A comparison of sexual outcomes in primiparous women experiencing vaginal and caesarean births

Khajehei, Marjan; Ziyadlou, Samaneh; Safari, Rad M; Tabatabaee, HR; Kashefi, Fatemeh

doi:10.4103/0970-0218.51237

Cited by 37 publications

(26 citation statements)

References 18 publications

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“…The prevalence of FSD after childbirth has been reported to be 5-35% after caesarean section and 40-80% after normal vaginal delivery [11]. Australian research [12] showed that 64.3% of women experienced FSD and 70.5% sexual dissatisfaction during the first year after childbirth.…”

Section: Prevalence Of Female Sexual Dysfunction (Fsd) Postpartummentioning

confidence: 99%

“…With the first pregnancy 40-70% of couples experience a drop in marital quality with marital conflict increasing, an increased risk of depression, individuals reverting to stereotypic gender roles, women being overwhelmed by childcare and housework, fathers withdrawing into work and decreased marital conversation and sexual activity [8]. And, 41-83% of couples still have difficulties at 2-3 months [9, 10].The prevalence of FSD after childbirth has been reported to be 5-35% after caesarean section and 40-80% after normal vaginal delivery [11]. Australian research [12] showed that 64.3% of women experienced FSD and 70.5% sexual dissatisfaction during the first year after childbirth.…”

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confidence: 99%

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A Clinical Perspective On Sexuality With Pregnancy and Postpartum

Redelman¹

2017

IJRFSH

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In taking a comprehensive psycho-sexual-relational history it is very common to hear that "sex was great until the birth of the first child". Therefore, it is very important to address sexual health in a way that prevents detrimental changes in women's and couples sexual lives. Proactive intervention through open discussion of normal sexuality and sexual concerns during this phase with provision of education and effective strategies is preferable to the unhappiness, pain and disruption that can result through denial of possible consequences. Not all women and couples experience negative sexual consequences as some women experience increased ease of orgasm, desire and general confidence with the birth of the child. However, almost all individuals benefit from affirmation that they are 'normal'. Good communication and co-operation around parenting can significantly increase the intimacy and valence of the relationship with flow on to sexuality and family wellbeing.Sexuality is often not discussed during pre-and postpartum care. Often, the assumption is that a couple has adequate knowledge about sex and that it is enjoyable or good enough because a pregnancy has been achieved, that they will raise any problems, that someone else will address the sexuality component etc. Pregnancy and sexuality are both considered 'natural'. Yes, the instinct and performance of intercourse are largely natural but the enjoyable artistry of lovemaking is a learnt behaviour. Not many cultures actively teach creative lovemaking or educate about how to manage sexuality when changes occur.Pregnancy and childbirth lead to many changes for the mother and father. Both individuals and the couple need to be considered and included in the management of their sex lives. Sexual problems during pregnancy and postpartum that are unresolved can trigger ongoing patterns of discord with detrimental consequences for the man, woman, couple, child and society. This is important because of the relationships between low sexual desire, low sexual activity frequency, relationship satisfaction, domestic violence and relationship and family stability. The postpartum period is often associated with a decline in couple's relationship satisfaction [1]. Relationship satisfaction drops for over 60% of couples in the first 3 years after a child is born [2,3]. Intimacy which is the depth of exchange, both verbal and non-verbal, which implies a deep form of acceptance of the other as well as commitment to the relationship [4] is extremely important as a buffer for changes in sexual function. Low relationship satisfaction is highly correlated with low total relationship intimacy and poor sexual relationship [5]. Transition to parenthood can be both extremely pleasurable and extremely stressful and holistic proactive care should be given. Prevalence of Female Sexual Dysfunction (FSD) PostpartumThe prevalence of FSD is generally reported as being between 10-40% [6,7]. With the first pregnancy 40-70% of couples experience a drop in marital quality with marital conflict in...

