{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T19:01:21Z","timestamp":1792695681714,"version":"4.5.0"},"reference-count":38,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T00:00:00Z","timestamp":1723766400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"publisher","award":["2018\u201001192"],"award-info":[{"award-number":["2018\u201001192"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012558","name":"Sk\u00e5ne County Council's Research and Development Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012558","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Postnatal perineal pain is prevalent following childbirth and can impact women both physically and emotionally. The aim of the study was to study the effect of collegial midwifery assistance on perineal pain and pain medication 1\u2009month after birth and to investigate the associations between the type of tear and perineal pain, satisfaction with healing, and resumption of intercourse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>A follow\u2010up questionnaire was sent 1\u2009month postpartum to women with a first spontaneous vaginal birth participating in a randomized controlled trial (Oneplus trial). Data were collected from December 2019 to May 2020. Differences in perineal pain between women attended by one or two midwives were analyzed according to intention\u2010to\u2010treat using bivariate analyses. Associations between the type of tear and perineal pain, satisfaction with healing, and resumption of sexual intercourse were investigated using univariable and multivariable logistic regression. The category no tear\/first\u2010degree tear was compared separately to each of the other tear categories. Trial registration number: <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>, NCT03770962.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 2233 women, 1762 responded within 30\u201360\u2009days postpartum. Of women in the no tear\/first\u2010degree tear category, 27.7% reported perineal pain during the past week, in contrast to women with OASI, where 64.2% reported perineal pain. Women with OASI experienced the highest odds of perineal pain (aOR 4.51, 95% CI 2.72\u20137.47) compared to those with no tear\/first\u2010degree tear, followed by women with major second\u2010degree tears (aOR 1.87, 95% CI 1.45\u20132.41), women with an episiotomy (aOR 1.78, 95% CI 1.11\u20132.87), and those with minor second\u2010degree tears (aOR 1.43, 95% CI 1.06\u20131.94). Women with episiotomy reported the highest odds ratios for dissatisfaction with tear healing (aOR 3.48, 95% CI 1.92\u20136.31). No significant differences in perineal pain and pain medication were observed between women allocated to collegial midwifery assistance and those allocated to standard care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Women with OASI reported the highest odds of perineal pain 30\u201360\u2009days after birth compared to women with no tear or first\u2010degree tear, followed by women with major second\u2010degree tears. Women subjected to an episiotomy reported highest odds ratios of dissatisfaction with tear healing.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14938","type":"journal-article","created":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T08:14:48Z","timestamp":1723796088000},"page":"2314-2323","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Postpartum perineal pain and its association with sub\u2010classified second\u2010degree tears and perineal trauma\u2014A follow\u2010up of a randomized controlled trial"],"prefix":"10.1111","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0968-6534","authenticated-orcid":false,"given":"Malin","family":"Edqvist","sequence":"first","affiliation":[{"name":"Clinical Epidemiology Division, Department of Medicine Solna Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Women's Health and Allied Health Professionals Karolinska University Hospital  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