Effects of pregnancy and childbirth on postpartum sexual function: a longitudinal prospective study
Effects of pregnancy and childbirth on postpartum sexual function: a longitudinal prospective study
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DOI：
10.1007/s00192-005-1293-6
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发表时间：
2005-07-01
影响因子：
1.8
通讯作者：
Pahel, L
中科院分区：
文献类型：
--
作者：
Connolly, AM;Thorp, J;Pahel, L
本研究旨在评估妊娠和分娩对产后性功能的影响。参加研究的是曾到妇产科医院就诊的未生育、懂英语的妇女;这些妇女年龄在18岁及以上，妊娠30-40周。在妊娠前、入组时以及产后2、6、12和24周完成了关于性功能的问卷调查。人口统计学和分娩数据从部门围产期数据库中提取。150名妇女参加了培训。在产后6周、12周和24周，57%、82%和90%的妇女恢复了性交。在相似的产后时间点，大约30%和17%的妇女报告性交困难;不到5%的妇女将疼痛描述为严重疼痛。在这些时候，39%、60%和61%的女性报告了性高潮。性高潮功能被描述为与怀孕前相似或改善了71%，77%和83%。分娩方式和会阴切开术与性交恢复或性高潮缺乏无关;性交困难仅与12周时的母乳喂养有关（RR = 3.36，95%CI = 1.77-6.37）。大多数妇女在产后6周恢复无痛性交，并在产后12周达到性高潮。功能被描述为与怀孕前相似或改善。
This study was conducted to evaluate the effects of pregnancy and childbirth on postpartum sexual function. Nulliparous, English-literate women were enrolled who had presented to the UNC Hospital's obstetrical practice; these women were 18 years of age and older and at 30-40 weeks' gestation. Questionnaires were completed regarding sexual function prior to pregnancy, at enrollment, and at 2, 6, 12, and 24 weeks postpartum. Demographic and delivery data were abstracted from the departmental perinatal database. One hundred and fifty women were enrolled. At 6, 12, and 24 weeks postpartum, 57, 82, and 90% of the women had resumed intercourse. At similar postpartum time-points, approximately 30 and 17% of women reported dyspareunia; less than 5% described the pain as major. At these times, 39, 60, and 61% of women reported orgasm. Orgasmic function was described as similar to that prior to pregnancy or improved by 71, 77, and 83%. Delivery mode and episiotomy were not associated with intercourse resumption or anorgasmia; dyspareunia was only associated with breast-feeding at 12 weeks (RR = 3.36, 95 % CI = 1.77-6.37). Most women resumed painless intercourse by 6 weeks and experienced orgasm by 12 weeks postpartum. Function was described as similar to or improved over that prior to pregnancy.