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Section: Prevalence Of Female Sexual Dysfunction (Fsd) Postpartummentioning

confidence: 99%

mentioning

confidence: 99%

A Clinical Perspective On Sexuality With Pregnancy and Postpartum

Redelman¹

2017

IJRFSH

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“…Twenty-one patients with a history of severe preeclampsia, [14] patients with a history of eclampsia and 18 patients with a history of major hemorrhage were included in the study group ( Figure 1). Their fear of getting pregnant again, sexual functions and fear of death during the last delivery were measured by questionnaires.…”

Section: J Clin Exp Invest Wwwjceionlineorg Vol 4 No 4 December 2013mentioning

confidence: 99%

“…In literature, there are several studies assessing the postpartum sexual functions after cesarean [13,14]. Considered in terms of the mode of delivery, the cesarean is more protective for sexual functions compared to the normal vaginal delivery [1].…”

Section: Introductionmentioning

confidence: 99%

Long-term changes in sexual functions following complicated pregnancies and deliveries

Özler

Evsen²,

Em³

et al. 2013

J Clin Exp Invest

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ÖZETAmaç: Bu çalışmanın amacı komplike gebelik ve doğu-mun cinsel fonksiyonlar üzerine olan etkilerini değerlen-dirmek ve cinsel fonksiyonları etkileyen olası risk faktör-lerini belirlenmek.Yöntemler: Çalışma grubunu öyküsünde ağır preeklampsi, plasenta previa totalis, dekolman plasenta, post partum atoni öyküsü olan oluşturdu. Kontrol grubu yaş, parite, doğum şekli, meslek, gelir düzeyi ve eğitim durumu eşleşen kadınlardan oluşuyordu. Hastaların tekrar hamile kalma korkusu ve son doğumdaki ölüm korkusu anketler ile ölçüldü. Cinsel fonksiyonları değerlendirmek için Arizona cinsel deneyim skalası kullanıldı. Komplike gebelik ve doğumu olan ve olmayan kadınların cinsel fonksiyonlarını karşılaştırdık.Bulgular: Son doğum esnasında görülen ölüm korkusu ve tekrar hamile korkusu çalışma grubunda anlamlı olarak daha yüksek olduğu gözlendi (p = 0,002 ve p < 0,001, sırasıyla). Çalışma ve kontrol grubunda cinsel işlev bozukluğu gönüllülük oranı sırasıyla % 55,1 ve % 38,7 (p = 0,081) tespit edildi. Son doğum esnasında yaşanan ölüm korkusu cinsel işlev bozukluğu için önemli bir risk faktörü olarak bulunmuştur (odds oranı [OR] = 1,653; 95% CI = 1,131-2,415; p=0,009).Sonuç: Sonuç olarak, komplike gebelik ve doğum öyküsü olan kadınlarda cinsel işlev bozukluğu oranı sağlıklı gebelik ve doğum öyküsü olan kadınlarla neredeyse eşitti. Son doğum esnasında görülen ölüm korkusunun cinsel işlev bozukluğu için en önemli risk faktörü olduğu bulunmuştur.Anahtar kelimeler: Ölüm korkusu, tekrar gebe kalma korkusu, komplike gebelik, komplike doğum, cinsel işlev bozukluğu ABSTRACT Objective: The aim of this study is to evaluate the effects of complicated pregnancy and delivery (P/D) on sexual functions and to determine possible risk factors that affect sexual functions. Methods:Women, who have the history of severe preeclampsia, placenta previa totalis, abruption placentae or postpartum uterine atonia, comprised the study group. The control group was comprised the women matched for age, parity, mode of delivery, vocation, the level of income and education status. Their fear of getting pregnant again and fear of death in the most recent delivery were measured by questionnaires. The Arizona Sexual Experience Scale was used to assess the sexual functions. We compared sexual functions of the women with and without suffering from complicated P/D. Results:Fear of death during the last delivery and fear of getting pregnant again were significantly more intense in the study group (p=0.002 and p<0.001, respectively). The rates of volunteers detected sexual dysfunction in the study and control groups were 55.1% and 38.7%, respectively (p=0.081). Fear of death during the last delivery was found to be significant risk factors for sexual dysfunction (odds ratio [OR] = 1.653; 95% CI = 1.131-2.415; p=0.009). Conclusion:In conclusion, sexual dysfunction rate of women with a history of complicated pregnancy and delivery, was almost equal that of women with a history of health pregnancy and delivery. Fear of death during the last delivery was found to be most ...

