Disfunção sexual e fatores associados relatados no período pós-parto

Abstract

Objective: To estimate the prevalence and factors associated with sexual dysfunction in the postpartum period. Methods: Cross-sectional study of 200 postpartum women in their resumption to sexual activity. Data were collected in a private place, through interviews and recorded in forms, containing information regarding sexual life of postpartum women. Results: Among the women studied, it was found that 33.5%, 76.0% and 43.5% had sexual dysfunction before pregnancy, during and after delivery, respectively. The types of dysfunction most frequently identified were dyspareunia, vaginismus, dysfunction of desire, orgasmic and arousal. The significantly associated factors were Catholic or protestant religions, vaginal delivery with suture, dyspareunia during pregnancy, vaginismus before pregnancy and working hours over 8 hours/daily. Conclusion: The prevalence of sexual dysfunction was high and associated factors were religion, working hours, previous history of dysfunction and type of delivery. ResumoObjetivo: Estimar a prevalência e os fatores associados à disfunção sexual no período pós-parto. Métodos: Estudo transversal com 200 puérperas que retomaram a vida sexual ativa. Os dados foram coletados, em local privado, por meio de entrevista e registrados em formulário contendo informações pertinentes a vida sexual das puerperas. Resultados: Dentre as mulheres pesquisadas verificou-se que 33,5%, 76,0% e 43,5% apresentavam disfunções sexuais antes da gravidez, durante e após o parto, respectivamente. Os tipos de disfunção identificados com maior frequência foram a dispareunia, seguida do vaginismo, disfunção do desejo, orgásmica e excitação. Os fatores significativamente associados foram as religiões católica ou evangélica, o parto vaginal com sutura, a dispareunia durante a gravidez, o vaginismo antes da gravidez e uma jornada de trabalho além de 8 horas/diárias. Conclusão: A prevalência das disfunções sexuais foi alta e os fatores associados foram: religião, jornada de trabalho, história prévia de disfunção e tipo de parto.

Postpartum Sexual Functioning and Its Predicting Factors among Iranian Women

“…Consistent with findings of some other studies, this study demonstrated that sexual functioning of women undergoing episiotomy was no different than that of women with intact perinea (29,30). Also, in this study, type of delivery was not related to sexual dysfunction among participants.…”

“…For example, rates of postpartum sexual dysfunction reported in other studies were about half of the population as shown in some other studies in Iran (13,28). In a study in Brazil, sexual dysfunction was reported at 43% among postpartum women (29). Several studies have shown similar results at rates of 41%-83% of postpartum women.…”

“…Given the high proportion of women who reported postpartum sexual dysfunction in this study, we have recommended sexual and contraception counseling for pregnant and postpartum women regarding early resumption of sexual intercourse during the postpartum period. Several studies have shown that only 1 out of 4 women with postpartum sexual difficulties had consulted a health care professional (16,29). Healthcare providers almost never obtain information on sexual issues from their clients and they do not have the necessary skills to manage these problems.…”

The Effect of Mode of Delivery on Postpartum Sexual Function and Sexual Quality of Life in Primiparous Women

“…On the other hand Holanda et al [48] who studied "sexual dysfunction and associated factors reported in the postpartum period". Found that the prevalence of sexual dysfunction was 43% among postpartum women and the type of delivery one of the associated factors whereas VD with suture represented a threefold higher risk for sexual dysfunction when compared to the CS birth.…”

Avaliação Da Função Sexual Em Primíparas Após Parto Vaginal E Nuligestas

“…Possuindo uma prevalência que varia de 20 a 73% nas mulheres, as disfunções sexuais femininas (DSF) resultam da combinação de fatores biológicos, psicológicos, sociais e culturais, resultando em um bloqueio total ou parcial da resposta sexual do indivíduo, relacionada ao desejo, a excitação e ao orgasmo 6 . Durante o período da gestação e pós-parto, existe um aumento na ocorrência das disfunções sexuais, com prevalências de 33,5% antes da gestação, 76% durante a gestação e 43,5% no pós-parto 7 .…”