Women's sexual health after childbirth

BJOG: An International Journal of Obstetrics and Gynaecology - Tập 107 Số 2 - Trang 186-195 - 2000
Geraldine Barrett1, Elizabeth Pendry1, Janet L. Peacock1, Christina Victor1, R Thakar1, Isaac Manyonda2
1St George's Hospital Medical School, London
2St George's Health Care Trust, London

Tóm tắt

Objective To investigate the impact of childbirth on the sexual health of primiparous women and identify factors associated with dyspareunia.

Design Cross‐sectional study using obstetric records, and postal survey six months after delivery.

Setting Department of Obstetrics and Gynaecology, St George's Hospital, London.

Population All primiparous women (n= 796) delivered of a live birth in a six month period.

Methods Quantitative analysis of obstetric and survey data.

Main outcome measures Self reported sexual behaviour and sexual problems (e.g. vaginal dryness, painful penetration, pain during sexual intercourse, pain on orgasm, vaginal tightness, vaginal looseness, bleeding/irritation after sex, and loss of sexual desire); consultation for postnatal sexual problems.

Results Of the 484 respondents (61% response rate), 89% had resumed sexual activity within six months of the birth. Sexual morbidity increased significantly after the birth: in the first three months after delivery 83% of women experienced sexual problems, declining to 64% at six months, although not reaching pre‐pregnancy levels of 38%. Dyspareunia in the first three months after delivery was, after adjustment, significantly associated with vaginal deliveries (P= 0.01) and previous experience of dyspareunia (P= 0.03). At six months the association with type of delivery was not significant (P= 0.4); only experience of dyspareunia before pregnancy (P < 0.0001) and current breastfeeding were significant (P= 0.0006). Only 15% of women who had a postnatal sexual problem reported discussing it with a health professional.

Conclusions Sexual health problems were very common after childbirth, suggesting potentially high levels of unmet need.

Từ khóa


Tài liệu tham khảo

10.1016/0022-3999(81)90051-9

10.1192/bjp.144.1.35

10.1192/bjp.144.5.453

Cox JL., 1986, Postnatal Depression

Cox JL, 1993, A controlled study of the onset, duration and prevalence of postnatal depression, A controlled study of the onset, duration and prevalence of postnatal depression, 163, 27

Arthur C, 1991, Health After Childbirth

10.12968/bjom.1995.3.1.27

10.1111/j.1471-0528.1995.tb09132.x

10.1111/j.1471-0528.1998.tb10045.x

10.1111/j.1471-0528.1992.tb13870.x

10.1016/0028-2243(92)90239-U

10.1136/jech.46.6.595

10.1056/NEJM199312233292601

10.1111/j.1464-410X.1994.tb07606.x

10.1016/S0140-6736(94)92213-6

Toglia MR, 1994, Anal incontinence and obstetrician‐gynaecologist, Obstet Gynecol, 84, 731

10.1111/j.1471-0528.1996.tb09668.x

10.1111/j.1471-0528.1997.tb12052.x

10.1111/j.1471-0528.1997.tb10648.x

10.1080/02646838308403145

10.1136/bmj.309.6968.1584c

Barrett G, 1996, Postnatal sexual health, Br J Gen Pract, 46, 47

Barrett G, 1996, Incidence of postnatal dyspareunia, Br J Sexual Med, 23, 6

10.1136/bmj.284.6311.243

10.5694/j.1326-5377.1990.tb124419.x

10.1016/0022-3999(81)90052-0

10.1016/0022-3999(85)90088-1

10.1016/0002-9378(94)90070-1

10.1136/bmj.289.6445.587

Sleep J, 1987, West Berkshire perineal management trial: three year follow up, West Berkshire perineal management trial: three year follow up, 295, 749

10.1111/j.1471-0528.1997.tb11463.x

Bex PJ, 1987, Perineal management during childbirth and subsequent dyspareunia, Clin Exp Obstet Gynecol, 14, 97

Frohlich EP, 1990, Sexuality during pregnancy and early puerperium and its perception by pregnant and puerperal woman, Sexuality during pregnancy and early puerperium and its perception by pregnant and puerperal woman, 11, 73

10.1080/02646838308403150

10.1111/j.1552-6909.1985.tb02218.x

10.1192/bjp.148.1.74

Masters WH, 1966, Human Sexual Response

10.1007/BF01541581

10.1111/j.1471-0528.1996.tb09864.x

10.1016/S0140-6736(96)91176-9

10.1136/bmj.317.7156.462

Amu O, 1998, Should doctors perform an caesarean section on request? Maternal choice alone should not determine method of delivery, BMJ, 317, 463

10.1136/bmj.306.6879.718-c

10.1136/bmj.310.6980.668

10.1136/bmj.310.6980.668a

10.1192/bjp.150.6.782

Johnson AM, 1994, Sexual Attitudes and Lifestyles

10.1023/A:1018771906780

Bick DE, 1994, Identifying morbidity in postpartum women, Mod Midwife, 4, 10

10.1136/bmj.306.6888.1299

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Thông tin xuất bản

BJOG: An International Journal of Obstetrics and Gynaecology

Tập 107 Số 2

186-195

Thông tin tác giả