Department of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
J Sex Med. 2010 Dec;7(12):3946-56. doi: 10.1111/j.1743-6109.2010.01752.x.
Childbirth impacts sexual function in women, but few reports have addressed sexual function shortly after childbirth.
Using the Taiwan version of the Female Sexual Function Index (FSFIT), this study aimed to describe women's sexual function and to examine differences between groups in sexual function shortly after delivery.
A prospective longitudinal investigation was performed in women who completed the FSFIT, a numeric analog scale, the Taiwan version of the Center for Epidemiologic Studies Depression Scale (CES-D), and a demographic questionnaire in a Taiwanese medical center at 3 days and 6 weeks postpartum.
Using a general linear model, differences were tested between groups, including those defined by delivery mode, type of feeding, depression score, pain score, and birth history.
After adjusting for covariates, (i) significant differences in sexual function and desire were found between the vaginal delivery and Cesarean section groups at day 3 and week 6 postpartum (P = 0.0419 and <0.0001, respectively); (ii) differences in desire and satisfaction between the tubal ligation and not groups were significant at both time points (P = 0.0346 and 0.0338); (iii) differences in sexual function and sexual activity or intercourse between low and high CES-D scores were significant at 6 weeks postpartum (P = 0.0040 and 0.0043, respectively); and (iv) differences between pain level groups in sexual activity or intercourse and desire were significant at 6 weeks (P = 0.0493 and 0.0004). At 3 days postpartum, significant differences between educational level and ethnic groups were observed (P = 0.0002 and 0.0414).
The results showed significant differences in sexual function shortly after delivery between groups based on delivery method, tubal ligation, depression, pain, ethnicity, and educational level. This information may help health professionals to be more aware of women's perception of sexuality and may foster sensitivity in assessing their sexual function after childbirth.
分娩会影响女性的性功能，但很少有报道涉及产后不久的女性性功能。
本研究使用台湾版女性性功能指数（FSFIT），旨在描述女性的性功能，并检查产后不久不同组别之间的性功能差异。
在台湾一家医疗中心，对完成 FSFIT、数字模拟量表、台湾版流行病学研究抑郁量表（CES-D）和人口统计学问卷的女性进行前瞻性纵向调查，调查时间分别为产后 3 天和 6 周。
使用一般线性模型，比较不同组别之间的差异，包括分娩方式、喂养方式、抑郁评分、疼痛评分和生育史。
在调整了协变量后，（i）阴道分娩组和剖宫产组在产后 3 天和 6 周时，在性功能和性欲方面存在显著差异（P = 0.0419 和 <0.0001）；（ii）结扎组和未结扎组在性欲和满意度方面存在显著差异（P = 0.0346 和 0.0338）；（iii）在 CES-D 评分高和低的两组之间，在产后 6 周时，在性功能和性行为或性交方面存在显著差异（P = 0.0040 和 0.0043）；（iv）在 6 周时，在疼痛程度组之间，在性行为或性交和性欲方面存在显著差异（P = 0.0493 和 0.0004）。产后 3 天，发现教育水平和种族之间存在显著差异（P = 0.0002 和 0.0414）。
研究结果表明，产后不久，不同组别之间在分娩方式、结扎、抑郁、疼痛、种族和教育水平方面，在性功能方面存在显著差异。这些信息可能有助于健康专业人员更好地了解女性对性的认知，并在产后评估其性功能时更加敏感。
