Fuchs Anna, Czech Iwona, Dulska Agnieszka, Drosdzol-Cop Agnieszka
Chair and Department of Gynecology, Obstetrics and Oncological Gynecology, School of Health Science in Katowice, Medical University of Silesia, Poland.
Ginekol Pol. 2021;92(1):1-6. doi: 10.5603/GP.a2020.0162.
Motherhood is a beautiful, extremely satisfying time ina woman's life, but also very challenging at the same time. Forty weeks of pregnancy, delivery, postpartum and breastfeeding periods affect physiological and mental functions that may unfortunately hinder women sexuality.
A longitudinal study was carried out. The questionnaire was developed to include a validated tool as wells as socio-demographic and medical data. The completely self-administered questionnaire was provided to patients twice - before pregnancy and postpartum. Finally, 398 women were included in the study and filled out the survey.
Pregnancy and childbirth significantly (p < 0.001) reduce female sexual activity by lowering FSFI score. A similar relationship occurs in the six domains included in the FSFI scale.The number of women who received ≤ 26 points (which may indicate sexual dysfunctions) before pregnancy is 34 (8.54%) and after giving birth it is 167 (41.96%) CONCLUSIONS: Pregnancy and childbirth significantly reduce female sexual activity by lowering FSFI score. The number of women who with sexual dysfunctions increases fivefold after giving birth, and may even reach the value of 40% of young mothers. The role of the medical personnel in maintain women's sexual health is extremely important.
为人母是女性生命中一段美好且极其令人满足的时光，但同时也极具挑战性。四十周的孕期、分娩、产后及哺乳期会影响生理和心理功能，而这些功能可能不幸地会阻碍女性的性能力。
开展了一项纵向研究。所设计的问卷纳入了一个经过验证的工具以及社会人口学和医学数据。这份完全由患者自行填写的问卷在孕前和产后分别向患者发放一次。最终，398名女性被纳入研究并填写了调查问卷。
怀孕和分娩通过降低女性性功能指数（FSFI）得分，显著（p < 0.001）降低了女性的性活动。在FSFI量表所包含的六个领域中也出现了类似的关系。孕前FSFI得分≤26分（这可能表明存在性功能障碍）的女性有34名（8.54%），产后这一数字为167名（41.96%）。结论：怀孕和分娩通过降低FSFI得分显著降低了女性的性活动。产后性功能障碍女性的数量增加了五倍，甚至可能达到年轻母亲总数的40%。医务人员在维护女性性健康方面的作用极其重要。
