Berthet J, Pache P, Racinet C
J Gynecol Obstet Biol Reprod (Paris). 1985;14(6):769-73.
The authors followed a population of 204 primiparous women in order to be able to tackle the causes of those frequent sexual problems that occur after delivery. Obstetric perineal lesions were found in 46 cases of left lateral episiotomies, 104 cases of midline episiotomies and 54 cases where the perineum was said to be intact. Following delivery at the Maternity Unit, those patients who had a perineal incision suffered more without any difference whether the episiotomy was a midline or a lateral one. After a mean of 78 days following delivery, at the post-partum examination, sexual troubles were found to be frequent and 41% complained of dyspareunia. These troubles were scattered in all three series. There was no difference whether the mother was breast-feeding or not in relationship to her sexuality after delivery. The authors conclude that there is no proper correlation between the way the perineum was dealth with surgically and the quality of sexual activity experienced early after delivery.
作者对204名初产妇进行了跟踪研究，以便能够找出产后频繁出现的性问题的原因。在46例左侧会阴切开术、104例正中会阴切开术以及54例据称会阴完整的病例中发现了产科会阴损伤。在产科病房分娩后，有会阴切口的患者疼痛更严重，无论会阴切开术是正中还是侧切，情况均无差异。分娩平均78天后，在产后检查中发现性问题很常见，41%的患者主诉性交困难。这些问题在所有三个组中都有分布。产后母亲是否进行母乳喂养与其性行为之间没有差异。作者得出结论，手术处理会阴的方式与产后早期性活动质量之间没有适当的关联。
