{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:16:16Z","timestamp":1787508976996,"version":"build-2736575974"},"reference-count":36,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"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>Long\u2010term pelvic floor symptoms after childbirth may impair women's quality of life. The aim of this study was to assess the prevalence of self\u2010reported pelvic floor symptoms 1\u2009year postpartum in primiparous women by degree of perineal tear, with a focus on minor and major second\u2010degree tears, and their association with quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>\n                      This prospective cohort study was based on data collected within a randomized controlled trial (the Oneplus trial). Women in the trial who had a vaginal birth and responded to a 1\u2010year postpartum follow\u2010up questionnaire were included. Data were collected between January 2020 and May 2021. The main outcome measures were pelvic floor symptoms assessed using the Pelvic Floor Distress Inventory (PFDI\u201020), the Pelvic Floor Impact Questionnaire (PFIQ\u20107), and study\u2010specific items related to suturing and perceived body image. Associations between type of perineal tear and pelvic floor symptoms and their impact on quality of life were examined using generalized linear models, estimating adjusted risk ratios (aRRs) with 95% confidence intervals (CIs). Trial registration:\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      , NCT03770962.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The cohort consisted of 1911 primiparous women. Among the tear categories investigated, major second\u2010degree tears were the most common (30.4%), followed by minor second\u2010degree tears (18.4%), episiotomy (9.8%), and obstetric anal sphincter injury (OASI) (5.3%). PFD symptoms were reported by 31.4\u201351.5% of the women. Women with OASI had an increased risk of colorectal\u2013anal distress compared with those with no tear or a first\u2010degree tear (aRR 1.56, 95% CI 1.24\u20131.96). No associations were observed between minor or major second\u2010degree tears and pelvic floor symptoms. Increasing tear severity was associated with a higher likelihood of perceiving the vagina as narrow. No differences between tear categories were observed regarding impact on quality of life. Episiotomy was associated with a negative body image related to vaginal symptoms (aRR 1.45, 95% CI 1.03\u20131.99).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Pelvic floor symptoms and their impact on quality of life were common 1\u2009year postpartum, irrespective of perineal tear category. Minor and major second\u2010degree tears were not associated with an increased risk of pelvic floor dysfunction or reduced quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.70216","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T08:01:41Z","timestamp":1777017701000},"page":"1275-1286","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pelvic floor symptoms and quality of life 1\u2009year postpartum in Swedish primiparous women\u2014A follow\u2010up of a randomized controlled trial"],"prefix":"10.1111","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0968-6534","authenticated-orcid":false,"given":"Malin","family":"Edqvist","sequence":"first","affiliation":[{"name":"Department of Women's and Children's Health Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Women's Health and Health Professions Karolinska University Hospital  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"H\u00e4ggsg\u00e5rd","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Medical Faculty Lund University  Lund Sweden"},{"name":"Department of Obstetrics and Gynecology Skane University Hospital  Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pia","family":"Teleman","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Women's Health and Health Professions Karolinska University Hospital  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunilla","family":"Tegerstedt","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology (CLINTEC) Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunilla","family":"Ajne","sequence":"additional","affiliation":[{"name":"Department of Women's Health and Health Professions Karolinska University Hospital  Stockholm Sweden"},{"name":"Department of Clinical Science, Intervention and Technology (CLINTEC) Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susann","family":"Ull\u00e9n","sequence":"additional","affiliation":[{"name":"University and Clinical Studies Sweden, Forum South Skane University Hospital  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Tern","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Medical Faculty Lund University  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"\u00c4ngeby","sequence":"additional","affiliation":[{"name":"Centre for Clinical Research  Karlstad Sweden"},{"name":"Department of Health Science, Faculty of Health, Science, and Technology Karlstad University  Karlstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah G.","family":"Dahlen","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Western Sydney University  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Rubertsson","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Medical Faculty Lund University  Lund Sweden"},{"name":"Department of Obstetrics and Gynecology Skane University Hospital  Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(22)00188-x"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12267"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(23)00454-0"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.12.025"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2018.05.004"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.25235"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-020-04317-1"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-91799-8"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14854"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2025.101078"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2020.102748"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14938"},{"key":"e_1_2_13_14_1","unstructured":"B\u00e4ckenbottenutbildning. 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