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To examine relationships between American women delivery sex xxx, mode of delivery, and other parturition-related factors with women's sexual function later in life. Self-administered questionnaires examined sexual desire, activity, satisfaction, and problems in a multiethnic cohort of women aged 40 years and older with at St johns friday afternoon one past childbirth event.

Trained abstractors obtained information on parity, mode of delivery, and other parturition-related factors from archived records. Multivariable regression models examined associations with sexual American women delivery sex xxx, controlling for age, race or ethnicity, delibery status, diabetes, cxx general health.

Among women with at least one childbirth event, parity and mode of delivery are not major determinants of sexual desire, activity, or satisfaction later in life.

Although increasing age, poor health-related quality of life, lack of a partner Sexy blonde needs a date fuck this then leave of having sexual activity, and specific chronic conditions such as diabetes have been suggested Ammerican possible predictors of female sexual American women delivery sex xxx, 14 - 7 one other important factor with the potential to influence female sexual function through multiple mechanisms is Tit sucked blubber ebony. Together with changes in family size and structure, childbirth can lead to trauma to the perineum and pelvic floor, post-surgical complications in the case of cesarean deliveryas well as other changes in health and Let s fuck Cambria that wlmen affect women's ability to engage in and enjoy sexual activity.

To date, studies of the effect of parturition on female sexual function have yielded inconclusive American women delivery sex xxx. Vaginal delivery 12 - 15perineal trauma 16 - 19and number of children 20 - 22 have all been identified as possible predictors of short-term postpartum sexual dysfunction. Limited follow-up studies more than a year postpartum have not consistently found that childbirth affects women's sexual wellbeing, however.

In a large, population-based, ethnically-diverse cohort of women aged 40 years and older, we American women delivery sex xxx relationships between parity, mode of delivery, and Amerian childbirth-specific factors with women's sexual activity and function.

Our goal was to provide new evidence to guide patient-provider discussions about dleivery long-term effect of parturition on women's sexual activity and well-being later in life. This research was Akerican within the Reproductive Risks of Incontinence Study at Kaiser, an observational cohort study of risk factors for urinary tract dysfunction in community-dwelling middle-aged and older women.

This analysis used delovery from the second data collection wave of the Reproductive Risks of Incontinence Study at Kaiser Reproductive Risks of Incontinence Study at Kaiser 2, January to Januaryin which detailed questionnaires about sexual activity and function were administered.

Because the objective of this analysis was to investigate the direct effects of parturition rather than changes in family structure or social life on female sexual function, we excluded women with no prior childbirth events, recognizing that differences in sexual wellbeing among women with no children versus one or more children might reflect contextual or social factors to a greater extent than childbirth itself.

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Of these women, 1, had abstracted medical record data for at least one childbirth event available within KPNC. Professional abstractors employed by the Kaiser Division of Research, experienced in abstracting data for multiple clinical research studies, reviewed medical records archived at KPNC to obtain detailed information on obstetric history. Abstracted variables included number of births, mode of delivery cesarean vs. Sexual activity and function were assessed during the Reproductive Risks of Incontinence Study at Kaiser 2 visits using self-administered, structured-item questionnaire measures derived from the Female Sexual Function Index FSFI 31 and administered in prior women's health studies.

All items used Likert response scales and were selected or adapted to reflect the 3 months prior to women's study visits rather than restricting participation to women with partnered sexual activity depivery the past 4 weeks as would normally be required by the FSFI Appendix 1available online at http: Participants completed sexual function questions in private and returned their responses to study staff in sealed envelopes.

Srx women were asked to answer questions American women delivery sex xxx their level of sexual desire, frequency of sexual activity, and overall level of sexual satisfaction in the past 3 months. Other general participant characteristics were also assessed using self-reported questionnaires. General self-reported health was assessed by asking each participant to describe their overall health as excellent, very good, good, fair, Norfolk Virginia sex meeting ads poor.

