Main Findings
In our cohort, 18.3% reported significant dyspareunia. We observed more preterm deliveries in the dyspareunia group and no difference between groups in other obstetrical outcomes. Women with dyspareunia reported lower sense of control and perceived staff support, despite similar pain levels and perceived threat for their or the baby’s lives. Women with dyspareunia reported higher dissociation, ASD-related symptoms, depression, negative affect, lower bonding and maternal self-efficacy. Women with pain during pelvic exams had less spontaneous labor onset, more cervical ripening, and higher levels of negative affect.