The effect of mode of delivery on postpartum sexual functioning in primiparous women
The effect of mode of delivery on postpartum sexual functioning in primiparous women
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DOI：
10.1007/s00192-006-0156-0
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发表时间：
2007-04-01
影响因子：
1.8
通讯作者：
Varolan, Ahmet
中科院分区：
文献类型：
--
作者：
Baksu, Basak;Davas, Inci;Varolan, Ahmet
本文旨在探讨分娩方式对初产妇产后性功能的影响。本研究共招募了248名经产妇女。其中五十六例采用会阴侧切术自然分娩，92例选择性剖宫产。通过女性性功能指数评估性功能，这是一份经过验证的问卷，分别评估欲望、润滑、性高潮、满意度和疼痛。当怀孕不超过六个孕周时，在第一次产前访视期间询问受试者有关其孕前经历的问题。产后6个月重复测试。采用SPSS for Windows v.11进行统计学评价。阴道分娩会阴侧切组产后6个月评分较孕前明显下降（P < 0.001）。剖宫产组孕前与产后评分差异无统计学意义（p > 0.05）。两组比较，产后6个月评分差异有显著性（P < 0.001）。不仅疼痛，而且性功能的其他重要方面，如唤醒，润滑，性高潮和满意度，都受到阴道分娩期间进行中侧会阴切开术的影响，远远超过产褥期。关于其对产后性功能的影响，应采取限制使用会阴侧切术的政策。
The objective of this paper is to evaluate the effect of mode of delivery on postpartum sexual functioning in primiparous women. A total of 248 primiparous women were recruited into this study. One hundred fifty-six delivered spontaneously with mediolateral episiotomy and 92 had elective cesarean section. Sexual function was evaluated by the Female Sexual Function Index, a validated questionnaire separately evaluating desire, lubrication, orgasm, satisfaction, and pain. Subjects were questioned relating their pre-pregnancy experiences during the first antenatal visit when the pregnancy was not more than six gestational weeks. The test was repeated 6 months postpartum. Statistical evaluation was carried out by SPSS for Windows v.11. In the vaginal delivery with mediolateral episiotomy group, there were significant decreases in the scores 6 months after delivery when compared to scores before pregnancy (p < 0.001). In the cesarean section group, no difference was observed between pre-pregnancy and postpartum scores (p > 0.05). When the two groups were compared, there was a significant difference between 6 months postpartum scores (p < 0.001). Not only pain, but also other important aspects of sexual function, such as arousal, lubrication, orgasm, and satisfaction are affected by performing mediolateral episiotomy during vaginal delivery, well beyond the puerperal period. Concerning its effects on postpartum sexual functioning, a policy of restricting mediolateral episiotomy use should be adopted.