Ghorat Fereshteh, Esfehani Reza Jafarzadeh, Sharifzadeh Masoumeh, Tabarraei Yaser, Aghahosseini Shima Sadat
Ph.D. Candidate of Traditional Medicine, Traditional and Complementary Medicine Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran.
MD-Ph.D. student, Department of Medical Genetics, Mashhad University of Medical Sciences, Mashhad, Iran.
Electron Physician. 2017 Mar 25;9(3):3991-3996. doi: 10.19082/3991. eCollection 2017 Mar.
Pregnancy and birth giving are two of the most important and common effective factors influencing female sexual function. Sexual dysfunction can affect women's quality of life and marriage. This research tried to determine the relation between labor type and long term sexual function in primipara women of Sabzevar, Iran.
This cross-sectional study took place in Sabzevar healthcare system in 2014. Study population was chosen by random sampling from every primipara woman who had delivered 2 years ago, in Sabzevar Hospitals. A total number of 177 primipara women were enrolled in this study after signing an informed contest. Sexual function of mothers was determined by validated Persian version of female sexual function index (FSFI). SPSS statistical software version 19 and descriptive and inferential statistics such as percentage, mean, standard deviation, Chi square, student t-test and fisher exact test were used to analyze data.
Among the study population, 69.5% had natural vaginal delivery (NVD) and 30.5% had caesarean section (C/S). The overall FSFI score was not significantly different in women undergoing NVD or C/S (p=0.23). Also, no significant relation was found between delivery method and urinary (p=0.07) and fecal incontinency (p=0.6). Female sexual function was prominent in women with urinary (p=0.015) and fecal incontinency (p=0.018).
The results of present study showed that delivery method has no long-term effect on female sexual function and appropriate education about the sexual issues after delivery and effect of birth giving on sexual function are necessary for this group of society.
怀孕和分娩是影响女性性功能的两个最重要且常见的有效因素。性功能障碍会影响女性的生活质量和婚姻。本研究旨在确定伊朗萨卜泽瓦尔初产妇的分娩方式与长期性功能之间的关系。
这项横断面研究于2014年在萨卜泽瓦尔医疗保健系统中进行。通过随机抽样从萨卜泽瓦尔医院两年前分娩的每位初产妇中选取研究对象。177名初产妇在签署知情同意书后纳入本研究。采用经过验证的波斯语版女性性功能指数（FSFI）来确定母亲的性功能。使用SPSS统计软件19版以及百分比、均值、标准差、卡方检验、学生t检验和费舍尔精确检验等描述性和推断性统计方法来分析数据。
在研究人群中，69.5%为自然阴道分娩（NVD），30.5%为剖宫产（C/S）。接受NVD或C/S的女性的总体FSFI评分无显著差异（p = 0.23）。此外，分娩方式与尿失禁（p = 0.07）和粪失禁（p = 0.6）之间未发现显著关系。女性性功能在有尿失禁（p = 0.015）和粪失禁（p = 0.018）的女性中更为突出。
本研究结果表明，分娩方式对女性性功能没有长期影响，对于这一社会群体，有必要就产后性问题以及分娩对性功能的影响进行适当的教育。
