Klein Katharina, Worda Christof, Leipold Heinz, Gruber Christian, Husslein Peter, Wenzl Rene
Department of Obstetrics and Feto-maternal Medicine, Medical University of Vienna, Vienna, Austria.
J Womens Health (Larchmt). 2009 Aug;18(8):1227-31. doi: 10.1089/jwh.2008.1198.
The aim of the study was to evaluate the influence of the mode of delivery on female sexuality 12-18 months after childbirth.
Fifty-five primiparae who delivered vaginally without complication and 44 who underwent elective cesarean section after 37 weeks of gestation were included. Sexual function was assessed by a validated self-reported questionnaire, the Female Sexual Function Index (FSFI), 12 months after birth and compared between groups. Additionally, we have analyzed subjective stress variables recorded after birth between the two groups.
Women with cesarean section were older (p = 0.002) and had a higher body mass index (BMI) (p =0.02). The total score of the FSFI was not significantly different between the groups. Patients recall of dyspareunia at 3 months after childbirth was higher in those who underwent vaginal delivery (p < 0.001).
We suggest that there is no significant difference in sexual function 12-18 months after childbirth between women who delivered vaginally without episiotomy, heavy perineal laceration, or secondary operative interventions and women who underwent elective cesarean section.
本研究旨在评估分娩方式对产后12 - 18个月女性性功能的影响。
纳入55例无并发症经阴道分娩的初产妇和44例妊娠37周后行择期剖宫产的初产妇。产后12个月通过一份经过验证的自我报告问卷——女性性功能指数（FSFI）来评估性功能，并对两组进行比较。此外，我们还分析了两组产后记录的主观压力变量。
剖宫产的女性年龄较大（p = 0.002）且体重指数（BMI）较高（p = 0.02）。两组间FSFI总分无显著差异。经阴道分娩的患者产后3个月性交困难的发生率更高（p < 0.001）。
我们认为，未行会阴切开术、严重会阴裂伤或二次手术干预的经阴道分娩女性与择期剖宫产女性在产后12 - 18个月的性功能方面无显著差异。
