Edosa Dirirsa Dejene, Awol Salo Mukemil, Eticha Tariku Regea, Geleta Tinsae Abeya, Deriba Berhanu Senbeta
Department of Midwifery, College of Health and Medical Sciences, Salale University, Fitche, Ethiopia.
Department of Public Health, College of Health and Medical Sciences, Salale University, Fitche, Ethiopia.
Front Med (Lausanne). 2022 Apr 25;9:865872. doi: 10.3389/fmed.2022.865872. eCollection 2022.
Postpartum sexual health gets very little attention compared to pregnancy and childbirth, even though most maternal deaths and disabilities occur during this time. Therefore, the study aimed to assess return of sexual activity within 6 weeks of childbirth among married women attending postpartum clinic of a teaching hospital in Ethiopia, 2021.
The hospital-based cross-sectional study design was implemented from September to October 2021. Eligible postpartum women were sampled by systematic random sampling technique. The data was entered into EPI-info and exported to SPSS version 24 for further analysis. All variables with a -value < 0.05 in multivariable analyses were taken as associated factors with the return to sexual activity before 6 weeks of childbirth.
A total of 421 postpartum women participated in the study. The prevalence of women who return to sexual activity 6 weeks after childbirth was 31.6%. The study revealed that monogamy (Adjusted Odds Ratio (AOR) = 4.4, 95% Confidence Interval (CI) (2.1, 9.4)), parity (AOR= 0.11, 95% CI (0.02-0.81)) and (AOR = 0.1, 95% CI (0.015-0.72)), postnatal care (AOR= 1.8, 95% CI (1.01-3)) and infants feeding status (AOR=2.3, 95% CI (1.3-4)) were significantly associated with return of sexual activity before 6 weeks of childbirth.
The findings of this study suggested that, nearly one-third of postpartum women engaged to sexual activity within 6 weeks of childbirth. Return of sexual activity within 6 weeks of childbirth associated with monogamy type of marriage, parity, postnatal care, and child feeding status. Strengthening postpartum counseling regarding the appropriate time to resume sexual activity is crucial. Regular postpartum visits following deliveries should also be encouraged by health care providers.
与怀孕和分娩相比，产后性健康很少受到关注，尽管大多数孕产妇死亡和残疾发生在这个时期。因此，本研究旨在评估2021年在埃塞俄比亚一家教学医院产后诊所就诊的已婚妇女在分娩后6周内恢复性活动的情况。
2021年9月至10月实施了基于医院的横断面研究设计。通过系统随机抽样技术对符合条件的产后妇女进行抽样。数据录入EPI-info并导出到SPSS 24版本进行进一步分析。多变量分析中P值<0.05的所有变量被视为分娩后6周前恢复性活动的相关因素。
共有421名产后妇女参与了该研究。分娩后6周恢复性活动的妇女患病率为31.6%。研究表明，一夫一妻制（调整后的优势比（AOR）=4.4，95%置信区间（CI）（2.1，9.4））、产次（AOR=0.11，95%CI（0.02 - 0.81））以及（AOR = 0.1，95%CI（0.015 - 0.72））、产后护理（AOR=1.8，95%CI（1.01 - 3））和婴儿喂养状况（AOR=2.3，95%CI（1.3 - 4））与分娩后6周前恢复性活动显著相关。
本研究结果表明，近三分之一的产后妇女在分娩后6周内开始性活动。分娩后6周内恢复性活动与婚姻的一夫一妻制类型、产次、产后护理和儿童喂养状况有关。加强关于恢复性活动合适时间的产后咨询至关重要。医疗保健提供者也应鼓励产后定期就诊。
