DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20172901

Prevalence and risk factors of postpartum dyspareunia at three months post- delivery in Sudanese women

Inas Mohamed Elhassan Abd. Alkareem, Mohamed Ahmed A Gadir Ounsa, Elsadig Yousif Mohamed, Elsadig Mohamed, Sawsan Abdalla

Abstract


Background: Postpartum dyspareunia affects many women following childbirth: however, the extent of the problem is difficult to estimate. The objectives of the current study were to determine the prevalence of postpartum dyspareunia and to estimate its risk factors.

Methods: This is a cross-sectional study conducted at the National Ribat University Hospital, Sudan. The study was carried out on women attended the refer clinics of obstetrics and gynecology and pediatrics departments in the hospital. The sample size was calculated as 380. The data were collected by a pre-tested questionnaire along with a clinical examination of the vulva and vagina after obtaining the ethical approval. The SPSS was used to analyze the data.

Results: The prevalence of postpartum dyspareunia in women attended the National Ribat University hospital was 42.6 %. Regarding age, 8 (61.5%) of women less than 20 years of age experienced dyspareunia, 102 (46.4%) and 52 (35.4%) of women whose age was 20-29 years; and more than 29 years experienced the condition. One hundred forty (51.7%) of women who delivered by normal vaginal delivery developed postpartum dyspareunia. Eight (72.7%), 8 (12.5%) and 6 (17.6%) of women delivered by Operative vaginal, Elective C/S and Emergency C/S developed postpartum dyspareunia respectively. One hundred forty-eight (62.4%), 153 (51.3%) women who had decircumcision and episiotomy in last delivery had postpartum dyspareunia respectively. Forty-six (93.3%), fifty-three (86.9%) and 60 (87%) women who had infected episiotomy, scar tissue at episiotomy and tight interoitus developed the condition respectively.

Conclusions: The prevalence of postpartum dyspareunia in women attended the National Ribat University hospital was 42.6 %. Regarding age, 8 (61.5%) of women less than 20 years of age experienced dyspareunia, 102 (46.4%) and 52 (35.4%) of women whose age was 20-29 years; and more than 29 years experienced the condition. One hundred forty (51.7%) of women who delivered by normal vaginal delivery developed postpartum dyspareunia. Eight (72.7%), 8 (12.5%) and 6 (17.6%) of women delivered by Operative vaginal, Elective C/S and Emergency C/S developed postpartum dyspareunia respectively. One hundred forty-eight (62.4%), 153 (51.3%) women who had decircumcision and episiotomy in last delivery had postpartum dyspareunia respectively. Forty-six (93.3%), fifty-three (86.9%) and 60 (87%) women who had infected episiotomy, scar tissue at episiotomy and tight interoitus developed the condition respectively.


Keywords


Prevalence, Postpartum dyspareunia, Risk factors

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References


Heli LJ. Evaluation and differential diagnosis of dysparunia. Am Fam Physician. 2001;63(8):1535-44.

Serati M. Female sexual function during pregnancy and after childbirth. J Sex Med. 2010;7:2782-90.

Sayasneh A. Postpartum functional dysfunction: A literature review of risk factors and role of mode of delivery. British J Med Pract. 2010;3(2):316-20.

Goetsch FM. Postpartum Dyspareunia an unexpected problem. J Reprod Med. 1999;44(11):963-8.

Rathfisch G, Dikencik BK, Beji NK. Effect of perineal trauma on postpartum sexual function; J Advanced Nursing. 2010; 66(12): 2640-9.

Arafa EM, Abdelghany AM, Madkour NM, Nossair WS, Mohamed EA. Survey Study of Acute and Long Term Effects of Female Genital Mutilation among Women in Sharkia Governorate. Open Journal of Obstetrics and Gynecology. 2014 Sep 29;4(14):874.

Ali AA1, Abdallah TM. Clinical presentation and epidemiology of female genital tuberculosis in eastern Sudan. Int J Gynecol Obstet. 2012;118(3):236-8.

Berg RC, Underland V, Odgaard-Jensen J, Fretheim A, Vist GE. Effects of female genital cutting on physical health outcomes: a systematic review and meta-analysis. BMJ open. 2014;4(11):e006316.

Kettle C, Ismail K and O’Mahony F. Dyspareunia following childbirth. Obstet Gynecol. 2005;7:245-9.

Mitchell KR, Geary R, Graham CA, Datta J, Wellings K, Sonnenberg P et al. Painful sex (dyspareunia) in women: prevalence and associated factors in a British population probability survey. BJOG: International J Obstet Gynecol. 2016:1-9.

Boran SA, Cengiz H, Erman O, Erkaya SS. Episiotomy and the development of postpartum dyspareunia and anal incontinence in nulliparous females. Eurasian J Med. 2013;45(3):176-80.

Danielsson I, Sjoberg I, Stenlund H, Wikman M. Prevalence and incidence of prolonged and severe dyspareunia in women: results from a population study. Scandinavian J Public Health. 2003;31(2). Available at http://journals.sagepub.com/doi/abs/10.1080/14034940210134040

Barrett G, Pendry E, Peacock J, Victor C, Thakar R, Manyonda I. Women's sexual health after childbirth. BJOG: Int J Obstet Gynecol. 2000;107(2):186-95.

Dabiri F, Yabandeh AP, Shahi A, Kamjoo A, Teshnizi SH. The Effect of Mode of Delivery on Postpartum Sexual Functioning in Primiparous Women. Oman Med J. 2014;29(4):276-9.

Safarinejad M, Kolahi A, Hosseini L. The effect of the mode of delivery on the quality of life, sexual function and sexual satisfaction in Primiparous women and their husbands. J Sex Med. 2009;6:1645-67.

Nour NM. Defibrillation to treat female genital cutting: effect on symptoms and sexual function. J Obstet Gynecol. 2006;108:55-60.

Sartore A, De Seta F, Mso G, Pregazzi R, Grimaldi E, Guaschino S. The effects of mediolateral episiotomy on pelvic floor function after vaginal delivery. Obstet Gynecol. 2004;103:669-73.

Solana-Arellano E, Villegas-Arrizón A, Legorreta-Soberanis J, Cárdenas-Turanzas M, Enzaldo de la Cruz J, Andersson N. Women's dyspareunia after childbirth: a case study in a hospital in Acapulco, Mexico. Rev Panam Salud Publica. 2008;23(1):44-51.