School of Midwifery, Institute of Health, Faculty of Health Sciences, Jimma University, Jimma, Ethiopia.
Department of Midwifery, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
PLoS One. 2021 Mar 29;16(3):e0247769. doi: 10.1371/journal.pone.0247769. eCollection 2021.
Postpartum sexual resumption without the use of contraception is a risk for unintended and closely spaced pregnancies. Although counseling related to the resumption of postpartum sexual intercourse is a key component of postpartum sexual health, it is not widely addressed during the postnatal period. Thus, this study aimed to assess the early resumption of postpartum sexual intercourse and its associated risk factors among married postpartum women who visited public hospitals of Jimma zone, Southwest Ethiopia, for child immunization services.
The facility-based cross-sectional study design was undertaken, and a systematic random sampling technique was carried out to select 330 participants. Data were collected using a pretested interviewer-administered questionnaire from August to September 2019. Obtained data were analyzed using descriptive statistics. A bivariate analysis was used to determine the significance of the association. Variables that showed association in the bivariate analysis at p-value <0.2 were fitted into a multivariable logistic regression model to control for confounders, and the significance of association was determined at p-value <0.05 with a 95% confidence interval (CI).
Approximately 53.9% of the respondents practiced early resumption of postpartum sexual intercourse. Factors such as low income (AOR = 0.19 (95% CI = 0.10-.37)), monogamous marriage 3.78(1.32-10.79), practicing sexual intercourse during pregnancy (AOR = 4.55 (95% CI = 1.29-15.97)), a cesarean delivery (AOR = 0.06 95%CI = (0.03-0.15)) and use of contraceptives (AOR = 3.7(95%CI = 1.92-7.14)) were significantly associated with early resumption of postpartum sexual intercourse.
The findings of this study suggested that, most postpartum mothers resumed sexual intercourse during the early postpartum period and its associated risk factors include low income, monogamous marriage, practicing sexual intercourse during pregnancy, cesarean delivery, and use of contraceptives. Discussion with couples about postpartum sexual health during the antenatal and postnatal period is crucial to prevent unwanted pregnancies and adverse health outcomes.
产后不使用避孕措施恢复性生活是意外怀孕和间隔时间过近的风险因素。虽然与产后恢复性生活相关的咨询是产后性健康的一个关键组成部分，但在产后期间并未广泛涉及。因此，本研究旨在评估在因儿童免疫接种服务而前往埃塞俄比亚西南吉马地区公立医院的已婚产后女性中，产后早期恢复性生活及其相关危险因素。
采用基于机构的横断面研究设计，采用系统随机抽样技术选择了 330 名参与者。数据收集使用了预测试的访谈者管理问卷，时间为 2019 年 8 月至 9 月。使用描述性统计方法分析获得的数据。进行了单变量分析以确定关联的显著性。在 p 值<0.2 时在单变量分析中表现出关联的变量被纳入多变量逻辑回归模型中以控制混杂因素，并在 p 值<0.05 时用 95%置信区间（CI）确定关联的显著性。
大约 53.9%的受访者在产后早期恢复了性生活。收入低（AOR=0.19（95%CI=0.10-0.37））、一夫一妻制婚姻（AOR=3.78（1.32-10.79））、怀孕期间进行性行为（AOR=4.55（95%CI=1.29-15.97））、剖宫产（AOR=0.06（95%CI=0.03-0.15））和使用避孕药具（AOR=3.7（95%CI=1.92-7.14））与产后早期恢复性生活显著相关。
本研究的结果表明，大多数产后母亲在产后早期恢复了性生活，其相关危险因素包括收入低、一夫一妻制婚姻、怀孕期间进行性行为、剖宫产和使用避孕药具。在产前和产后期间与夫妇讨论产后性健康问题对于防止意外怀孕和不良健康后果至关重要。
