Department of Public Health, Asadabad School of Medical Sciences, Asadabad, Iran.
Department of Midwifery, Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
J Obstet Gynaecol. 2022 Oct;42(7):2867-2878. doi: 10.1080/01443615.2022.2110461. Epub 2022 Aug 18.
The present study aimed to examine the prevalence of dyspareunia in the post-partum period in relation to the mode of delivery. In this systematic review and meta-analysis, published articles until February 2020 were searched through the related key term based on mesh term in national and international databases. In the initial search, 1391 articles were found that after removing duplicate, unrelated or non-English and non-Persian articles, finally 20 studies with a sample size of 11354 of women who had given birth were introduced in this study. The prevalence of dyspareunia following vaginal delivery, C-section, and instrumental delivery with 95%CI was 42%(31-56%), 26%(19-34%), and 37%(28-46%) respectively. In addition, the prevalence of dyspareunia in primiparous was higher than multiparous (34%vs.24%), in breastfeeding women was higher than non-breastfeeding women (48%vs.33%), in women who non-used hormonal contraceptive methods were higher than who used hormonal contraceptive methods (43%vs.35%) and its prevalence was similar in women with and without episiotomy. The results indicated that vaginal delivery, breastfeeding, used hormonal contraceptive and primiparity have an impact on dyspareunia. Thus, considering the high prevalence of dyspareunia, and its impact on the quality of life of couples in the postpartum period, attention to, planning, and designing effective interventions in this regard are essential.IMPACT STATEMENT Dyspareunia is one of the common experiences of women in the post-partum period. One of the most important factors affecting dyspareunia in the post-partum period is the mode of delivery. The present study adds to examine the prevalence of dyspareunia in the postpartum period in terms of the mode of delivery. So far, no study has been found which comprehensively and systematically estimating the prevalence of dyspareunia in relation to the type of delivery mode in women who have given birth recently. In addition to the type of delivery the prevalence of dyspareunia was estimated based on parity, breastfeeding, episiotomy and consumption of hormonal contraceptive status. This finding will be a small step to familiarise physicians and midwives as well as people with the relationship between delivery mode and dyspareunia. In addition, in the absence of medical indications and the possibility of choosing the mode of delivery selectively, help them decide and choose the appropriate method of termination of labour and ultimately improve the mental and physical health of the birthing person, family and community.
本研究旨在探讨与分娩方式相关的产后性交痛的发生率。在这项系统评价和荟萃分析中，通过基于国家和国际数据库中主题词的相关关键词，检索了截至 2020 年 2 月发表的文章。在最初的搜索中，发现了 1391 篇文章，在去除重复、不相关或非英文和非波斯文的文章后，最终纳入了 20 项研究，这些研究共纳入了 11354 名分娩后的妇女。阴道分娩、剖宫产和器械分娩后性交痛的发生率（95%CI）分别为 42%（31-56%）、26%（19-34%）和 37%（28-46%）。此外，初产妇的性交痛发生率高于经产妇（34%vs.24%），母乳喂养的妇女高于非母乳喂养的妇女（48%vs.33%），未使用激素避孕方法的妇女高于使用激素避孕方法的妇女（43%vs.35%），且会阴切开术对其发生率无影响。结果表明，阴道分娩、母乳喂养、使用激素避孕和初产会影响性交痛。因此，考虑到产后性交痛的高发生率及其对夫妇生活质量的影响，有必要对此进行关注、规划和设计有效的干预措施。
性交痛是产妇在产后的常见经历之一。影响产后性交痛的最重要因素之一是分娩方式。本研究进一步探讨了分娩方式与产后性交痛发生率的关系。到目前为止，还没有研究全面系统地评估最近分娩的妇女在不同分娩方式下的性交痛发生率。除了分娩方式外，还根据产次、母乳喂养、会阴切开术和激素避孕的使用情况来估计性交痛的发生率。这一发现将使医生和助产士以及人们对分娩方式与性交痛之间的关系有一个初步的了解。此外，在没有医学指征且可以选择性选择分娩方式的情况下，帮助他们决定和选择适当的分娩方式，最终改善分娩者、家庭和社区的身心健康。
