Institute of Reproductive Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Reproductive Medicine Department, Hubei Maternal and Child Health Hospital, Wuhan, China.
J Obstet Gynaecol Res. 2022 Jan;48(1):230-238. doi: 10.1111/jog.15088. Epub 2021 Nov 17.
To examine the prevalence and factors associated with early resumption of sexual intercourse among postnatal women in China.
We conducted a retrospective multicenter study of 15 834 postpartum women from 60 hospitals in 15 different locations across China. Data were obtained from questionnaires administered to the participants. All dates were analyzed using a one-way ANOVA and two-level Cox multiple linear regression models.
More than half of the participating women (55.9%) resumed sexual intercourse by 3 months postpartum. The independent variables associated with the postpartum resumption of sexual intercourse included sociodemographic characteristics (age, geographic location, educational attainment) and medical histories, including the previous abortion (incorporate with spontaneous and voluntary abortion) frequency, menstrual recovery, exclusive breastfeeding, and number of living children (p < 0.05).
More than half of the women in this study resumed sexual intercourse within 3 months postpartum. Women with a lower educational attainment and from the western regions of China were more likely to resume sexual intercourse earlier. Increasing age, delayed recovery of menses, and exclusive breastfeeding were associated with a delayed resumption of sexual intercourse. Women who had greater experience with abortion or the number of living children resumed sexual intercourse earlier than their counterparts.
调查中国产后女性早期恢复性生活的流行情况及相关因素。
我们对中国 15 个不同地区 60 家医院的 15834 名产后女性进行了回顾性多中心研究。数据来自对参与者的问卷调查。所有日期均采用单向方差分析和两级 Cox 多重线性回归模型进行分析。
超过一半的参与女性（55.9%）在产后 3 个月内恢复了性生活。与产后恢复性生活相关的独立变量包括社会人口特征（年龄、地理位置、教育程度）和病史，包括以前的流产（包括自然流产和自愿流产）频率、月经恢复、纯母乳喂养和活产子女数量（p<0.05）。
本研究中超过一半的女性在产后 3 个月内恢复了性生活。教育程度较低和来自中国西部地区的女性更早恢复性生活的可能性更大。年龄增长、月经恢复延迟和纯母乳喂养与性生活恢复延迟有关。有更多流产经历或活产子女数量较多的女性比同龄人更早恢复性生活。
