Persistent genito-pelvic pain 2 months after vaginal birth: a nationwide population-based analysis from the 2021 French National Perinatal Survey
Authors' conclusion
At 2 months postpartum, persistent genito-pelvic pain affected one in eight women after vaginal birth and increased with perineal injury severity.
Study context
- Population
- Women who delivered vaginally, 2021 French National Perinatal Survey
- Participants
- 5,802 vaginal births
- Outcome
- Persistent genito-pelvic pain after vaginal birth
- Follow-up
- 2 months postpartum
Methodological detailsnationwide, population-based, weighted for 2-month attrition
- Nationwide
- Population-based
- Weighted for 2-month attrition
Main finding
As reported in the abstract
Prevalence of persistent genito-pelvic pain
Adjusted odds ratio (CI)
1st/2nd-degree tears vs No tear
2.08(1.51–2.87)
Episiotomy vs No tear
3.37(2.27–4.99)
OASI vs No tear
5.92(3.03–11.55)
- Overall prevalence
- 12.8% (95%CI 11.8-13.8)
Observational data: associations, not effects.
Further findings
Other risk factors for persistent pain (multivariable aOR) · 2 months postpartum
- Born in Africa
- 1.51 [1.06-2.16]
- Primiparity
- 1.50 [1.20-1.87]
- Poor maternal psychological status during pregnancy
- 2.05 [1.48-2.83]
- Operative birth
- 1.43 [1.14-1.79]
- Negative childbirth experience
- 2.03 [1.50-2.77]
- Somewhat satisfied with pain management during maternity stay
- 1.59 [1.28-1.98]
- Little/not at all satisfied with pain management during maternity stay
- 3.11 [2.27-4.26]
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Persistent genito-pelvic pain 2 months after vaginal birth: a nationwide population-based analysis from the 2021 French National Perinatal Survey. Anesthesiology. Published 21 September 2026. doi:10. 1097/ aln. 0000000000006365
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