Department of Mental Health and Psychiatric, Medical Faculty Hospital, Ege University, Izmir, Turkey.
J Clin Nurs. 2012 Apr;21(7-8):929-37. doi: 10.1111/j.1365-2702.2011.03882.x. Epub 2011 Oct 19.
The aim of this study was to evaluate the sexual problems in women during the first postpartum year and related conditions.
In the postpartum period, women encounter numerous physical, psychological and sociocultural factors. These factors negatively affect both the sexual function and the quality of life of woman.
A descriptive survey.
In this study, 230 women were included. The study was conducted between September 2007 and December 2008 in Izmir, Turkey. A questionnaire form developed by authors, the Arizona Sexual Experience Scale-female version and the Beck depression inventory were applied for participants.
The women began to have sexual intercourse within 7·06 weeks after delivery. Of the women, 58·3% reported that they had dyspareunia in the postpartum period. According to Arizona Sexual Experience Scale, the total score was ≥ 11 in 91·3% of women and they had sexual problems in the first postpartum year. The results of the multivariate analysis revealed that the increase in age, the presence of sexual problems during pregnancy and the increase in time after delivery significantly increased the possibility of postpartum sexual problems.
This study revealed that the majority of the women had postpartum sexual problems and the possibility of postpartum sexual problems increased with the increase in age, the presence of sexual problems during pregnancy and the increase in time after delivery.
Healthcare professionals should evaluate women in terms of their sexual functions during both pregnancy and postpartum period. Health education, counselling, referral services for early diagnosis and treatment might contribute to the protection and improvement of the sexual health of women during the postpartum period.
本研究旨在评估女性产后第一年的性问题及其相关情况。
在产后期间,女性会遇到许多身体、心理和社会文化因素。这些因素会对女性的性功能和生活质量产生负面影响。
描述性调查。
本研究纳入了 230 名女性。该研究于 2007 年 9 月至 2008 年 12 月在土耳其伊兹密尔进行。研究人员为参与者制定了一份问卷表、女性版亚利桑那性体验量表和贝克抑郁量表。
女性在分娩后 7.06 周开始进行性行为。58.3%的女性报告在产后期间存在性交痛。根据亚利桑那性体验量表,91.3%的女性总分为≥11 分,在产后第一年存在性问题。多变量分析的结果显示,年龄增长、怀孕期间存在性问题以及产后时间增加会显著增加产后性问题的可能性。
本研究表明,大多数女性在产后存在性问题,且随着年龄增长、怀孕期间存在性问题以及产后时间增加,产后性问题的可能性会增加。
医疗保健专业人员应在妊娠和产后期间评估女性的性功能。健康教育、咨询、早期诊断和治疗的转介服务可能有助于保护和改善女性在产后期间的性健康。