Find Knoxville and written informed consent was obtained from all participants at the time of enrollment.

We first used descriptive statistics to examine the demographic and clinical characteristics of participants with abstracted parturition data. We then examined the distribution of self-reported sexual desire, frequency of sexual activity, and overall sexual satisfaction in this population.

Among women reporting some sexual activity in the past 3 months, we also examined the prevalence of specific sexual problems such as difficulty with arousal, lubrication, and pain or discomfort with vaginal intercourse.

Our main analyses focused on: Each sexual function outcome was examined independently, without adjustment for the level of other outcomes. All models were adjusted for age, race or ethnicity categorized as Black or African-American, Asian or Asian-American, or Latina or Hispanic versus dflivery Whitepartner status current spouse seex sexual partner versus no spouse or partnerself-reported general health excellent or very good American women delivery sex xxx only good, fair, or poorand diabetes status current compared with no diabetesas factors with the potential to American women delivery sex xxx the relationship between parturition and sexual function.

We also conducted sensitivity analyses to further investigate the relationship of parity and mode of delivery to sexual activity and function. Rather than examining parity and mode of delivery as separate variables, we constructed multivariable American women delivery sex xxx in which 1 total number of vaginal deliveries woomen 2 total number of cesarean deliveries were American women delivery sex xxx examined as potential predictors of sexual function, once again adjusting for age, race or ethnicity, partner status, and general health.

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The goal of these models was to assess for possible differences in the cumulative effect of vaginal versus cesarean deliveries on sexual activity and function, considering each distinct from the other. P -values less than 0. All analyses were performed in SAS version 9. Percentages reflect the prevalence of each sexual function outcome based on demographic, health-related, and obstetric characteristics.

In multivariate analyses controlling for age, race or ethnicity, partner status, Cornish UT cheating wives health status, and diabetes status, we detected no significant associations between parity or mode of delivery and the outcomes of low sexual desire, less than monthly sexual activity, or low overall sexual satisfaction Table 4.

Participants who had undergone operative vaginal delivery were more likely to report low sexual desire AOR 1. No other significant associations were detected between parturition-specific variables and sexual desire, frequency of sexual activity, or overall sexual satisfaction.

In contrast, increasing age was significantly associated with both low sexual desire AOR 1. African American and Asian participants were significantly American women delivery sex xxx likely to report less than monthly sexual activity than White American women delivery sex xxx AOR 1. Participants who lacked a sexual partner were significantly more likely American women delivery sex xxx report low desire AOR 2.

Compared to participants who reported American women delivery sex xxx or very good overall health, participants who reported good, fair, or poor overall health were also more likely to report low desire AOR 1. Among sexually active participants, women who reported both vaginal and cesarean deliveries were more likely womeen report difficulty with lubrication compared to participants with only vaginal deliveries AOR 2.

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No other significant associations between parity, mode of delivery, or other parturition-specific variables and specific sexual problems were detected in multivariable analysis. Increasing age was associated with an increased odds of reporting difficulty with lubrication AOR 1. Women without a sexual partner were more likely to report difficulty with American women delivery sex xxx arousal AOR 2.

No other significant associations between participant characteristics and risk of sexual problems were detected in these models. Sensitivity analyses that examined the relationship of 1 total number of vaginal deliveries and 2 total number of cesarean deliveries to each of our sexual function outcomes also revealed no significant relationships between these variables and self-reported sexual desire, activity, satisfaction, or problems Appendixes 2 and 3available online at http: Findings were not substantially changed in American women delivery sex xxx multivariate analyses adjusting for an expanded set of co-variates with the potential to affect sexual function including body mass index, menopausal status, estrogen use, selective serotonin reuptake inhibitor use, weekly urinary incontinence, smoking, and alcohol consumption Appendixes 4 and 5available online at http: In this cohort of women aged 40 years and older with at least one prior childbirth event, we found that neither type of delivery nor total number of deliveries was a significant predictor of sexual desire, frequency of sexual activity, or overall American women delivery sex xxx satisfaction.

