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Obstetric Outcome and Emotional Adjustment to Childbirth in Women with Dyspareunia: A Cross-sectional Study
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  • Anna Padoa,
  • Roni Tomashev,
  • Inbal Brenner,
  • Ayelet Golan,
  • May Igawa,
  • Ido Lurie,
  • Yael Reicher,
  • Anat Talmon,
  • Karni Ginzburg
Anna Padoa
Assaf Harofeh Medical Center
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Roni Tomashev
Shamir Medical Center Assaf Harofeh
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Inbal Brenner
Lev Hasharon Mental Health Center
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Ayelet Golan
Shamir Medical Center Assaf Harofeh
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May Igawa
Tel Aviv University Sackler Faculty of Medicine
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Ido Lurie
Shalvata Mental Health Center
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Yael Reicher
Soroka Medical Center
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Anat Talmon
Paul Baerwald School of Social Work and Social Welfare
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Karni Ginzburg
Tel Aviv University the Bob Shapell School of Social Work
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Abstract

Objective: To assess obstetrical outcomes, perceptions of childbirth experience and emotional adjustment in women with dyspareunia. Design: Cross-sectional study. Setting: The maternity ward of a single medical center. Population: Four-hundred forty women, recruited within two days postpartum. Methods: We administered self-report questionnaires addressing demographic and reproductive background, dyspareunia, pain and perceived threat during delivery, sense of control during labour, perceived professional support, and maternal adjustment (i.e., perinatal dissociation, acute stress disorder (ASD), bonding, anticipated maternal self-efficacy depression and positive and negative affect). Obstetrical information was retrieved from clinical files. Main outcomes measures: Obstetrical outcomes and emotional adjustment to childbirth in women with dyspareunia versus comparisons. Results: Three-hundred eighty-eight women filled the dyspareunia questionnaire. The dyspareunia group included 71 women (18.3%) and the comparison group 317 (81.7%). Demographic data were similar between groups. No difference was observed in labour onset, analgesia, route of delivery and perineal tears. More participants with dyspareunia had premature delivery versus comparisons (14.1% vs 5.6%, p=0.02). Women with dyspareunia reported lower sense of control (p=0.01), lower perceived support (p<0.001), more perinatal dissociation (p<0.001), ASD symptoms (p<0.001), depression (p=0.02), negative affect (p<0.001), lower maternal bonding (p<0.001) and anticipated maternal self-efficacy (p=0.01). Women who experienced pain during pelvic exams were less likely to have spontaneous labor onset, more likely to need cervical ripening (p=0.02), and reported higher levels of negative affect (p=0.03). Conclusion: Dyspareunia was associated with more premature deliveries, more emotional distress and poorer maternal adjustment. Perinatal caregivers should be cognizant of such emotional reactions during prenatal care.
17 Jun 2022Submitted to BJOG: An International Journal of Obstetrics and Gynaecology
20 Jun 2022Assigned to Editor
20 Jun 2022Submission Checks Completed
21 Jun 2022Reviewer(s) Assigned