,12,24]],"date-time":"2010-12-24T00:00:00Z","timestamp":1293148800000},"content-version":"vor","delay-in-days":660,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2009,3,4]]},"abstract":"<jats:p>Changes in sexual function are common in postpartum women. In this comparative, descriptive study, a prospective cohort of midwifery patients consented to documentation of genital trauma at birth and assessment of sexual function at 3 months postpartum. The impact of spontaneous genital trauma on postpartum sexual function was the focus of the study. Trauma was categorized into minor trauma (no trauma or first\u2010degree perineal or other trauma that was not sutured) or major trauma (second\u2010, third\u2010, or fourth\u2010degree lacerations or any trauma that required suturing). Women who underwent episiotomy or operative delivery were excluded. Fifty\u2010eight percent (326\/565) of enrolled women gave sexual function data; of those, 276 (85%) reported sexual activity since delivery. Seventy percent (193) of women sustained minor trauma and 30% (83) sustained major trauma. Sexually active women completed the Intimate Relationship Scale (IRS), a 12\u2010item questionnaire validated as a measure of postpartum sexual function. Both trauma groups were equally likely to be sexually active. Total IRS scores did not differ between trauma groups nor did complaints of dyspareunia. However, for two items, significant differences were demonstrated: women with major trauma reported less desire to be held, touched, and stroked by their partner than women with minor trauma, and women who required perineal suturing reported lower IRS scores than women who did not require suturing.<\/jats:p>","DOI":"10.1016\/j.jmwh.2008.09.001","type":"journal-article","created":{"date-parts":[[2009,3,4]],"date-time":"2009-03-04T10:14:28Z","timestamp":1236161668000},"page":"98-103","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":61,"title":["Does Spontaneous Genital Tract Trauma Impact Postpartum Sexual Function?"],"prefix":"10.1111","volume":"54","author":[{"given":"Rebecca G.","family":"Rogers","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelle","family":"Borders","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence M.","family":"Leeman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah L.","family":"Albers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,12,24]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb10045.x"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-536X.2002.00167.x"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2000.tb11689.x"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(02)00151-0"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1997.tb11463.x"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.113855"},{"key":"e_1_2_6_8_2","first-page":"1","article-title":"Achieving sustainable quality in maternity services\u2014using audit of incontinence and dyspareunia to identify shortfalls in meeting standards","author":"Clarkson J","year":"2001","journal-title":"BMCPregnancy Childbirth"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2005.04.008"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2005.20346.x"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-007-0458-x"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-007-0373-1"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2007.05.060222"},{"key":"e_1_2_6_14_2","first-page":"1585","article-title":"Repair of obstetric perineal lacerations","volume":"15","author":"Leeman L","year":"2003","journal-title":"Am Fam Physician"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmwh.2005.05.012"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.1986.tb01369.x"},{"key":"e_1_2_6_17_2","first-page":"CD000081","article-title":"Episiotomy for vaginal birth","volume":"3","author":"Carroli G","year":"1999","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijir.3901546"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1080\/01674820500463389"},{"key":"e_1_2_6_20_2","unstructured":"National Institutes of Health Web site.State\u2010of\u2010the\u2010science conference statement on cesarean delivery on maternal request. Available from:http:consensus.nih.gov2006ICesareanStatement_Final053106.pdf. [Accessed September 11 2008]."},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2006.07.004"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-006-0156-0"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijir.3901546"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000207677.03235.76"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-005-1293-6"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1080\/00224490209552128"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.01017.x"}],"container-title":["Journal of Midwifery &amp; Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.jmwh.2008.09.001","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.jmwh.2008.09.001","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.jmwh.2008.09.001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T22:54:16Z","timestamp":1694818456000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1016\/j.jmwh.2008.09.001"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,3,4]]},"references-count":26,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2009,3,4]]}},"alternative-id":["10.1016\/j.jmwh.2008.09.001"],"URL":"https:\/\/doi.org\/10.1016\/j.jmwh.2008.09.001","archive":["Portico"],"relation":{},"ISSN":["1526-9523","1542-2011"],"issn-type":[{"value":"1526-9523","type":"print"},{"value":"1542-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,3,4]]},"assertion":[{"value":"2010-12-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}