Sexual function 6 months after first delivery
Sexual function 6 months after first delivery
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DOI：
10.1097/aog.0b013e318169cdee
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发表时间：
2008-05-01
影响因子：
7.2
通讯作者：
Weber, Anne
中科院分区：
文献类型：
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作者：
Brubaker, Linda;Handa, Victoria L.;Weber, Anne
目的：探讨分娩和盆腔症状 (CAPS) 队列中肛门括约肌撕裂伤与产后 6 个月性功能的关系。 方法：主要的 CAPS 研究是一项前瞻性队列研究，旨在估计产后尿失禁和大便失禁的患病率和发生率。产后 6 个月对三组新妈妈（有三度或四度肛门括约肌撕裂的阴道分娩、无三度或四度肛门括约肌撕裂的阴道分娩以及无分娩的剖腹产）进行了比较。通过盆腔器官脱垂/尿失禁/性功能简表问卷（PISQ-12）评估性功能。使用医学流行病学和老龄化社会方面调查问卷以及大便失禁严重程度指数（嵌入在改良曼彻斯特健康调查问卷中）对尿失禁和大便失禁进行评估。 结果：大多数有伴侣的女性 (459 [90%]) 在 6 个月的访视中报告了性活动。与阴道分娩但未发生括约肌撕裂的女性相比，发生肛门括约肌撕裂的女性有较少的性行为（88% 与 94%，P=0.028）。交付组之间的平均 PISQ-12 分数 (39 +/- 4) 没有差异 (P=.92)。性行为过程中的疼痛（“有时”、“通常”或“总是”的反应）影响了三名性活跃女性中的一名 (164 [36%])。结论：产后 6 个月时，患有肛门括约肌撕裂伤的初产妇报告性活动的可能性较小。
OBJECTIVE: To explore the association of anal sphincter laceration and sexual function 6 months postpartum in the Childbirth and Pelvic Symptoms (CAPS) cohort.METHODS: The primary CAPS study, a prospective cohort study, was designed to estimate the postpartum prevalence and incidence of urinary and fecal incontinence. Three cohorts of new mothers (vaginal delivery with a third- or fourth-degree anal sphincter tear, vaginal delivery without a third- or fourth-degree anal sphincter tear, and cesarean delivery without labor) were compared at 6 months postpartum. Sexual function was assessed with the Pelvic Organ Prolapse/Urinary Incontinence/Sexual Function Short Form Questionnaire (PISQ-12). Urinary and fecal incontinence were assessed using the Medical Epidemiological and Social Aspects of Aging questionnaire and the Fecal Incontinence Severity Index, which is embedded within the Modified Manchester Health Questionnaire.RESULTS: Most women (459 [90%]) of those with partners reported sexual activity at the 6-month visit. Fewer women whose delivery was complicated by anal sphincter laceration reported sexual activity when compared with those who delivered vaginally without sphincter laceration (88 compared with 94%, P=.028). The mean PISQ-12 score (39 +/- 4) did not differ between delivery groups (P=.92). Pain (responses of "sometimes," "usually," or "always") during sex affected one of three sexually active women (164 [36%]).CONCLUSION: At 6 months postpartum, primiparous women who delivered with anal sphincter laceration are less likely to report sexual activity.