Tarsus University, Faculty of Health Sciences, Department of Midwifery - Mersin, Turkey.
Süleyman Demirel University, Faculty of Health Sciences, Department of Midwifery - Isparta, Turkey.
Rev Assoc Med Bras (1992). 2024 Oct 7;70(10):e20240692. doi: 10.1590/1806-9282.20240692. eCollection 2024.
Pregnancy, childbirth, and postpartum periods bring along biological, psychological, and social changes that could affect women's sexual health. The aim of this study was to evaluate the effect of genital self-image on sexual satisfaction and stress in women who had a vaginal delivery.
This descriptive and cross-sectional study was conducted online between June and September 2023 by using snowball sampling and the data collection forms prepared in the GoogleDocs program. Women who had a normal vaginal delivery were included, were within 6 weeks to 1 year postpartum, were able to use at least one of the social media networks (e-mail, WhatsApp, Facebook, and Instagram), and volunteered to participate in the research. Data were collected through the Personal Information Form, the "Female Genital Self-Image Scale," the "Golombok-Rust Inventory of Sexual Satisfaction," and the "Female Sexual Distress Scale-Revised."
The average age of the participating women was 30.54±5.83 years (n=235). The participants' mean scores were 18.94±2.92 for the Female Genital Self-Image Scale, 40.07±15.51 for the Golombok-Rust Inventory of Sexual Satisfaction, and 8.85±8.50 for the Female Sexual Distress Scale-Revised total. A statistically significant and negative relationship was found between Female Genital Self-Image Scale and Golombok-Rust Inventory of Sexual Satisfaction and Female Sexual Distress Scale-Revised total scores (r=-0.183, p<0.01; r=-0.387, p<0.01). Regression analysis (forward) was performed, and genital self-image was found to be the predictive factor affecting sexual satisfaction and stress.
This study found that women had a medium level of genital self-image and sexual satisfaction and a low level of sexual distress.
妊娠、分娩和产后阶段会带来生理、心理和社会变化，可能会影响女性的性健康。本研究旨在评估生殖器自我形象对阴道分娩后女性性满意度和性压力的影响。
本研究采用描述性和横断面研究方法，于 2023 年 6 月至 9 月间通过滚雪球抽样和谷歌文档程序中准备的数据收集表在线进行。纳入的研究对象为正常阴道分娩的女性，分娩后 6 周到 1 年内，能够使用至少一种社交媒体网络（电子邮件、WhatsApp、Facebook 和 Instagram），并自愿参与研究。通过个人信息表、“女性生殖器自我形象量表”、“Golombok-Rust 性满意度量表”和“女性性困扰量表修订版”收集数据。
参与研究的女性平均年龄为 30.54±5.83 岁（n=235）。参与者的“女性生殖器自我形象量表”平均得分为 18.94±2.92，“Golombok-Rust 性满意度量表”平均得分为 40.07±15.51，“女性性困扰量表修订版”总平均得分为 8.85±8.50。“女性生殖器自我形象量表”与“Golombok-Rust 性满意度量表”和“女性性困扰量表修订版”总分呈显著负相关（r=-0.183，p<0.01；r=-0.387，p<0.01）。进行回归分析（前向）后发现，生殖器自我形象是影响性满意度和性压力的预测因素。
本研究发现，女性的生殖器自我形象处于中等水平，性满意度处于中等水平，性困扰处于较低水平。
