Risk of non-resumption of vaginal sex and dyspareunia among cesarean-delivered women

Doke, Prakash Prabhakarrao; Vaidya, Varsha; Narula, Arvinder Pal Singh; Patil, Archana Vasantrao; Panchanadikar, Tushar; Wagh, Girija

doi:10.4103/jfmpc.jfmpc_2482_20

Cited by 4 publications

(3 citation statements)

References 27 publications

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“…Table 1 displays the characteristics of all included studies. The author's name, publication year, study setting, study design, sample size, country, and the percentage of early resumption of sexual intercourse In terms of country-wise distribution, the included 21 studies were comprised of 2 from the United States of America (23 and 24), 5 from Ethiopia (39,40,41,42, and 43), 4 from Uganda (35,36,37 and 38), 3 in Nigeria (32,33, and 34), 2 from China (25 and 26), 2 from India (30 and 31), and the rest 3 were from Spain (27), Norway (28), and Iran (29). None of the studies were excluded based on the quality assessment criteria (Table 1).…”

Section: Description Of Included Studiesmentioning

confidence: 99%

Prevalence and factors associated with early resumption of sexual intercourse among postpartum women: Systematic review and meta-analysis

Abebe Gelaw,

Atalay,

Yeshambel

et al. 2024

PLoS ONE

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Introduction Postpartum sexual health is indicated by a resumption of sexual activity as well as arousal, desire, orgasm, and sexual satisfaction. The issue of resuming sexual intercourse after childbirth has received limited attention because healthcare professionals rarely provide adequate care to postnatal women. The present study aimed to ascertain the overall prevalence of early resumption of sexual intercourse among most women. Methods Searches were conducted in PubMed, Web of Science, Science Direct, Google Scholar, African Journals Online, and the Cochrane Library. Data were extracted using Microsoft Excel, and STATA version 14 was used for analysis. Publication bias was checked by funnel plot, Egger, and Begg regression tests. A p-value of 0.05 was regarded to indicate potential publication bias. Using I2 statistics, the heterogeneity of the studies was evaluated. By country, a subgroup analysis was conducted. A sensitivity analysis was carried out to determine the effect of each study’s findings on the overall estimate. The random effects model was used to assess the overall effect of the study and then measured using prevalence rates and odds ratio with 95% CI. Results Twenty-one studies with 4,482 postpartum women participants were included in the study. The pooled prevalence of early resumption sexual intercourse among post-partum women was 57.26% (95% CI 50.14, 64.39) with significant heterogeneity between studies (I2 = 99.2%; P-value ≤ 0.000) observed. Current contraceptive use (AOR = 1.48, 95%CI = 1.03, 6.21), primipara (AOR = 2.88, 95%CI = 1.41, 5.89), and no history of severe genital injury on the last delivery (AOR = 2.27, 95%CI = 1.05, 4.93) were significantly associated with early resumption of sexual intercourse. Conclusion This study found that more than half of women resumed sexual intercourse early after giving birth. This suggests that a significant number of women may be at higher risk of unwanted pregnancies, short birth intervals, and postpartum sepsis. Thus, stakeholders should improve the integration of postpartum sexual education with maternal health services to reduce the resumption of postpartum sexual intercourse.

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Section: Description Of Included Studiesmentioning

confidence: 99%

Prevalence and factors associated with early resumption of sexual intercourse among postpartum women: Systematic review and meta-analysis

Abebe Gelaw,

Atalay,

Yeshambel

et al. 2024

PLoS ONE

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“…Ditinjau dari segi fisik, wanita mengalami perubahan sangat drastis di dalam tubuh. Tindakan episiotomi untuk melancarkan jalan lahir dapat menyebabkan trauma tersendiri bagi wanita serta memerlukan waktu untuk penyembuhan luka tersebut [1], [9].…”

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Exploratory Study of Patterns of Post Partum Maternal Sexuality