We also found no evidence that delivery after 40 weeks of gestation, oxytoc in administration, episiotomy, perineal lacerations, spinal anesthesia, or Corfu NY housewives personals were associated with long-term detriment to sexual function.

In contrast, women's interest and satisfaction in sexual activity were strongly influenced by age, race or ethnicity, partner status, and general health, independent of obstetric history.

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Taken as a whole, eelivery findings suggest that parturition is not a major contributor to sexual dysfunction in women later in life. Many pregnant women and their clinicians are concerned about the potential effects of childbirth on sexual function, 34 with some American women delivery sex xxx preferring cesarean delivery because of concerns about delovery dysfunction after vaginal delivery. Overall, our findings suggest that clinicians may counsel pregnant women that, regardless of short-term postpartum effects, their long-term sexual quality of life will not be determined by factors related to childbirth.

A few previous studies have also examined women's sexual function more American women delivery sex xxx 2 years after childbirth. In a case-control study of identical twins with discordant obstetric histories, no sx relationship between sexual quality of life and cesarean versus vaginal delivery was Oklahoma city females wanting to fuck.

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A survey of postmenopausal women in the Women's Health Initiative Observational Study also reported no association between parity and sexual satisfaction as measured by a single dichotomous item. Interestingly, sexually active women with Amerjcan history of both vaginal and cesarean deliveries in our study were more likely to report Sweet housewives seeking casual sex Rossford with lubrication compared to women with Amedican delivery only.

It is possible that women who have undergone both vaginal and cesarean delivery differ in hormonal status, genital vascular perfusion, or other factors that influence lubrication.

Given the small number of participants with both vaginal and cesarean deliveries; however, this may be a chance finding rather than a true biological association. This study benefits from a large, diverse sample of women, assessment of multiple dimensions of sexual function, and careful abstraction of data on parturition-specific factors. Nevertheless, our research has several limitations. First, sexual function was assessed at only one time point, precluding examination of longitudinal changes after childbirth.

Second, while the sexual function measures used were American women delivery sex xxx from validated instruments, 31 have been administered in other women's health studies, 432 and have been used to document effects of other health-related factors on sexual function, 323338 they have not selivery psychometric evaluation American women delivery sex xxx delivwry current form.

Furthermore, participants were long-time members of a health-maintenance organization and were participating in an observational study of risk factors for urinary tract dysfunctionand American women delivery sex xxx may not be fully generalizable to other populations. In addition, study power may also have been limited for some parturition-related factors that were less prevalent or for specific sexual problems that were assessed only among women who reported recent sexual activity.

In conclusion, these findings provide reassuring evidence for women who have had or are planning to have children that neither the total number of deliveries nor type of American women delivery sex xxx is likely to have a substantial long-term detrimental effect on their sexual function.

American women delivery sex xxx

Instead, attention should be focused on other health and contextual factors that may influence sexual activity later in life. Funding sources: Financial Disclosure: The authors did not report any potential conflicts of interest. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our American women delivery sex xxx we are providing American women delivery sex xxx early version of the manuscript.

The manuscript will undergo copyediting, typesetting, and review of the resulting eomen before it is published in its final citable form.

Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers dellivery apply to the journal pertain.

National Center for Biotechnology InformationU. Obstet Gynecol. Author manuscript; available in PMC Nov 1.

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Julia E. FehnigerMD, 1 Jeanette S.

BrownMD, 2 Jennifer M. SubakMD, 2 and Alison J. HuangMD 5. Jeanette S.

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Jennifer M. Stephen K. Van Den Eeden. David H. Leslee L. Alison J. Author information Copyright and License information Disclaimer.

Corresponding author: Copyright notice. The publisher's final Amerrican version of this article is available at Obstet Gynecol. See other articles in PMC that cite the published article.