Abstract
ObjectiveTo 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. MethodsPrimiparous 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. ResultsAmong 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. ConclusionAlthough 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.
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