O'Malley Deirdre, Higgins Agnes, Smith Valerie
School of Nursing & Midwifery, Trinity College Dublin, Ireland.
J Adv Nurs. 2015 Oct;71(10):2247-57. doi: 10.1111/jan.12692. Epub 2015 May 21.
The aim of this study is to report an analysis of the concept of postpartum sexual health.
Postpartum sexual health is a minimally understood concept, most often framed within physical/biological dimensions or as a 'checklist' task in postpartum information provision. This has the potential to leave women unprepared to manage transient or normative sexual health changes after childbirth. For meaningful discussions, clarity and understanding of postpartum sexual health is required.
A principle-based method of concept analysis.
The databases of PubMed, CINAHL, Maternity and Infant Care, PsychInfo, Web of Science, EMBASE, SCOPUS and Social Science Index were systematically searched, from their earliest dates, using a combination of key terms, including; 'sexual health', 'sexual function', 'dyspareunia', 'sexuality', 'sexual desire', 'sexual dysfunction', 'postnatal' and 'postpartum', resulting in a final included dataset of 91 studies.
Using the principle-based approach, postpartum sexual health was analysed under the four philosophical principles of epistemological, pragmatic, linguistic and logical.
Philosophically, postpartum sexual health is underdeveloped as a concept. A precise theoretical definition remains elusive and, presently, postpartum sexual health cannot be separated theoretically from sexuality and sexual function. Identified antecedents include an instrument free birth, an intact perineum and avoidance of episiotomy. Attributes include sexual arousal, desire, orgasm, sexual satisfaction and resumption of sexual intercourse. Outcomes are sexual satisfaction and a satisfying intimate relationship with one's partner.
Postpartum sexual health is conceptually immature with limited applicability in current midwifery practice.
本研究旨在报告对产后性健康概念的分析。
产后性健康是一个鲜为人知的概念，大多是从生理/生物学层面来界定，或者在产后信息提供方面被视为一项“清单式”任务。这可能使女性在产后难以应对短暂的或正常的性健康变化。为了进行有意义的讨论，需要对产后性健康有清晰的认识和理解。
一种基于原则的概念分析方法。
对PubMed、CINAHL、母婴护理、心理信息、科学网、EMBASE、SCOPUS和社会科学索引等数据库进行系统检索，从其最早日期开始，使用包括“性健康”“性功能”“性交困难”“性征”“性欲”“性功能障碍”“产后”等关键词组合，最终纳入91项研究的数据集。
采用基于原则的方法，从认识论、实用主义、语言和逻辑这四个哲学原则角度对产后性健康进行分析。
从哲学角度来看，产后性健康作为一个概念尚未充分发展。精确的理论定义仍然难以捉摸，目前，产后性健康在理论上无法与性征和性功能区分开来。已确定的前提条件包括自然分娩、会阴完整以及避免会阴切开术。属性包括性唤起、性欲、性高潮、性满意度和恢复性交。结果是性满意度以及与伴侣建立令人满意的亲密关系。
产后性健康在概念上并不成熟，在当前助产实践中的适用性有限。
