{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:15:03Z","timestamp":1791893703818,"version":"4.3.4"},"reference-count":34,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,3,6]],"date-time":"2015-03-06T00:00:00Z","timestamp":1425600000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Medical Research Foundation for Women and Babies"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the effect of mode of delivery and perineal injury on sexual function at 6 and 12\u00a0months postpartum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary women's hospital in <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>elbourne, <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>A cohort of 440 primigravid women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Female Sexual Function Index (<jats:styled-content style=\"fixed-case\">FSFI<\/jats:styled-content>) was completed at first visit (7\u201319\u00a0weeks of gestation), and at 6 and 12\u00a0months postpartum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>A statistically significant difference in total <jats:styled-content style=\"fixed-case\">FSFI<\/jats:styled-content> or domain scores over time according to mode of delivery or perineal injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In this cohort 54% of women had a normal vaginal delivery, 21% had an instrumental delivery, and 25% gave birth by caesarean section. No difference was found in total <jats:styled-content style=\"fixed-case\">FSFI<\/jats:styled-content> or domain scores according to mode of delivery over time between antenatal assessment and 12\u00a0months postpartum. Pain was decreased in the caesarean group only at 6\u00a0months postpartum. All groups showed pain scores at 12\u00a0months that were comparable with antenatal levels. For those who gave birth vaginally, 27% had an intact perineum, 50% had an episiotomy, and 6%, 14%, and 3% had first, second, and third\u2010degree tears, respectively. The only differences between groups were found over time according to perineal injury at 6\u00a0months in the arousal domain. At 12\u00a0months, total <jats:styled-content style=\"fixed-case\">FSFI<\/jats:styled-content> and domain scores were no different to initial scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>At 12\u00a0months postpartum sexual function has returned to early pregnancy levels, irrespective of mode of delivery or perineal injury.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.13331","type":"journal-article","created":{"date-parts":[[2015,3,6]],"date-time":"2015-03-06T07:04:45Z","timestamp":1425625485000},"page":"1410-1418","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":64,"title":["The effects of mode delivery on postpartum sexual function: a prospective study"],"prefix":"10.1111","volume":"122","author":[{"given":"A","family":"De Souza","sequence":"first","affiliation":[{"name":"Department of Urogynaecology Mercy Hospital for Women Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"PL","family":"Dwyer","sequence":"additional","affiliation":[{"name":"Department of Urogynaecology Mercy Hospital for Women Melbourne Vic. Australia"},{"name":"The University of Melbourne Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Charity","sequence":"additional","affiliation":[{"name":"Institute of Sport Exercise and Active Living Victoria University Melbourne Vic. Australia"},{"name":"School of Health Sciences and Psychology Federation University Australia Ballarat Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Urogynaecology Mercy Hospital for Women Melbourne Vic. 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