产后性生活质量与分娩方式的关系

Women's postpartum sexuality and delivery types

目的 了解产后各种不同类型性生活质量问题的发生率 ,以及分娩方式与产后性生活质量的关系。方法 采用横断面研究方法 ,对在重庆医科大学临床学院产科分娩活婴的 4 6 0例初产妇的产科住院记录和产后 6个月内的性生活资料进行分析。结果 94 7%初产妇于产后 6个月内恢复性生活。其中产后 3个月内 ,存在性交疼痛、阴道干涩等性生活质量问题的妇女占 70 6 % ,产后 6个月时 ,降至 34 2 % ,但未恢复到妊娠前 (7 2 % )的水平。分娩方式与妇女产后 3～ 6个月内的性生活满意率、性生活中女方主动率、性欲水平、性交疼痛的发生率等无明显相关性。结论 产后性生活质量问题非常普遍 ,缺乏专业人员提供的咨询与治疗 ;产后 3～ 6个月内性生活质量与分娩方式无关。

Objective To investigate the impact of delivery on the sexuality of primiparous women in China,and the association with delivery type. Methods We inquired 460 of primiparous women delivering of a live birth at the first affiliated hospital of Chongqing medical university from November 1,2000 to July 31, 2001. It was a cross-sectional study using obstetric records and postal questionnaire survey by outpatients consultation six months after delivery. Results Ninety-four point seven percent had resumed sexual activity within six months of the birth. In the first three months after delivery, 70.6% of women experienced sexual problems, it declined to 34.2% at six months, but can not reaching the pre-pregnancy levels. There was no close relation between sexuality postpartum and delivery.(sexual satisfactory,desire,active rate,dyspareunia and pubococcygeal mucle intensity, P >0.05 ) . Conclusions Postpartum sexuality was not significantly associated with delivery types. Sexual problems were very common after childbirth.More cousultation and direction of postpartum sexuality recurrence is needed.