Effects of perineal trauma on postpartum sexual function

Rathfisch, Gülay; Dikencik, Birsen Küçük; Beji, Nezihe Kızılkaya; Comert, N; Tekirdağ, Ali İsmet; Kadıoğlu, Ateş

doi:10.1111/j.1365-2648.2010.05428.x

Cited by 80 publications

(73 citation statements)

References 20 publications

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“…During the vaginal delivery, the most important risk factor for sexual dysfunction is perineal stretching and trauma [27]. The majority of patients in the study and control groups had a history of giving birth by cesarean section.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…Several studies have shown that primiparity has a negative impact on subsequent sexual function [12,39,40]. This could be related to birth difficulty especially the degree of vaginal tear [41].…”

Section: Resumption Of Sexual Activity Postpartummentioning

confidence: 99%

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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“…Być może dlatego pierwsze zbliżenie po porodzie porównywane jest przez niektóre kobiety do inicjacji seksualnej. Wiadomo natomiast, że nieudane relacje intymne w tym okresie mogą inicjować u kobiet dysfunkcje seksualne [14,15].…”

Section: Dyskusjaunclassified