{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T22:59:03Z","timestamp":1782514743717,"version":"3.54.5"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,7,3]],"date-time":"2014-07-03T00:00:00Z","timestamp":1404345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare sociodemographics, parity and mode of delivery between women diagnosed with vaginismus or localised provoked vestibulodynia (<jats:styled-content style=\"fixed-case\">LPV<\/jats:styled-content>) to women without a diagnosis before first pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective, population\u2010based register study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>weden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample<\/jats:title><jats:p>All women born in <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>weden 1973\u201383 who gave birth for the first time or remained nulliparous during the years 2001\u201309.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Nationally linked registries were used to identify the study population. Women diagnosed with vaginismus or <jats:styled-content style=\"fixed-case\">LPV<\/jats:styled-content> were compared to all other women. Odds ratios for parity and mode of delivery were calculated using multinominal regression analysis and logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Parity and mode of delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Women with vaginismus\/<jats:styled-content style=\"fixed-case\">LPV<\/jats:styled-content> were more likely to be unmarried (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.001), unemployed (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.012), have a higher educational level (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001), a lower body mass index (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) and use nicotine during pregnancy (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.008). They were less likely to give birth (adjusted odds ratio [<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>] 0.61, 95% confidence interval [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>] 0.56\u20130.67). Women with vaginismus\/<jats:styled-content style=\"fixed-case\">LPV<\/jats:styled-content> more often delivered by caesarean section (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) especially for maternal request (adjusted <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 3.48, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 2.45\u20134.39). In women having vaginal delivery, those with vaginismus\/<jats:styled-content style=\"fixed-case\">LPV<\/jats:styled-content> were more likely to suffer a perineal laceration (adjusted <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.87, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.56\u20132.25).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Women with vaginismus\/<jats:styled-content style=\"fixed-case\">LPV<\/jats:styled-content> are less likely to give birth and those that do are more likely to deliver by caesarean section and have a caesarean section based upon maternal request. Those women delivering vaginally are more likely to suffer perineal laceration. These findings point to the importance of not only addressing sexual function in women with vaginismus\/<jats:styled-content style=\"fixed-case\">LPV<\/jats:styled-content> but reproductive function as well.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.12946","type":"journal-article","created":{"date-parts":[[2014,7,3]],"date-time":"2014-07-03T08:08:25Z","timestamp":1404374905000},"page":"329-334","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Reproduction and mode of delivery in women with vaginismus or localised provoked vestibulodynia: a <scp>S<\/scp>wedish register\u2010based study"],"prefix":"10.1111","volume":"122","author":[{"given":"L","family":"M\u00f6ller","sequence":"first","affiliation":[{"name":"Division of Obstetrics and Gynecology Department of Clinical and Experimental Medicine Faculty of Health Sciences Link\u00f6ping University, Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Josefsson","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynecology Department of Clinical and Experimental Medicine Faculty of Health Sciences Link\u00f6ping University, Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Bladh","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynecology Department of Clinical and Experimental Medicine Faculty of Health Sciences Link\u00f6ping University, Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Lilliecreutz","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynecology Department of Clinical and Experimental Medicine Faculty of Health Sciences Link\u00f6ping University, Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Sydsj\u00f6","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynecology Department of Clinical and Experimental Medicine Faculty of Health Sciences Link\u00f6ping University, Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,7,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/14034940210134040"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2012.02867.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/01674820400017921"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/01674820500165935"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1155\/S1064744902000224"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.10.039"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.03.073"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(02)00276-2"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1744-8069-8-68"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S42940"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwf037"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12407"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/01674820802604359"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/00926230701866083"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2006.03.013"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2010.03.071"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40122-012-0002-7"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767050902994598"},{"key":"e_1_2_6_21_1","unstructured":"National Board of Health and Welfare Centre for Epidemiology. 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