Smetanina Darya, Alnuaimi Shouq, Alkaabi Afra, Alketbi Meera, Hamam Elshimaa, Alkindi Hanin, Almheiri Mahra, Albasti Rouda, Almansoori Hajar, Alshehhi Mahra, Al Awar Shamsa, Statsenko Yauhen, Zaręba Kornelia
Department of Radiology, College of Medicine & Health Sciences (CMHS), United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates.
College of Medicine & Health Sciences (CMHS), United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates.
J Clin Med. 2025 Jan 22;14(3):691. doi: 10.3390/jcm14030691.
The prevalence of sexual dysfunctions varies from 35.5% to over 80% among postpartum women. Controversy exists regarding the risk factors for female sexual dysfunction (FSD) in the postpartum period. It remains unclear whether breastfeeding types contribute to the development of FSDs differently. The primary goal of this meta-analysis was to explore the role of baby feeding practices in developing sexual dysfunctions in women. We conducted a systematic literature search using the biomedical databases Scopus, CINAHL, Embase, the Web of Science, and PubMed/Medline. We looked for peer-reviewed, original studies written in English, Polish, and Arabic and published between January 2000 and June 2023. We included publications that reported scores in sexuality domains assessed with the Female Sexual Dysfunction Index (FSFI) and any sexuality-related issues during postpartum. The FSFI scores were combined in a meta-analysis using the random-effects inverse-variance model. Other findings were synthesized with a narrative review. Eighteen articles met the eligibility criteria for the systematic review and meta-analysis. Sexual dysfunctions were detected in all the women, irrespective of the feeding type. Better overall sexual functioning was reported among women using complementary feeding than among those who breastfed exclusively or used baby bottles: 22.16, 95% CI [21.68; 22.65]; 21.61, 95% CI [20.27; 22.95]; and 20.18, 95% CI: [20.93; 61.30], respectively. Slightly lower scores were reported in all the FSFI subscales in exclusively breastfeeding women compared to those using the complementary method. Breastfeeding females experience difficulties in sexual life during the postpartum period, irrespective of the feeding type. These findings can help in designing preventive measures for tackling postpartum sexual dysfunctions in women.
产后女性性功能障碍的患病率在35.5%至80%以上不等。关于产后女性性功能障碍（FSD）的危险因素存在争议。母乳喂养方式是否对FSD的发展有不同影响仍不清楚。本荟萃分析的主要目的是探讨婴儿喂养方式在女性性功能障碍发展中的作用。我们使用生物医学数据库Scopus、CINAHL、Embase、科学网和PubMed/Medline进行了系统的文献检索。我们查找了2000年1月至2023年6月期间以英文、波兰文和阿拉伯文撰写并发表的同行评审的原创研究。我们纳入了报告使用女性性功能障碍指数（FSFI）评估的性领域得分以及产后任何与性相关问题的出版物。FSFI得分在荟萃分析中使用随机效应逆方差模型进行合并。其他研究结果通过叙述性综述进行综合。18篇文章符合系统评价和荟萃分析的纳入标准。所有女性均检测到性功能障碍，无论喂养方式如何。与纯母乳喂养或使用奶瓶喂养的女性相比，采用混合喂养的女性总体性功能更好：分别为22.16，95%置信区间[21.68；22.65]；21.61，95%置信区间[20.27；22.95]；以及20.18，95%置信区间：[20.93；61.30]。与采用混合喂养方法的女性相比，纯母乳喂养女性的所有FSFI子量表得分略低。无论喂养方式如何，母乳喂养的女性在产后期间性生活都会遇到困难。这些发现有助于设计预防措施来解决女性产后性功能障碍问题。
