Wen-Ying Li1, Tippawan Liabsuetrakul2, Babill Stray-Pedersen3, Ya-Jun Li4, Li-Jie Guo4, Wen-Zhi Qin4. 1. Department of Obstetrics and Gynecology, First Hospital of Tsinghua University and Tsinghua University, Beijing, China; Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand. Electronic address: muziwen9999@hotmail.com. 2. Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand. 3. Division of Women and Children, Rikshospitalet, Oslo University Hospital and University of Oslo, Oslo, Norway. 4. Department of Obstetrics and Gynecology, First Hospital of Tsinghua University and Tsinghua University, Beijing, China.
Abstract
OBJECTIVE: To assess the effects of mode of delivery and time since birth on chronic pelvic pain (CPP) and health-related quality of life (HRQoL) among primiparous Chinese women. METHODS: Primiparous women of childbearing age who had given birth at least 6months previously were invited to participate in the present cross-sectional study, which was conducted from October 2011 to April 2012 in the Chaoyang District of Beijing. Time since birth was divided into the following 4 periods: less than 1year, 1-5years, 6-10years, and more than 10years. The factors associated with CPP status were analyzed using logistic regression. RESULTS: Among the 1456 participants, CPP was more common following cesarean delivery (11.2% versus 6.9% among women with a vaginal delivery; P=0.007), and the rate of CPP increased with time since birth (2.3%, 9.3%, 10.7%, and 13.1% for the 4 specified time periods, respectively (P<0.001). Cesarean delivery, longer time since birth, and CPP were all associated with a lower HRQoL utility score. CONCLUSION: Although the absolute risks were small, cesarean delivery and time since birth were significant risk factors for CPP, which had a negative impact on the participants' HRQoL.
OBJECTIVE: To assess the effects of mode of delivery and time since birth on chronic pelvic pain (CPP) and health-related quality of life (HRQoL) among primiparous Chinese women. METHODS: Primiparous women of childbearing age who had given birth at least 6months previously were invited to participate in the present cross-sectional study, which was conducted from October 2011 to April 2012 in the Chaoyang District of Beijing. Time since birth was divided into the following 4 periods: less than 1year, 1-5years, 6-10years, and more than 10years. The factors associated with CPP status were analyzed using logistic regression. RESULTS: Among the 1456 participants, CPP was more common following cesarean delivery (11.2% versus 6.9% among women with a vaginal delivery; P=0.007), and the rate of CPP increased with time since birth (2.3%, 9.3%, 10.7%, and 13.1% for the 4 specified time periods, respectively (P<0.001). Cesarean delivery, longer time since birth, and CPP were all associated with a lower HRQoL utility score. CONCLUSION: Although the absolute risks were small, cesarean delivery and time since birth were significant risk factors for CPP, which had a negative impact on the participants' HRQoL.