Mayangsari

Mujahidah²

2023

JURNAL KEBIDANAN

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The perineal ruptur that occurs during labor can affect sexuality in postpartum mothers. About 80% of women experience pain during intercourse, lack of vaginal lubrication, and loss of libido in the first 3 months postpartum. The need for sexuality is often the concern of the mother and family, so it is necessary to carry out discussions during pregnancy based on the culture and beliefs of the family. The purpose of this study was to explore sexuality in postpartum mothers at the Bancak Health Center, Semarang Regency. A qualitative research design with a phenomenological approach was used in this study. Snowball sampling was used in this study with 3 primiparous postpartum women participants 15-42 days with grade 1-2 perineal rupturd. There were 5 triangulations, three husbands, a doctor, and a midwife's coordinator. Indepth interview instrument was used in this study. Test the data with the general approach of inductive analysis, then the next step becomes deductive. Knowledge about sexuality, namely the relationship between husband and wife after the postpartum period, aims to fulfill the spiritual needs of subsistence and bring the relationship between husband and wife closer. However, mothers are reluctant to have sexual intercourse during the postpartum period for fear of the stitches coming off and pain. Postpartum mothers' readiness about sexuality, the husband's support, and the role of midwives in providing explanations about sexuality after the postpartum period play an important role in overcoming problems of sexuality in postpartum mothers.

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“…The postpartum sexual resumption after childbirth may reduce the likelihood of compromising family's relationships and reduce the family's' health at risk due to sexually transmitted infections such as HIV/AIDS through being polygamous ( 8 ). However, according to the World Health WHO and other studies, more than half (50%), of women resume sexual activity within 6 weeks of childbirth ( 9 – 11 ).…”

Section: Introductionmentioning

confidence: 99%

Return of Sexual Activity Within Six Weeks of Childbirth Among Married Women Attending Postpartum Clinic of a Teaching Hospital in Ethiopia

Dirirsa¹,

Salo²,

Eticha³

et al. 2022

Front. Med.

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Introduction:Postpartum sexual health gets very little attention compared to pregnancy and childbirth, even though most maternal deaths and disabilities occur during this time. Therefore, the study aimed to assess return of sexual activity within 6 weeks of childbirth among married women attending postpartum clinic of a teaching hospital in Ethiopia, 2021.MethodsThe hospital-based cross-sectional study design was implemented from September to October 2021. Eligible postpartum women were sampled by systematic random sampling technique. The data was entered into EPI-info and exported to SPSS version 24 for further analysis. All variables with a p-value < 0.05 in multivariable analyses were taken as associated factors with the return to sexual activity before 6 weeks of childbirth.ResultsA total of 421 postpartum women participated in the study. The prevalence of women who return to sexual activity 6 weeks after childbirth was 31.6%. The study revealed that monogamy (Adjusted Odds Ratio (AOR) = 4.4, 95% Confidence Interval (CI) (2.1, 9.4)), parity (AOR= 0.11, 95% CI (0.02–0.81)) and (AOR = 0.1, 95% CI (0.015–0.72)), postnatal care (AOR= 1.8, 95% CI (1.01–3)) and infants feeding status (AOR=2.3, 95% CI (1.3–4)) were significantly associated with return of sexual activity before 6 weeks of childbirth.ConclusionThe findings of this study suggested that, nearly one-third of postpartum women engaged to sexual activity within 6 weeks of childbirth. Return of sexual activity within 6 weeks of childbirth associated with monogamy type of marriage, parity, postnatal care, and child feeding status. Strengthening postpartum counseling regarding the appropriate time to resume sexual activity is crucial. Regular postpartum visits following deliveries should also be encouraged by health care providers.

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Risk of non-resumption of vaginal sex and dyspareunia among cesarean-delivered women

Cited by 4 publications

References 27 publications

Prevalence and factors associated with early resumption of sexual intercourse among postpartum women: Systematic review and meta-analysis

Prevalence and factors associated with early resumption of sexual intercourse among postpartum women: Systematic review and meta-analysis

Exploratory Study of Patterns of Post Partum Maternal Sexuality

Return of Sexual Activity Within Six Weeks of Childbirth Among Married Women Attending Postpartum Clinic of a Teaching Hospital in Ethiopia

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