Department of Psychology, University of Michigan, Ann Arbor, MI 48109, USA.
J Sex Med. 2012 Sep;9(9):2330-41. doi: 10.1111/j.1743-6109.2012.02804.x. Epub 2012 Jun 6.
Women's postpartum sexuality can be influenced by factors related to physical, personal, and relationship transitions after the newborn arrives. Despite this, many experiential and social factors remain unexplored.
This study aims to (i) investigate a range of variables thought to influence postpartum sexuality; (ii) expand the focus beyond latency to penis-vagina intercourse; and (iii) assess positive aspects of postpartum sexuality.
Via retrospective reporting on the first 3 months postpartum, 304 women completed an online questionnaire.
The main outcome measures were retrospective reports of sexual desire (Sexual Desire Inventory), latency to resumption of sexual activity, and perceptions of partner's sexual desire. Other measures were birth experience (Questionnaire Measuring Attitudes About Labor and Delivery), breastfeeding status, perceptions of social support (Multidimensional Scale of Perceived Social Support), stress (Perceived Stress Scale), and body image (Body Image Self-Consciousness Scale).
Significant differences in time to resumption were found. Women performed oral sex on their partners earlier than engaging in masturbation, which was followed by intercourse and then receiving oral sex. Post hoc analyses identified birth experience, social support, importance of partner's sexual fulfillment, and perception of partner's desire as contributors to this pattern. Women's postpartum sexual desire was influenced by their perceptions of their partner's postpartum sexuality and individual's level of fatigue. Results suggested that postpartum desire was not significantly influenced by breastfeeding status, vaginal issues, or psychosocial variables including stress, body image, or social support.
Results suggest that women's perceptions of their partner's sexuality impact postpartum sexuality more than the physical factors most commonly studied (e.g., vaginal trauma and breastfeeding). These results portray postpartum sexuality as a multidimensional phenomenon and highlight the need for further research that addresses its social context.
女性产后的性生活可能会受到与新生儿出生后身体、个人和关系转变相关的因素的影响。尽管如此，许多经验和社会因素仍未得到探索。
本研究旨在：(i) 调查一系列被认为会影响产后性生活的变量；(ii) 扩大研究范围，不仅包括产后性潜伏期，还包括阴道性交；(iii) 评估产后性生活的积极方面。
通过对产后前 3 个月的回顾性报告，304 名女性完成了在线问卷。
主要观察指标是对性欲望的回顾性报告（性欲望量表）、恢复性生活的潜伏期以及对伴侣性欲望的看法。其他指标包括分娩经历（衡量分娩态度的问卷）、母乳喂养状况、社会支持感知（多维感知社会支持量表）、压力（感知压力量表）和身体形象（身体意象自我意识量表）。
发现恢复时间存在显著差异。女性为伴侣口交的时间早于自慰，之后是性交，然后是接受口交。事后分析确定了分娩经历、社会支持、伴侣性满足的重要性以及对伴侣欲望的感知是导致这种模式的原因。女性产后的性欲望受到她们对伴侣产后性欲望的感知以及个人疲劳程度的影响。结果表明，产后欲望并不受母乳喂养状况、阴道问题或心理社会变量（如压力、身体形象或社会支持）的显著影响。
结果表明，女性对伴侣性欲望的感知比大多数常见的研究的身体因素（如阴道创伤和母乳喂养）对产后性欲望的影响更大。这些结果描绘了产后性欲望是一个多维现象，并强调了需要进一步研究其社会背景。
