{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T09:07:46Z","timestamp":1791623266301,"version":"4.3.4"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,25]],"date-time":"2024-10-25T00:00:00Z","timestamp":1729814400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The pelvic floor is exposed to differing stresses and trauma depending on the mode of birth. At the same time, the pelvic floor plays a crucial role in female sexual functioning (FSF). Whereby FSF encompasses different dimensions, from subjective satisfaction to physiological aspects, such as lack of pain and orgasm ability. The aim of the study presented here is to assess FSF in relationship to postpartum pelvic floor disorder based on the Pelvic Organ Prolapse\/Urinary Incontinence Sexual Questionnaire, IUGA\u2010Revised (PISQ\u2010IR), in a large convenience sample and to identify whether there is an association between mode of birth as well as perineal injuries and FSF of women up to 24\u2009months postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>We conducted a cross\u2010sectional online survey and recruited via social media women up to 24\u2009months after birth of their last child. FSF was surveyed using the PISQ\u2010IR. Details were also collected on all previous births and birth\u2010related perineal trauma, as well as current breastfeeding, obesity, and socio\u2010demographics. Multivariate models were then calculated to determine a possible association between FSF and birth mode.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The data basis is the responses of 2106 survey participants within the first 24\u2009months postpartum. Even 12\u201324\u2009months postpartum, 21% of respondents are not sexually active, which burdens almost 44% of these women. With regard to mode of delivery, differences in FSF are only evident in individual dimensions of the PISQ\u2010IR. The dimensions \u201cCondition Impact\u201d and \u201cCondition Specific\u201d were significantly associated with more impairments in sexually active respondents up to 12\u2009months postpartum whose last mode of delivery was forceps or vacuum extraction. If a perineal tear had occurred during last birth, this was significantly associated with a lower PISQ\u2010IR subscore in the \u201cCondition Impact,\u201d \u201cCondition\u2010Specific,\u201d \u201cGlobal Quality,\u201d \u201cPartner\u2010Related,\u201d and \u201cArousal\u201d models. The low variance explanation shows that further relevant factors on female sexuality may exist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The issue of impairments in FSF following childbirth, persisting for an extended period of time, is a significant postpartum concern. Due to the very different dimensions of FSF, the influence of the mode of delivery must be considered in a differentiated way.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.14990","type":"journal-article","created":{"date-parts":[[2024,10,26]],"date-time":"2024-10-26T01:35:16Z","timestamp":1729906516000},"page":"203-214","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Pelvic floor\u2010related sexual functioning in the first 24\u2009months postpartum: Findings of a large cross\u2010sectional study"],"prefix":"10.1111","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9890-5435","authenticated-orcid":false,"given":"Carsten","family":"Hagenbeck","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Medical Faculty and University Hospital D\u00fcsseldorf Heinrich Heine University D\u00fcsseldorf  D\u00fcsseldorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"K\u00f6ssendrup","sequence":"additional","affiliation":[{"name":"Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, Faculty of Medicine and University Hospital Cologne University of Cologne  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Soff","sequence":"additional","affiliation":[{"name":"Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, Faculty of Medicine and University Hospital Cologne University of Cologne  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabinshy","family":"Thangarajah","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Medical Faculty of University Duisburg\u2010Essen University Hospital of Essen  Essen 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