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Table 4 Perineal trauma as a risk factor for sexual health issues at 6 and 12 months postpartum

From: Prevalence of and risk factors associated with sexual health issues in primiparous women at 6 and 12 months postpartum; a longitudinal prospective cohort study (the MAMMI study)

  6 months postpartum 12 months postpartum
  n/total % Unadjusted OR 95% CI p value n/total % Unadjusted OR 95% CI p value
Dyspareunia           
 Intact 77/252 30.6 1.0 (ref.)    40/250 16 1.0 (ref.)   
 1st degree tear 11/39 28.2 0.9 0.4–1.9 0.766 7/40 17.5 1.1 0.5–2.7 0.811
 2nd degree tear 66/161 41 1.6 1.0–2.3 0.03* 35/158 22.2 1.5 0.9–2.5 0.119
 3rd degree tear 13/21 61.9 3.7 1.5–9.3 0.005* 8/25 32 2.5 1.0–6.1 0.05*
 Episiotomy 121/281 43.1 1.7 1.2–2.5 0.003* 69/288 24 1.6 1.1–2.6 0.023*
 Labial or vaginal wall tear 10/24 41.7 1.6 0.7–3.8 0.267 7/24 29.2 2.1 0.8–5.6 0.109
Lack of vaginal lubrication        
 Intact 101/251 40.2 1.0 (ref.)    91/254 35.8 1.0 (ref.)   
 1st degree tear 16/39 41 1.0 0.5–2.1 0.926 14/42 33.3 0.89 0.5–1.8 0.754
 2nd degree tear 72/163 44.2 1.2 0.8–1.8 0.428 57/162 35.2 1.0 0.6–1.5 0.894
 3rd degree tear 12/23 52.2 1.6 0.7–3.8 0.269 9/24 37.5 1.0 0.4–2.6 0.87
 Episiotomy 128/288 44.4 1.2 0.8–1.7 0.325 97/289 33.6 0.9 0.6–1.3 0.58
 Labial or vaginal wall tear 11/25 44 1.2 0.5–2.7 0.715 10/24 41.7 1.3 0.5–3.0 0.57
Loss of interest in sexual activity         
 Intact 103/253 40.7 1.0 (ref.)    94/249 37.8 1.0 (ref.)   
 1st degree tear 17/41 41.5 1.0 0.5–2.0 0.928 19/42 45.2 1.4 0.7–2.6 0.358
 2nd degree tear 88/163 54 1.7 1.1–2.5 0.008* 69/162 42.6 1.2 0.8–1.8 0.327
 3rd degree tear 15/24 62.5 2.4 1.0–5.8 0.044* 9/25 36 0.9 0.4–2.2 0.863
 Episiotomy 138/288 47.9 1.3 0.9–1.9 0.093 114/289 39.4 1.1 0.8–1.5 0.687
 Labial or vaginal wall tear 10/24 41.7 1.0 0.4–2.4 0.927 8/24 33.3 0.8 0.3–2.0 0.67
  1. *indicates statistical signficance at p < 0.05