title: Postpartum adverse effects and sexual satisfaction following cesarean delivery in Beijing.
abstract: OBJECTIVE
  To investigate short- and long-term postpartum complications of different delivery methods in terms of sexual satisfaction, stress urinary incontinence (SUI), and pelvic-floor dysfunction in the Beijing region.
  
  
  METHODS
  A questionnaire-based study was conducted between June 30, 2013 and July 1, 2014. Female residents of Beijing aged 20-65 years, who were attending routine physical examinations, were enrolled and completed a face-to-face survey including questions on short- and long-term complications related to sexual satisfaction, SUI, and pelvic-floor dysfunction postpartum.
  
  
  RESULTS
  In total, 2649 individuals were enrolled. In comparison with patients that underwent vaginal delivery, patients that had undergone cesarean delivery experienced a greater length of time before resuming intercourse (2.70±2.0 9months vs 4.32±4.10 months; P<0.001) and higher incidences of decreased libido (93 [6.1%] vs 234 [20.7%]; P<0.001), vaginal dryness (39 [2.6%] vs 177 [15.7%]; P<0.001), sexual dissatisfaction (117 [7.7%] vs 234 [20.7%]; P<0.001), and painful intercourse (48 [3.2%] vs 252 [22.3%]; P<0.001) after delivery. Cesarean delivery did not demonstrate any long-term protective effects against future SUI in comparison with vaginal delivery.
  
  
  CONCLUSIONS
  Cesarean delivery resulted in a greater incidence of adverse effects on postpartum sexual function and cesarean delivery provides no long-term protective effects against postpartum SUI.
authors.affiliation: Department of Gynecology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.
authors.forename: Ruiya
authors.initials: R
authors.lastname: Qian
authors.affiliation: Department of Neuroepidemiology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China.
authors.forename: Zhenghong
authors.initials: Z
authors.lastname: Chen
authors.affiliation: Department of Gynecology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.
authors.forename: Lirong
authors.initials: L
authors.lastname: Tang
authors.affiliation: Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China. Electronic address: zhangweiyuan05@163.com.
authors.forename: Weiyuan
authors.initials: W
authors.lastname: Zhang
mesh_terms: D000328:Adult; D000068476:Beijing; D002585:Cesarean Section / Q000009:adverse effects* / Q000523:psychology; D002681:China; D005260:Female; D006801:Humans; D007989:Libido; D008875:Middle Aged; D059952:Pelvic Floor Disorders / Q000453:epidemiology / Q000209:etiology; D010549:Personal Satisfaction; D049590:Postpartum Period; D011247:Pregnancy; D012725:Sexual Behavior / Q000523:psychology*; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology* / Q000209:etiology; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000453:epidemiology / Q000209:etiology; D014623:Vaginal Diseases / Q000453:epidemiology* / Q000209:etiology; D055815:Young Adult
keywords: Cesarean delivery; Postpartum period; Sexual behavior; Urinary incontinence; Vaginal delivery