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

Table 3.

Risk for sexual health problems 12 months postpartum among primiparous women in Denmark (n=541)

PISQ-12 score*
Total Crude Adjusted†
n=541 Coef. (95% CI) Coef. (95% CI)
n Mean (SD)
Degree of tear
 No/labia/first 188 10.4 (4.2) 0 reference 0 reference
 Second (spontaneous) 153 10.7 (5.1) 0.37 (−0.65 to 1.38) 0.21 (−0.81 to 1.22)
 Second (mediolateral episiotomy) 31 11.2 (4.2) 0.81 (−0.95 to 2.56) 0.67 (−1.13 to 2.46)
 Third or fourth 169 12.1 (5.0) 1.80 (0.81 to 2.78) 1.69 (0.61 to 2.76)
BMI (kg/m2)‡, mean (SD)
 <25 349 11.2 (4.7) 0 reference 0 reference
 25–29.9 121 10.8 (4.8) −0.44 (−1.43 to 0.56) −0.23 (−1.22 to 0.76)
 >29.9 70 10.6 (5.4) −0.60 (−1.83 to 0.64) −0.51 (−1.74 to 0.72)
Age (years), mean (SD)
 ≤25 137 11.2 (5.1) 0.45 (−0.53 to 1.44) 0.49 (−0.49 to 1.47)
 26–30 270 10.8 (4.7) 0 reference 0 reference
 >30 134 11.5 (4.6) 0.67 (−0.32 to 1.67) 0.61 (−0.37 to 1.59)
Active birth duration (min), mean (SD)
 <220 137 10.9 (4.5) −0.22 (−1.35 to 0.91) −0.24 (−1.27 to 0.79)
 221–340 139 11.1 (5.5) 0 reference 0 reference
 341–570 140 10.7 (4.4) −0.46 (−1.58 to 0.67) 0.55 (−0.57 to 0.47)
 >570 125 11.6 (4.7) 0.51 (−0.65 to 1.67) 0.09 (−1.01 to 1.19)
Second stage duration (min), mean (SD)
 <16 109 10.9 (5.0) −0.22 (−1.36 to 0.92) 0.30 (−1.44 to 0.84)
 16–30 181 11.1 (4.9) 0 reference 0 reference
 31–45 87 10.5 (4.4) −0.60 (−1.83 to 0.62) −0.76 (−1.98 to 0.46)
 >45 164 11.5 (4.8) 0.37 (−0.64 to 1.39) 0.05 (−1.00 to 1.11)
Birth weight (g), mean (SD)
 <2999 75 12.3 (4.9) 1.13 (−0.14 to 2.41) 0.99 (−0.27 to 2.27)
 3000–3499 191 11.2 (4.6) 0 reference 0 reference
 3500–3999 205 10.5 (4.8) −0.66 (−1.60 to 0.28) −0.73 (−1.68 to 0.21)
 ≥4000 70 11.2 (5.1) 0.08 (−1.23 to 1.38) 0.20 (−1.10 to 1.51)
Pre-pregnancy dyspareunia (yes) 104 13.0 (4.6) 2.44 (1.43 to 3.44) 2.45 (1.44 to 3.46)
Operative delivery (yes) 92 11.7 (4.7) 0.69 (−0.38 to 1.76) 0.46 (−0.72 to 1.63)
Smoker at inclusion (yes)‡ 21 13.8 (4.9) 2.78 (0.70 to 4.86) 2.99 (0.93 to 5.06)
Diabetes (yes) 19 11.1 (4.9) 0.00 (−2.19 to 2.20) −0.09 (−2.27 to 2.09)

*PISQ-12 score, Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire, ranges 0–48, a higher score indicating a higher degree of sexual health problems; n=13 not included in analyses because of >2 missing answers in the questionnaire.

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

‡One missing value (n=540).

BMI, body mass index; Coef., coefficient.