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“…[3][4][5] Immediate postpartum IUCD insertion is approved by WHO, as one of the safe and effective method of temporary contraception. 6 In the immediate post delivery period the women are highly motivated and need an effective method for contraception so that the child can be brought up with a relaxed mind without the worry of unintended pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Immediate postpartum intrauterine contraceptive device insertion: a prospective follow up study

Poovathi

Sondararajan

2016

Int J Reprod Contracept Obstet Gynecol

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Background: India's population of over 1.2 billion is slated to overtake China as the world's most populous country, in less than one and a half decade. This population size is more than the population of USA, Brazil, Bangladesh, Pakistan, Indonesia and Japan put together. Family planning is important not only for population stabilization, but it has been increasingly realized that family planning is central to improve maternal and newborn survival and health. Family planning can avert more than 30% of maternal deaths and 10% of child mortality if couples spaced their pregnancies more than 2 years apart (Cleland J et al, 2006). In 1951, India was the world's first nation when Government of India (GoI) launched a family planning programme. Postpartum women who breastfeed their infants can also use Cu IUCD safely, as it does not interfere with breastfeeding. Postpartum IUCD can be inserted immediately after vaginal delivery, during caesarean section and up to 48 hours after birth, before women get discharged from the health facilities. The objectives of this study was The study was conducted to assess the safety, efficacy, and acceptance and follow up of PPIUCD insertion in women delivering vaginally and during caesarean within 48 hours postpartum. Methods: This prospective study was carried out in a tertiary care hospital, Government Raja Mirasdhar hospital, Thanjavur where the number of deliveries per month is more than 1000.The study period was from 01 January 2015 to 30 June 2015 for the period of 6 months. The IUCD was inserted for all the women who fulfill the criteria for PPIUCD insertion. Women with chorioamnionitis, extreme birth canal injuries, unresolved PPH, more than 18 hours from rupture of membranes to delivery of baby were excluded from the study. Clients were counseled during the routine antenatal visits. Post insertion counseling given at 6 weeks and at 6 months during the follow up visits. Clients were advised to come for follow up to assess their satisfaction, acceptance, expulsion rate and complications. During follow up visits per speculum examination done to assess the descent of IUCD strings in to the vagina. USG performed in whom strings were not visible. Results: A total of 3046 women were included in the study. 1966 Insertions were done after vaginal delivery, 450 insertions done during caesarean and 630 were within 48 hours. The follow up rate at 6 weeks was 70% and40% at 6 months. There were no complications. The expulsion rate at 6weeks is 6% and at 6 months is 5%.The removal rate was 5% at 6 weeks and 6% at 6 months. The continuation rates were 90% At 6 weeks and 80% at 6 months. Conclusions: This study concludes that immediate postpartum insertion is safe and effective. However the expulsion rate for immediate PPIUCD is slightly higher than the interval insertion. Since most women resume sexual activity by 2 to 4 weeks postpartum, in order to avoid the risk of unintended pregnancy immediate postpartum insertion is a good opportunity for the delivering women who are not willi...

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A comparison of sexual outcomes in primiparous women experiencing vaginal and caesarean births

Cited by 37 publications

References 18 publications

A Clinical Perspective On Sexuality With Pregnancy and Postpartum

A Clinical Perspective On Sexuality With Pregnancy and Postpartum

Long-term changes in sexual functions following complicated pregnancies and deliveries

Immediate postpartum intrauterine contraceptive device insertion: a prospective follow up study

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