女性产后早期性问题及产后性健康知识知晓状况分析

Sexual problems during early postpartum period and awareness in postpartum sexual health： a retrospective study

目的探讨女性产后早期的性问题及对产后性健康知识的知晓情况。方法选择在我院住院分娩，且于2010年10月至11月在我院产科门诊行产后检查的产妇109例，以自行设计的产后性健康情况调查表，由专人负责调查填表，分析其产后性问题发生情况及对产后性健康知识的知晓情况。结果产后妇女首次行产后检查的时间为6～12周；产后6周内，有5．50％（6／109）的产妇恢复性生活；产后6～8周时，有15．60％（17／109）的产妇恢复性生活；产后12周时，42．20％（46／109）的产妇恢复了性生活。产后出现的性问题有：性交疼痛占76．09％（35／46）、阴道干涩占63．04％（29／46）、性欲低下占54．35％（25／46）、高潮缺失占23．91％（11／46），其中性交疼痛、阴道干涩、性欲低下为常见；产后性生活采取避孕措施的占10．87％（5／46）。21．10％（23／109）的产妇知道产后恢复性生活的时间，12．84％（14／109）的产妇知道产后可能出现的性问题，13．76％（15／109）产妇知道产后避孕知识，6．42％（7／109）的产妇表示愿意在出现产后性问题时主动就医，9．17％（10／109）产妇其丈夫愿意了解产后性保健知识。结论产后早期性问题较为普遍，应当引起医务人员的重视；产妇性健康知识普遍薄弱，应大力加强产前产后宣教，提高产后性保健知识的知晓率。

Objective To investigate the sexual problems during early postpartum period and the awareness of postpartum sexual health. Methods A questionnaire survey was carried out in 109 women who received routine postpartum check-up in our outpatient department between October and November 2010 to identify postpartum sexual problems and the awareness of postpartum sexual health. Results The first postpartum check-up was received 6 to 12 weeks after the delivery. Of 109 participants, 6 （5.5%）, 17 （ 15.6% ） and 46 （42.2%） resumed sexual activity within 6,6 to 8, and 12 weeks after the delivery, respectively. Postpartum sexual problems included dyspareunia （35/46,76. 09% ） ,vaginal dryness （29/46, 63.04% ）, hypoactive sexual desire （25/46,54. 35% ） and lack of orgasm （11/46,23.91% ）. 10. 87 % （5/ d6）took contraceptive measures, 21.10% （23/109） understood the appropriate time to resume sexual activity, 12. 84% （14/109） was aware of the possible postpartum sexual problems, 13.76% （15/109） knew how to avoid pregnant, 6. 42% （7/109） would visit a doctor in case of the sexual disorders, and 9. 17% （10/109） hoped that their husband know about sexual health. Conclusion Postpartum sexual problems may be common and maternal awareness of postpartum sexual health could be low.