{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T21:20:14Z","timestamp":1783459214762,"version":"3.55.0"},"reference-count":39,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:00:00Z","timestamp":1772668800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:00:00Z","timestamp":1772668800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010805","name":"Forskningsr\u00e5det i Syd\u00f6stra Sverige","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010805","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":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The aim of this study was to evaluate self\u2010reported pelvic floor symptoms 12\u2009months postpartum, in women after a first\u2010time vaginal delivery complicated by an obstetric anal sphincter injury, according to body mass index. The hypothesis was that dyspareunia, urinary incontinence, and anal incontinence would be more common in overweight and obese women compared with normal weight women 12\u2009months postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>This is a population\u2010based cohort study. Altogether, 6595 primiparous women with a first\u2010time vaginal delivery complicated by an obstetric anal sphincter injury in Sweden between 2014 and 2019 were included in the Swedish Perineal Laceration Registry. Self\u2010reported pre\u2010pregnancy data and data from the 12\u2010month follow\u2010up questionnaire were retrieved from the Perineal Laceration Registry. Uni\u2010 and multivariate analyses were used to compare normal weight (BMI \u2264\u200924.9), overweight (25.0\u201329.9), and obese (\u226530) women in regard to the self\u2010reported prevalence of dyspareunia, urinary incontinence, and anal incontinence 12\u2009months postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overweight and obese women had a decreased risk of dyspareunia compared with normal weight women, aOR 0.82 (CI\u2009=\u20090.68\u20130.98) and aOR 0.71 (CI\u2009=\u20090.54\u20130.93), respectively. The absolute rate of dyspareunia was 41% among normal weight women, 38% among overweight women, and 33% among the obese group. In the univariate analyses, episiotomy and the grade of anal sphincter injury did not affect the risk of dyspareunia. There was an increased risk of urinary incontinence among overweight (aOR\u2009=\u20091.51, CI\u2009=\u20091.11\u20132.04) and obese women (aOR\u2009=\u20092.82, CI\u2009=\u20091.94\u20134.12) compared with normal weight women. The risk of anal incontinence did not differ between the BMI groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Dyspareunia 12\u2009months after an obstetric anal sphincter injury was less common among overweight and obese women than in normal\u2010weight women. Self\u2010reported anal incontinence one year after an obstetric anal sphincter injury was equally distributed over the BMI groups 12\u2009months after delivery, which is a new finding and clinically relevant.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.70171","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T15:07:33Z","timestamp":1772982453000},"page":"1200-1209","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Self\u2010reported pelvic floor dysfunction 12\u2009months after an obstetric anal sphincter injury in relation to maternal body mass index"],"prefix":"10.1111","volume":"105","author":[{"given":"Linda","family":"Hjertberg","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Link\u00f6ping University  Norrk\u00f6ping Sweden"},{"name":"Department of Biomedical and Clinical Sciences Link\u00f6ping University  Link\u00f6ping 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