Hidalgo-Lopezosa Pedro, Pérez-Marín Sandra, Jiménez-Ruz Andrea, López-Carrasco Juan de la Cruz, Cubero-Luna Ana María, García-Fernández Rubén, Rodríguez-Borrego María Aurora, Liébana-Presa Cristina, López-Soto Pablo Jesús
Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain.
Departamento de Enfermería, Farmacología y Fisioterapia, Universidad de Córdoba, 14004 Córdoba, Spain.
J Pers Med. 2022 Jun 2;12(6):926. doi: 10.3390/jpm12060926.
(1) Background: Female sexual dysfunction (FSD) has a high prevalence globally, and perinatal factors favor FSD, especially in the postpartum period. The aim was to determine the prevalence and factors influencing FSD in the postpartum period; (2) Methods: An observational study carried out in three primary care centers in southern Spain, with women in the postpartum period who had a single low-risk birth. One hundred and seventeen women answered the Female Sexual Function questionnaire during the 4th month postpartum, between January 2020 and December 2021. Sociodemographic, obstetric, neonatal variables and level of self-esteem were analyzed. A multiple logistic regression model was carried out; (3) Results: 78.4% had high level of self-esteem. FSD prevalence was 89.7%. Factors related to FSD were having an instrumental vaginal delivery, women with university studies, and prenatal preparation. Maternal age ≥ 35, multiparity, pathological processes in the child, a medium-low level of self-esteem and newborn weight were associated with disorders in some of domains of sexual function; (4) Conclusions: FSD is highly prevalent in the postpartum period and is associated with preventable factors. A preventive approach by health professionals to these factors is essential. Health services should implement postpartum follow-up programs, which may coincide in time and place with newborn follow-up programs.
(1) 背景：女性性功能障碍（FSD）在全球范围内具有较高的患病率，围产期因素易引发FSD，尤其是在产后阶段。本研究旨在确定产后FSD的患病率及其影响因素；(2) 方法：在西班牙南部的三个初级保健中心开展了一项观察性研究，研究对象为单胎低风险分娩的产后女性。在2020年1月至2021年12月期间，117名女性在产后第4个月时回答了女性性功能问卷。分析了社会人口统计学、产科、新生儿变量以及自尊水平。进行了多元逻辑回归模型分析；(3) 结果：78.4%的女性自尊水平较高。FSD患病率为89.7%。与FSD相关的因素包括器械助产阴道分娩、受过大学教育的女性以及产前准备情况。产妇年龄≥35岁、多胎妊娠、孩子存在病理过程、中低自尊水平以及新生儿体重与性功能某些领域的障碍有关；(4) 结论：FSD在产后阶段非常普遍，且与可预防因素相关。卫生专业人员针对这些因素采取预防措施至关重要。卫生服务机构应实施产后随访项目，这些项目在时间和地点上可与新生儿随访项目同步进行。
