Tears in the vagina, perineum, sphincter ani, and rectum and first sexual intercourse after childbirth: A nationwide follow-up
Tears in the vagina, perineum, sphincter ani, and rectum and first sexual intercourse after childbirth: A nationwide follow-up
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DOI：
10.1111/j.1523-536x.2008.00222.x
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发表时间：
2008-06-01
影响因子：
2.5
通讯作者：
Rubertsson, Christine
中科院分区：
文献类型：
--
作者：
Radestad, Ingela;Olsson, Ann;Rubertsson, Christine
背景资料：分娩后的第一次性交对女性来说可能是一个挑战，特别是如果分娩导致生殖器部位受伤。本研究的目的是调查阴道、会阴、肛门括约肌或直肠撕裂是否会在分娩后一年内阻碍性交。方法：我们从一个基于人群的队列中的2,490名妇女中获得信息，这些妇女在产前保健中被确定。第一次性交的信息收集的方式是通过一个问卷调查发送出生后1年的妇女和妇女的眼泪报告在人口为基础的瑞典医学出生登记。结果如下：在产后3个月和6个月内未发生性行为的校正相对危险度（95%置信区间）分别为1.5（95% CI 1.2-1.8）和1.6（95% CI 1.2-2.3）阴道撕裂，1.4会阴部撕裂为2.1（95% CI 1.1-1.6）和1.5（95% CI 1.1-2.1），肛门括约肌和直肠撕裂为2.1（95% CI 1.4-3.1）和2.2（95% CI 1.1-4.6）。1年随访时未发现统计学显著差异。调整相对风险后，未发现会阴切开术与恢复性交延迟之间存在关联。结论：在瑞典，阴道、会阴、肛门括约肌或直肠撕裂与分娩后6个月恢复性交延迟有关。
Background: The first sexual intercourse after childbirth may be challenging for women, especially if the birth resulted in injuries in the genital area. The purpose of this study was to investigate whether or not tears in the vagina, perineum, sphincter ani, or rectum hindered sexual intercourse during the year after childbirth. Methods: We obtained information from 2,490 women in a population-based cohort identified at antenatal care. Information about first sexual intercourse was collected by means of a questionnaire sent 1 year after birth to the women and about women's tears reported in the population-based Swedish Medical Birth Register. Results: Adjusted relative risks with 95 percent confidence intervals for not having had sexual intercourse within 3 and 6 months, respectively, after childbirth were 1.5 (95% CI 1.2-1.8) and 1.6 (95% CI 1.2-2.3) for tears in the vagina, 1.4 (95% CI 1.1-1.6) and 1.5 (95% CI 1.1-2.1) for tears in the perineum, and 2.1 (95% CI 1.4-3.1) and 2.2 (95% CI 1.1-4.6) for tears in the sphincter ani and rectum. No statistically significant differences were found at 1-year follow-up. No associations between episiotomy and delay in resuming intercourse were found after adjusting the relative risks. Conclusions: Tears in the vagina, perineum, sphincter ani, or rectum are associated with a delay in women's resumption of sexual intercourse 6 months after childbirth in Sweden.