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. 2019 Dec 16;9(12):e032368. doi: 10.1136/bmjopen-2019-032368

Table 2.

Relative risks (RRs) for dyspareunia 12 months postpartum among primiparous women in Denmark (n=554)

Total
n=554
Dyspareunia Crude
Yes
n=211
No
n=343
RR (95% CI) Adjusted*
RR
(95% CI)
n n (%) n (%)
Degree of tear
 No/labia/first 191 47 (24.6) 144 (75.4) 1.00 reference 1.00 reference
 Second (spontanous) 157 59 (37.8) 97 (62.2) 1.53 (1.11 to 2.10) 2.05 (1.51 to 2.78)
 Second (mediolateral episiotomy) 32 13 (40.6) 19 (59.4) 1.65 (1.01 to 2.69) 1.62 (0.99 to 2.67)
 Third or fourth 174 92 (52.9) 82 (47.1) 2.15 (1.62 to 2.86) 2.09 (1.55 to 2.81)
BMI, pre-pregnancy (kg/m2)†, mean (SD)
 <25 357 140 (39.2) 217 (60.8) 1.00 reference 1.00 reference
 25–29.9 126 50 (39.7) 76 (60.3) 1.01 (0.79 to 1.30) 1.05 (0.82 to 1.36)
 >29.9 70 21 (30.0) 49 (70.0) 0.77 (0.52 to 1.12) 0.82 (0.56 to 1.19)
Age at inclusion (years), mean (SD)
 ≤25 141 52 (36.9) 89 (63.1) 0.94 (0.72 to 1.22) 0.94 (0.72 to 1.22)
 26–30 278 109 (39.2) 169 (60.8) 1.00 reference 1.00 reference
 >30 135 50 (37.0) 85 (63.0) 0.94 (0.73 to 1.23) 0.91 (0.70 to 1.19)
Active birth duration (min), mean (SD)
 <220 140 49 (35.0) 91 (65.0) 0.97 (0.71 to 1.33) 0.90 (0.66 to 1.24)
 221–340 141 51 (36.2) 90 (63.8) 1.00 reference 1.00 reference
 341–570 143 52 (36.4) 91 (63.6) 1.00 (0.74 to 1.37) 1.00 (0.74 to 1.37)
 >570 130 59 (45.4) 71 (54.6) 1.26 (0.94 to 1.68) 1.26 (0.92 to 1.70)
Second stage duration (min), mean (SD)
 <16 109 34 (31.2) 75 (68.8) 0.82 (0.59 to 1.15) 0.80 (0.57 to 1.12)
 16–30 187 71 (38.0) 116 (62.0) 1.00 reference 1.00 reference
 31–45 89 29 (32.6) 60 (67.4) 0.86 (0.60 to 1.22) 0.86 (0.61 to 1.23)
 >45 169 77 (45.6) 92 (54.4) 1.20 (0.94 to 1.54) 1.15 (0.88 to 1.52)
Birth weight (g), mean (SD)
 <2999 76 31 (40.8) 45 (59.2) 1.05 (0.76 to 1.45) 1.09 (0.79 to 1.51)
 3000–3499 193 75 (38.9) 118 (61.1) 1.00 reference 1.00 reference
 3500–3999 210 82 (39.1) 128 (60.9) 1.01 (0.79 to 1.28) 0.96 (0.75 to 1.22)
 ≥4000 75 23 (30.7) 52 (69.3) 0.79 (0.54 to 1.16) 0.74 (0.50 to 1.10)
Pre-pregnancy dyspareunia (yes) 107 66 (31.3) 41 (12.0) 1.90 (1.56 to 2.32) 1.79 (1.45 to 2.21)
Operative delivery (yes) 65 45 (47.4) 50 (52.6) 1.31 (1.03 to 1.67) 1.18 (0.90 to 1.54)
Smoker at inclusion (yes)† 21 10 (47.6) 11 (52.4) 1.27 (0.80 to 2.01) 1.31 (0.82 to 2.10)
Diabetes (yes) 19 7 (36.8) 12 (63.2) 0.97 (0.53 to 1.76) 1.02 (0.56 to 1.88)

*One missing value (n=553).

†Adjusted for age, BMI, birth weight, second stage duration, active birth duration, smoking, diabetes, operative delivery and pre-pregnancy dyspareunia (second stage duration and active birth duration are not mutually adjusted for each other).

BMI, body mass index.