Alves Lisiane Camargo, Costa Jessica Ribeiro, Monteiro Juliana Cristina Dos Santos, Gomes-Sponholz Flávia Azevedo
Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre at the Nursing Research Development, Ribeirão Preto, SP, Brazil.
Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.
Rev Lat Am Enfermagem. 2020 Jun 19;28:e3293. doi: 10.1590/1518-8345.3500.3293. eCollection 2020.
to investigate female sexual function in women six months postpartum and to compare sexual function among women who had and who did not have severe maternal morbidity (SMM).
a cross-sectional study conducted with 110 women in the postpartum period, with and without SMM. Two instruments were used, one for the characterization of sociodemographic and obstetric variables and the Female Sexual Function Index (FSFI) for sexual function. Univariate, bivariate and regression model analyses were performed.
FSFI scores showed 44.5% of female sexual dysfunction, of which 48.7% were among women who had SMM and 42.0% among those who had not. There were significant differences between age (P=0.013) and duration of pregnancy (P<0.001) between women with or without SMM. Among the cases of SMM, hypertensive disorders were the most frequent (83%). An association was obtained between some domains of the FSFI and the following variables: orgasm and self-reported skin color, satisfaction and length of relationship, and pain and SMM.
white women have greater difficulty in reaching orgasm when compared to non-white women and women with more than 120 months of relationship feel more dissatisfied with sexual health than women with less time in a relationship. Women who have had some type of SMM have more dyspareunia when compared to women who have not had SMM.
调查产后六个月女性的性功能，并比较有严重孕产妇发病（SMM）和无严重孕产妇发病的女性之间的性功能。
对110名产后女性进行横断面研究，包括有和无SMM的女性。使用了两种工具，一种用于描述社会人口统计学和产科变量，另一种是用于性功能的女性性功能指数（FSFI）。进行了单变量、双变量和回归模型分析。
FSFI评分显示44.5%的女性存在性功能障碍，其中有SMM的女性中这一比例为48.7%，无SMM的女性中为42.0%。有或无SMM的女性在年龄（P = 0.013）和孕期时长（P < 0.001）方面存在显著差异。在SMM病例中，高血压疾病最为常见（83%）。FSFI的某些领域与以下变量之间存在关联：性高潮与自我报告的肤色、满意度与恋爱时长、疼痛与SMM。
与非白人女性相比，白人女性达到性高潮的难度更大；恋爱超过120个月的女性比恋爱时间较短的女性对性健康更不满意。与未发生过某种SMM的女性相比，发生过某种SMM的女性性交疼痛更多。
