Table 3.

Description of included studies with severe maternal morbidity/maternal near miss as exposure

Publication Authors Year of publication	Type of study Outcome assessment	Period of data collection Location	Participants	Outcomes
13. Postnatal morbidity after childbirth and severe obstetric morbidity. Waterstone M, 2003	Prospective cohort Resumption of sexual activity Problems with sexual function Problems with sexual function related to EPD score	Data collected between 1st March 1997 and 28th February 1998. South East Thames Region, UK	329 exposed (cases) 1,330 not exposed (controls) Total = 1,670	Resumption of sexual activity: Cases: ≤6 w = 43 % (123/329) 7–12 w = 43 % (125/329) >12 w = 14 % (40/329) Controls: ≤6 w = 56 % (709/1,330) 7–12 w = 35 % (437/1,330) >12 w = 9 % (118/1,330) χ2 = 17.66 p < 0.001. Problems with sexual function: Cases: 34.1 % (77) Controls: 18.7 % (240) (95 % CI for difference 8.9 % to 22.0 %; χ2 = 27.5, df = 1, p < 0.001). EPDS score & problems with sexual function: >13 = 27.1 % (95/351) 10 – 12 = 28.5 % (74/260) <10 = 17.3 % (182/1052) (χ 2 =22.9, df = 2, p < 0.001).
14. Women’s sexual health and contraceptive needs after a severe obstetric complication (“near-miss”): a cohort study in Burkina Faso. Ganaba R et al., 2010	Prospective cohort Resumption of sexual activity Dyspareunia	Data collected between December 2004 and March 2005. Burkina Faso, Africa	1,014 postpartum women diagnosed with near miss 3, 6 and 12 months after delivery Perinatal death/abortion: 120 Induced abortion: 18 Live births: 199 Uncomplicated births: 677	Resumption of sexual activity: At 3 months Per. death/miscarriage: 64/114 (56.1 %) Induced abortion: 8/18 (44 %) Live birth: 44/178 (24.7 %) Uncomplicated birth: 186/657 (28.3 %) At 6 months Per. death/miscarriage: 94/111 (84.7 %) Induced abortion: 11/15 (73.3 %) Live birth: 88/164 (53.7 %) Uncomplicated birth: 388/640 (60.6 %) At 12 months Per. death/miscarriage: 96/103 (93.2 %) Induced abortion: 12/15 (80 %) Live birth: 106/155 (68.4 %) Uncomplicated birth: 444/597 (74.4 %) Dyspareunia: NS At 3 months Per. death/miscarriage: 15/64 (23.4 %): Induced abortion: 1/8 (12.5 %) Live birth: 12/44 (27.3 %) Uncomplicated birth: 58/156 (31.2 %) At 6 months Per. death/miscarriage: 10/86 (11.6 %) Induced abortion: 2/10 (20 %) Live birth: 13/82 (15.9 %) Uncomplicated birth: 51/375 (13.6 %) At 12 months Per. death/miscarriage: 1/8 (12.5 %) Induced abortion: 1/1 (100 %) Live birth: 3/23 (13.0 %) Uncomplicated birth: 6/88 (6.8 %)