School of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada.
Health Care Women Int. 2020 Oct;41(10):1081-1100. doi: 10.1080/07399332.2019.1638923. Epub 2019 Aug 2.
Postpartum sexual health has historically been viewed and discussed in specific ways, often dominated by biomedical discourse. There is a need to expand understandings of sexual health for postpartum women in the context of interdisciplinary health care. Research surrounding postpartum sexual health is largely focused on physical measures, such as vaginal lubrication or initiation of intercourse, without accounting for the diverse and subjective ways that sexuality and sexual health are experienced during the postpartum period. This critical analysis uses feminist post-structuralism to critique and analyze current health research and practice surrounding postpartum sexual health. Agency, subjectivity, gender and sex considerations, relations of power, and discourse are essential to understanding postpartum sexual health in a more holistic, woman-centered way. This includes awareness of dominant discourses that have shaped how health researchers, practitioners, postpartum women, and health institutions care for, support, and promote postpartum sexual health. There is a need to move beyond physically focused, reductionist, heteronormative understandings of sexual health to better promote overall postpartum health and wellbeing.
产后性健康在历史上一直以特定的方式被看待和讨论,往往以生物医学话语为主导。需要在跨学科医疗保健的背景下扩展对产后女性性健康的理解。围绕产后性健康的研究主要集中在身体措施上,例如阴道润滑或开始性交,而没有考虑到在产后期间体验到的性和性健康的多样化和主观方式。本批判性分析使用女性主义后结构主义来批判和分析当前围绕产后性健康的健康研究和实践。能动性、主观性、性别和性考虑因素、权力关系以及话语对于以更全面、以女性为中心的方式理解产后性健康至关重要。这包括意识到主导话语如何塑造了健康研究人员、从业者、产后女性以及健康机构如何关心、支持和促进产后性健康。需要超越以身体为中心、简化论、异性恋规范的性健康理解,以更好地促进整体产后健康和幸福。