Shirvani M A, Nesami M B, Bavand M
Department of Midwifery, Nasibeh Nursing and Midwifery School, Mazandaran University of Medical Sciences, Sari, Iran.
Pak J Biol Sci. 2010 Apr 15;13(8):385-9. doi: 10.3923/pjbs.2010.385.389.
The aim of this study was to investigate the sexual function of mothers at one year postpartum and associated factors. Four hundred and ninety Iranian women were recruited randomly at four time periods from child birth: first 3 months, 4 to 6, 7 to 9 and 10 to 12 months, from January to July 2008. All mothers were married, literate and agreed with participation. The exclusion criteria were, (a) loss of baby, (b) living far from their partner, (c) psychological problems and (d) serious medical diseases. Data on socio-demographic factors, obstetric, medical, last delivery and postpartum history was obtained. The sexual function was evaluated by the 19th item questionnaire of Female Sexual Function Index (FSFI). The mean resumption of intercourse was 57.17 +/- 27.95. Twenty-four had no sexuality. The most common reasons were fear of pain, no interest, worrying about another pregnancy, feeling tired and bleeding. All dimensions of women's sexual function were at the lowest level in early postpartum. Sexual activity had significance correlation with an older maternal age, a longer marriage duration and higher number of children. Mothers diseases, neonate problems and tuboligation were associated with lower scores of sexual function. There was no association with delivery type and perineal injuries. Sexual parameters decrease at the first 3 months of postpartum and recovery during the following months. More consultation and direction of postnatal sexuality recurrence is needed.
本研究旨在调查产后一年母亲的性功能及相关因素。2008年1月至7月期间，在分娩后的四个时间段（产后前3个月、4至6个月、7至9个月、10至12个月）随机招募了490名伊朗女性。所有母亲均已婚、识字且同意参与。排除标准为：(a) 婴儿夭折；(b) 与伴侣分居；(c) 心理问题；(d) 严重疾病。收集了社会人口学因素、产科、医疗、末次分娩及产后病史的数据。通过女性性功能指数（FSFI）的第19项问卷评估性功能。性交恢复的平均时间为57.17 +/- 27.95天。24人无性活动。最常见的原因是害怕疼痛、无兴趣、担心再次怀孕、感到疲倦和出血。产后早期女性性功能的所有维度均处于最低水平。性活动与母亲年龄较大、婚姻持续时间较长和子女数量较多呈显著相关。母亲疾病、新生儿问题和输卵管结扎与性功能得分较低有关。与分娩方式和会阴损伤无关。性功能参数在产后前3个月下降，随后几个月恢复。需要更多关于产后性功能恢复的咨询和指导。
