Padoa Dr. Anna, Tomashev Dr. Roni, Brenner Dr. Inbal, Golan Ayelet, Igawa May S, Lurie Dr. Ido, Reicher Dr. Yael, Talmon Anat, Ginzburg Prof. Karni

(170) ACUTE STRESS DISORDER DURING LABOR IS A PREDICTOR OF POST-PARTUM DYSPAREUNIA

  • Urology
  • Reproductive Medicine
  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Psychiatry and Mental health
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Abstract Objectives Few studies have addressed the relationship between peri-partum emotional parameters and post-partum dyspareunia. The aim of this study was to assess the prediction of dyspareunia 3 months postpartum by obstetrical outcomes, perceptions of childbirth experience and emotional adjustment immediately following childbirth. [if !supportLineBreakNewLine] [endif] Methods Four-hundred and forty women were recruited within 48 hours postpartum (T1) in the maternity ward from April 2018 to August 2020. Self-report questionnaires were administered at T1 and again 3 months postpartum (T2), addressing demographic and reproductive background, pre-partum dyspareunia, pain during labor, perceived threat, sense of control and acute stress disorder (ASD) during labor. Obstetrical information was retrieved from clinical files. [if !supportLineBreakNewLine] [endif] Results Two-hundred and sixty-three women filled the dyspareunia questionnaire at both T1 and T2. Of those, 237 (91.2%) reported having sex since childbirth (T2); 47 women (17.9%) were classified into the pre-partum dyspareunia, and 60 women (22.8%) as post-partum dyspareunia. Of the dyspareunia group at T2, 40% (n = 24) were also classified into the dyspareunia group at T1. Dyspareunia severity at T1 and T2 were moderately correlated (r = .39, p < .001). Women with post-partum dyspareunia (group 1) and women without post-partum dyspareunia (group 2) were compared for demographic, obstetrical and emotional parameters. Demographic data were similar between groups. Dyspareunia was not related to pain during childbirth. Women in the post-partum dyspareunia group reported more birth-related ASD symptoms, than comparisons. ASD symptoms at T1 predicted dyspareunia severity at T2 (B = .81, SE = .26, p= .002) after controlling for participants’ age, birthweight, pain during childbirth, and dyspareunia severity at T1. Conclusions ASD immediately after labor is a predictor of postpartum dyspareunia. Peripartum caregivers should be cognizant of this association, addressing ASD symptoms in the immediate postpartum period and assessing for sexual wellness in women after childbirth. Conflicts of Interest Anna Padoa: Pierre Fabre Group- speaker honorarium ESSIC- board member

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