Faculty of Health Science, Midwifery Department, Tokat Gaziosmanpaşa University, Tokat, Turkey.
Int Urogynecol J. 2023 Dec;34(12):2885-2892. doi: 10.1007/s00192-023-05610-5. Epub 2023 Aug 2.
Many factors affect women's genital self-image. This study was conducted to investigate the relationship between women's mode of delivery, body image, self-esteem, and genital self-image.
The research was carried out in two public hospitals between 15 January 2022 and 30 June 2022. The study sample consisted of a total of 197 multiparous women in the early postpartum period. They were asked to fill out a Personal Information Form, the Rosenberg Self-Esteem Scale (RSES), the Body-Esteem Scale (BES), and the Female Genital Self-Image Scale (FGSIS), based on self-report. The Chi-squared, Pearson's correlation, and multiple linear regression analysis were used.
Of the participants, 49.50% had a vaginal delivery, and 50.50% had a cesarean section. Their mean scores were 0.64 ± 0.62 on the RSES, 155.01 ± 24.40 on the BIS, and 20.97 ± 4.39 on the FGSIS. As the women's age increased, their mean FGSIS score also increased. There was negative correlation between women's mean RSES and FGSIS scores. A positive, significant correlation was found between the mean FGSIS and BES scores of the women. Of the variables included in the multiple linear regression model, age, self-esteem, and body image were statistically significant predictors 19.5% of the FGSIS score (p < 0.005).
Mode of delivery was not a predictor of female genital self-image in the early postpartum period. Women with high self-esteem had a positive body image and genital self-image. Age, self-esteem, and body image were influential on female genital self-image. On the other hand, age, self-esteem, and body image predicted about 19.5% of female genital self-image according to multiple linear regression.
许多因素会影响女性的生殖器自我形象。本研究旨在调查女性分娩方式、身体形象、自尊与生殖器自我形象之间的关系。
该研究于 2022 年 1 月 15 日至 6 月 30 日在两家公立医院进行。研究样本由 197 名初产妇组成。她们根据自我报告填写了个人信息表、罗森伯格自尊量表（RSES）、身体自尊量表（BES）和女性生殖器自我形象量表（FGSIS）。采用卡方检验、皮尔逊相关分析和多元线性回归分析。
参与者中，49.50%为阴道分娩，50.50%为剖宫产。她们的 RSES 平均得分为 0.64±0.62，BIS 平均得分为 155.01±24.40，FGSIS 平均得分为 20.97±4.39。随着女性年龄的增长，其 FGSIS 平均得分也随之增加。女性 RSES 平均得分与 FGSIS 得分呈负相关。女性 FGSIS 得分与 BES 得分呈正相关，且具有统计学意义。在多元线性回归模型中，年龄、自尊和身体形象是 FGSIS 得分的 19.5%的统计学显著预测因子（p<0.005）。
分娩方式不是女性产后早期生殖器自我形象的预测因子。自尊水平高的女性具有积极的身体形象和生殖器自我形象。年龄、自尊和身体形象对女性生殖器自我形象有影响。另一方面，根据多元线性回归，年龄、自尊和身体形象可预测女性生殖器自我形象的 19.5%左右。
