A population-based study of pregnancy and delivery characteristics among women with vulvodynia.
A population-based study of pregnancy and delivery characteristics among women with vulvodynia.
复制标题
一项针对患有外阴痛的女性妊娠和分娩特征的人群研究。
DOI：
10.1007/s40122-012-0002-7
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发表时间：
2012
期刊：
影响因子：
4
通讯作者：
Harlow,BernardL
中科院分区：
文献类型：
--
作者：
Nguyen,RubyHN;Stewart,ElizabethG;Harlow,BernardL
IntroductionTo examine pregnancy and delivery characteristics of women with and without vulvodynia.MethodsThe authors analyzed 227 vulvodynia cases that were less than 45 years old at pain onset; controls were age matched 1:1 to cases and had no history of vulvar pain. Pregnancy and delivery events were assessed after age at first vulvar pain onset (the reference age) in cases and a matched age in controls.ResultsThe authors observed no significant difference between cases and controls in achieving pregnancy after reference age. Also, no difference in pregnancy outcome was observed between cases and controls (P= 0.87). There was an indication that cases were more likely to receive a Cesarean section delivery (P= 0.07). In addition, 37.1% of cases who had vaginal delivery versus 11.3% of controls (P< 0.01) reported pain at 2 months postpartum. Comparing only women with vulvodynia, women who had intermittent pain versus constant pain were more than twice as likely to have a pregnancy (adjusted odds ratio 2.26, 95% CI 1.10–4.60).ConclusionsWomen with vulvodynia may be as likely as other women to carry their pregnancy to birth; however, they may experience higher rates of Cesarean section delivery and could reflect a selection towards those women with vulvodynia who have inconsistent pain.
