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Considerable attention is being given to preserving the perineum at the time of delivery. Some providers advocate cesarean delivery rather than vaginal delivery to diminish subsequent incontinence and to maintain sexual function. However, confirmatory data are sparse. In this study, 524 women in their first pregnancy were recruited from Dutch midwifery practices. All were low risk and had had no previous anorectal or urogynecologic surgery or major illness. The women completed questionnaires evaluating sexual activity and satisfaction at gestational weeks 12 and 36 and at postpartum months 3 and 12.
Fifty women were excluded because they became pregnant again (thus incidentally answering the question about continued sexual activity), and 46 …