{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T14:53:08Z","timestamp":1790347988451,"version":"4.1.0"},"reference-count":59,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,6,15]],"date-time":"2018-06-15T00:00:00Z","timestamp":1529020800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["199222"],"award-info":[{"award-number":["199222"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["433006"],"award-info":[{"award-number":["433006"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["491205"],"award-info":[{"award-number":["491205"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["491205"],"award-info":[{"award-number":["491205"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Few longitudinal studies have examined women's experiences of sex after childbirth. Much of the advice given to couples about what to expect in relation to sex after childbirth is based on cross\u2010sectional studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate timing of resumption of sex after a second birth and assess associations with obstetric factors (method of birth and perineal trauma) and time interval between first and second births.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Prospective cohort of 1507 nulliparous women recruited before 25\u00a0weeks\u2019 gestation in Melbourne, Australia followed up at 3, 6, 9, and 12\u00a0months after first births, and 6 and 12\u00a0months after second births. Measures include: obstetric factors and resumption of vaginal sex after first and second births.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>By 8\u00a0weeks after their second birth, 56% of women had resumed vaginal sex, compared with 65% after their first birth. Women were more likely to resume sex later than 8\u00a0weeks postpartum if they had a spontaneous vaginal birth with episiotomy or sutured perineal tear (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>: 2.21, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.5\u20103.2), operative vaginal birth (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>: 2.60, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.3\u20105.3) or cesarean delivery (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>: 2.15, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.4\u20103.3) compared with a vaginal birth with minimal or no perineal trauma. There was no association between timing of resumption of sex and the time interval between births.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>For almost half of the cohort, sex was not resumed until at least 8\u00a0weeks after the second birth. Timing of resumption of sex was influenced by obstetric factors, but not the time interval between births.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12363","type":"journal-article","created":{"date-parts":[[2018,6,16]],"date-time":"2018-06-16T04:42:52Z","timestamp":1529124172000},"page":"173-181","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Resumption of sex after a second birth: An Australian prospective cohort"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2295-4641","authenticated-orcid":false,"given":"Ellie A.","family":"McDonald","sequence":"first","affiliation":[{"name":"Healthy Mothers Healthy Families Research Group Murdoch Children's Research Institute  Parkville Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deirdre","family":"Gartland","sequence":"additional","affiliation":[{"name":"Healthy Mothers Healthy Families Research Group Murdoch Children's Research Institute  Parkville Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Woolhouse","sequence":"additional","affiliation":[{"name":"Healthy Mothers Healthy Families Research Group Murdoch Children's Research Institute  Parkville Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9812-0067","authenticated-orcid":false,"given":"Stephanie J.","family":"Brown","sequence":"additional","affiliation":[{"name":"Healthy Mothers Healthy Families Research Group Murdoch Children's Research Institute  Parkville Vic. Australia"},{"name":"Departments of Paediatrics and General Practice The University of Melbourne  Parkville Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,6,15]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Missing Voices: The Experience of Motherhood","author":"Brown S","year":"1994"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2012.00551.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00319.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2000.tb11608.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3016.2001.00345.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1995.tb09132.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb10045.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796017000026"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000183597.31630.db"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2003.08.004"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182479611"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224499.2016.1274715"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12883"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-013-2846-4"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13331"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2005.04.008"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1159\/000113464"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2009.04.014"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2005.00357.x"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.obstetgynecol.2003.08.020"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2000.tb11689.x"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.1980.tb01528.x"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.3109\/0167482X.2012.720314"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2016.01.004"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.1997.tb00599.x"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2009.00768.x"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2007.06.005"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(85)90088-1"},{"key":"e_1_2_7_30_1","first-page":"117","article-title":"Sexual practices of women within six months of childbirth in Mulago hospital, Uganda","volume":"3","author":"Odar E","year":"2003","journal-title":"Afr Health Sci"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12166"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-6-12"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1300\/J013v28n01_03"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.10.863"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318242b1f7"},{"key":"e_1_2_7_36_1","volume-title":"Perinatal Mental Health: A Guide to the Edinburgh Postnatal Depression Scale (EPDS)","author":"Cox J","year":"2003"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1891\/0886-6708.2005.20.5.529"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1022834215681"},{"key":"e_1_2_7_39_1","volume-title":"Stata Statistical Software: Release 14","author":"StataCorp","year":"2015"},{"key":"e_1_2_7_40_1","volume-title":"Obstetrics and the Newborn: An Illustrated Textbook","author":"Beischer NA","year":"1997"},{"key":"e_1_2_7_41_1","volume-title":"Myles Textbook for Midwives","author":"Fraser DM","year":"2009"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.2003.tb00805.x"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1997.tb11463.x"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224499609551826"},{"key":"e_1_2_7_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12901"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01542980"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(94)90070-1"},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2008.00222.x"},{"key":"e_1_2_7_49_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.113855"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.1177\/1074840709334925"},{"key":"e_1_2_7_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2018.02.022"},{"key":"e_1_2_7_52_1","doi-asserted-by":"publisher","DOI":"10.1080\/14681990802226133"},{"key":"e_1_2_7_53_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijir.3901546"},{"key":"e_1_2_7_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(98)00106-8"},{"key":"e_1_2_7_55_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224490509552270"},{"key":"e_1_2_7_56_1","doi-asserted-by":"publisher","DOI":"10.1071\/PY13001"},{"key":"e_1_2_7_57_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.1974.tb00646.x"},{"key":"e_1_2_7_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1978.tb00026.x"},{"key":"e_1_2_7_59_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12193"},{"key":"e_1_2_7_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2009.03.019"}],"container-title":["Birth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbirt.12363","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.12363","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T06:42:41Z","timestamp":1694673761000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/birt.12363"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,15]]},"references-count":59,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1111\/birt.12363"],"URL":"https:\/\/doi.org\/10.1111\/birt.12363","archive":["Portico"],"relation":{},"ISSN":["0730-7659","1523-536X"],"issn-type":[{"value":"0730-7659","type":"print"},{"value":"1523-536X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,15]]},"assertion":[{"value":"2017-11-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-06-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}