Department of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Womens Health (Lond). 2024 Jan-Dec;20:17455057241302303. doi: 10.1177/17455057241302303.
The World Health Organization recommends that all postpartum women be examined for resumed sexual activity. Despite this, postpartum sexual health education and health promotion are not adequately incorporated into current maternal healthcare systems in low- and middle-income nations. There were variations in the prevalence and variables associated with early postpartum sexual intercourse across several studies.
The purpose of this systematic review and meta-analysis was to evaluate the pooled prevalence and associated factors for early postpartum sexual intercourse in sub-Saharan African countries.
Primary studies were identified using international databases such as Scopus, PubMed, Google Scholar, Embase, and CINAHL. The Newcastle‒Ottawa Scale quality assessment tool was used to evaluate the quality and strength of the included studies. STATA version 17 was used for the meta-analysis. The heterogeneity of the studies and publication bias was examined using statistics and Egger's regression test. Subgroup analysis decreased the underlying heterogeneity based on the study years and sample sizes.
Seventeen primary articles were included in the meta-analysis with 8507 study participants. The pooled prevalence of early postpartum sexual resumption in sub-Saharan Africa was 39.41% (95% CI: 31.55%-47.27%). Primiparous (OR = 3.32; 95% CI: 2.26-5.90), spontaneous vaginal delivery (OR = 5.98; 95% CI: 1.74-20.51), formula feeding (OR = 2.24; 95% CI: 1.46-3.44), family planning (OR = 2.91; 95% CI: 1.89-4.49), husband pressure (OR = 4.99; 95% CI: 1.38-18.05), have no formal education (OR = 2.36; 95% CI: 1.49-3.76), and monogamy (OR = 4.18; 95% CI: 2.27-7.69) were significantly associated with early postpartum sexual resumption.
Four out of 10 women had returned to sexual activity within 6 weeks of giving birth. This suggests that a large proportion of women are more vulnerable to unwanted pregnancies and sexual health problems. Sexual health education and counseling should be incorporated into standard postpartum care to increase contraceptive use and delay unplanned pregnancies.
世界卫生组织建议所有产后女性都接受关于恢复性行为的检查。尽管如此，在中低收入国家，产后性健康教育和促进并未充分纳入当前的产妇保健系统。几项研究表明，早期产后性交的流行率和相关变量存在差异。
本系统评价和荟萃分析旨在评估撒哈拉以南非洲国家产后早期发生性行为的综合流行率和相关因素。
使用 Scopus、PubMed、Google Scholar、Embase 和 CINAHL 等国际数据库来确定原始研究。使用纽卡斯尔-渥太华量表质量评估工具来评估纳入研究的质量和强度。使用 STATA 版本 17 进行荟萃分析。使用 Q 统计量和 Egger 回归检验检查研究的异质性和发表偏倚。基于研究年限和样本量进行亚组分析以降低潜在的异质性。
荟萃分析纳入了 17 篇原始文章，共有 8507 名研究参与者。撒哈拉以南非洲地区产后早期恢复性行为的综合流行率为 39.41%（95%CI：31.55%-47.27%）。初产妇（OR=3.32；95%CI：2.26-5.90）、自然阴道分娩（OR=5.98；95%CI：1.74-20.51）、配方奶喂养（OR=2.24；95%CI：1.46-3.44）、计划生育（OR=2.91；95%CI：1.89-4.49）、丈夫压力（OR=4.99；95%CI：1.38-18.05）、无正规教育（OR=2.36；95%CI：1.49-3.76）和一夫一妻制（OR=4.18；95%CI：2.27-7.69）与产后早期恢复性行为显著相关。
每 10 名女性中就有 4 名在分娩后 6 周内恢复了性行为。这表明很大一部分女性更容易意外怀孕和出现性健康问题。性健康教育和咨询应纳入标准产后护理，以增加避孕措施的使用并延迟意外怀孕。
