Sexual Knowledge and Experience of Women with Spinal Cord Injury in the Community Level in Bangladesh

Abstract

Sexual knowledge is an important part of every life and it is necessary for clinicians to have a specific format in which to address sexual issues with their patients. A systematic approach to working with female spinal cord injury (SCI) patients need to present their sexual knowledge and experience. To explore the sexual knowledge and experience of women with spinal cord injury in the community level. The researcher conducted a mixed method research. In order to assess sexuality a standard questionnaire was developed on the basis of the clinical experience and review of relevant literature. The items of the questionnaire were selected keeping in mind the complex culture and principles of our society. VAS scale and likert scale was used to measure 9 close questions related to sexual knowledge and experience. Another 2 open ended question explored their perception how they maintain good relation and what they want to know from the rehabilitation program. Paired 't' test was used for identify the quality of sexual life. The total participant was 30. Mean ages were 30.73 ± 7.47 years. Mean duration of injury was 7.733 years. Of the participants 17 (56.7%) live in rural and 13 (43.3%) live in urban. The participant 23 (76.7%) was married before injury, 7 (23.3%) was married after injury. The study result was who stay in urban area their sexual happiness means score (54.384) was more than who stay in rural area (35.47). Married after injury (7 women) their mean sexual happiness score (72%) was more than who was married (23 women) before injury (mean score 33.82) and Significantly difference (P<0.05) quality of sexual life before and after injury. 50% of participant indicated that support of husband was not much and not at all. Advice from the participants for maintaining good relationship, financial independence, self-confidence, copes with the present situation is important. Participants want to know proper guidance after operation and different individual problem-solving technique in the rehabilitation education program. This study present important information with regards for improving sexual rehabilitation services to women with SCI.

Fertilidade Em Pacientes Com Trauma Raquimedular Prévio

“…Outrossim, no que se referem às contrações uterinas, os traumas completos da medula não as inibem. As contrações podem ser percebidas através de espasmos musculares abdominais ou dos membros inferiores, e ainda por aumento da pressão na região da pelve 9 .…”

“…Nesse sentido, o tipo de parto pode ser determinado por indicação do obstetra que acompanha a gestante, sendo que a indicação para o parto cesárea apresenta os mesmos índices em relação às mulheres sem TRM 10,11 . Devido à fraqueza muscular abdominal, no parto vaginal pode ser necessário o uso de recursos de assistência como o fórceps e a episiotomia 11 .…”

“…O TRM na mulher geralmente não se associa a nenhuma alteração hormonal ou ginecológica que impossibilite a gestação 8,9 . Se possível, a gravidez dessas mulheres deve ser planejada e acompanhada por uma equipe multidisciplinar, de acordo com a peculiaridade de cada caso, considerando uma abordagem individualizada, em que, as complicações devem ser antecipadas e evitadas, principalmente a disreflexia autonômica, que pode estar associada a desfechos dramáticos 7,8,9,10 .…”