西班牙妇女产后恢复性活动及其相关因素的横断面研究。

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-02-01 DOI:10.1016/j.midw.2024.104259

Isabel Artieta-Pinedo , Carmen Paz-Pascual , Arturo Garcia-Alvarez , Paola Bully , ema-Q Group , Maite Espinosa

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引用次数: 0

摘要

对许多妇女来说，产后恢复性生活（RSA）是个问题；然而，很少在与助产士协商后将其作为一个整体加以解决。目的：探讨产后女性的性功能状况及其与个体特征的关系。与助产士一起提出适合他们需要的建议。方法：在巴斯克卫生服务中心进行了一项描述性横断面研究，281名产后妇女由医院的助产士、初级保健机构或通过同伴信息招募，并回答了一份关于RSA的数字问卷，其中包含10个问题，涉及性欲、兴奋、润滑、性高潮、满意度、疼痛和避孕知识和态度。预测变量为分娩类型、会阴部损伤、母乳喂养、自我形象和伴侣情感。年龄、性别和教育程度都被考虑在内。对每个变量进行描述性分析，并对每个域建立多元线性回归模型。结果：25.73%的妇女在产后6周内恢复了性生活，49.5%的妇女在产后6周内没有恢复性生活。生殖器损伤（β=-0.23, 95% CI:-1.54, -0.07, p = 0.003），母乳喂养（β=-0.34, 95% CI: -4.8, -1.18, p = 0.002），情感支持（β= 0.33, 95% CI: 1.1, 4.69, p = 0.002）和自我形象（β=-0.23, 95% CI: -1.2,-0.07, p = 0.003）至少影响性功能的三个领域。讨论：产后护理应该包括对身体状况的专家回应，以及对夫妇的采访，讨论变化、自我形象和情感支持。

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Resumption of sexual activity after childbirth and its related factors in Spanish women, a cross-sectional study

The resumption of sexual activity (RSA) after childbirth is problematic for many women; however, it is rarely addressed as a whole in consultation with a midwife.

Objective

to describe the sexual function of women in the postpartum period and its relationship with their personal characteristics. To make a proposal adapted to their needs in conjunction with a midwife.

Method

a descriptive cross-sectional study carried out within the Basque Health Service. 281 postpartum women were recruited by a midwife in hospital, in primary care or through peer information, and answered a digital questionnaire about RSA with ten questions about desire, arousal, lubrication, orgasm, satisfaction, pain and knowledge and attitude about contraception. The predictor variables were type of delivery, perineal injury, breastfeeding, self-image and partner affection. Age, parity and educational level were taken into consideration. A descriptive analysis of each variable was carried out and multiple linear regression models were built for each domain.

Results

25.73 % of the total had resumed sexual relations, and 49.5 % of those who responded 6 weeks after giving birth had not yet done so. Satisfaction scored 3.52 (maximum 5). Genital injuries (β=-0.23, 95 %CI:-1.54, -0.07, p = 0.003), breastfeeding (β=-0.34, 95 %CI: -4.8, -1.18, p = 0.002), emotional support (β = 0.33, 95 %CI: 1.1, 4.69, p = 0.002) and self-image (β =-0.23, 95 % CI: -1.2,-0.07, p = 0.003) influenced at least three domains of sexual function.

Discussion

Postpartum care should include an expert response about physical state and an interview with the couple that addresses changes, self-image and emotional support.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.