Mothers’ Postpartum Perceptions of Spousal Relationships

Ellis, Donelda J.; Hewat, Roberta J.

doi:10.1111/j.1552-6909.1985.tb02218.x

Cited by 16 publications

(20 citation statements)

References 22 publications

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“…All women who had resumed (or attempted) sexual intercourse were asked a detailed set of questions about problems experienced (prior to pregnancy and postnatally), sexual practices (using the definitions developed for the National Sexual Attitudes and Lifestyles Survey 47 ), frequency of sexual intercourse, satisfaction with sex life, and consultation for postnatal sexual problems. With the exception of the questions on sexual practices, all other areas of postnatal health that we included in the questionnaire have been identified as areas of potential change by previous studies 20–36 . All women were asked about the information they received on postnatal health before the birth and any information, help or advice they received from health professionals after the birth.…”

Section: Methodsmentioning

confidence: 99%

“…Despite the limitations of available studies, general trends emerge: childbirth brings about a change in the sexual relationship; perineal pain and dyspareunia are common experiences for postnatal women 22–32 ; and there is generally a decrease in the frequency of sexual intercourse 26,27,33 and the woman's sexual desire 20,24,27,28,34,35 . Hormonal effects associated with breastfeeding appear to be associated with vaginal dryness and/or loss of libido 21,22,31,34,36 , although this finding is not consistent across all studies 37,38 .…”

Section: Introductionmentioning

confidence: 99%

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Women's sexual health after childbirth

Barrett

Pendry

Peacock

et al. 2000

BJOG

442

388

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Objective To investigate the impact of childbirth on the sexual health of primiparous women and idenDesign Setting Population Methods Quantitative analysis of obstetric and survey data.Main outcome measures tify factors associated with dyspareunia.Cross-sectional study using obstetric records, and postal survey six months after delivery.Department of Obstetrics and Gynaecology, St George's Hospital, London.All primiparous women (n = 796) delivered of a live birth in a six month period.Self reported sexual behaviour and sexual problems (e.g. vaginal dryness, painful penetration, pain during sexual intercourse, pain on orgasm, vaginal tightness, vaginal looseness, bleedinghrritation after sex, and loss of sexual desire); consultation for postnatal sexual problems.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.Results

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Women's sexual health after childbirth

Barrett

Pendry

Peacock

et al. 2000

BJOG

442

388

View full text Add to dashboard Cite

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“…In this study, breastfeeding variable was not significantly associated with the occurrence of sexual dysfunction. 12 Multivariate analysis found that spontaneous labor was statistically significant with the occurrence of sexual dysfunction 3 months post-delivery in sexual arousal dysfunction and achieving orgasm variables, with p=0.008 and p=2.716, while the variable of age being over 30 years old is a significant confounding variable in the occurrence of sexual dysfunction in sexual desire variables (p=0.021). Spontaneous labor variables and age over 30 years are statistically influential variables on sexual dysfunction 3 months post-delivery, whereas the other variables either cesarean section, breastfeeding, working or not, the level of education and degree of perineal laceration was not statistically significant for sexual function.…”

Section: Indones J 130 Suntoro and Kayikamentioning

confidence: 92%

Female Sexual Function at Three Months Post-delivery in Spontaneous Labor and Cesarean Section

Suntoro

Kayika

2016

Indones J Obstet Gynecol

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Objective: To study the comparison of encouragement, stimuli, orgasm, pain and satisfaction of female sexual function at 3 months postpartum between spontaneous delivery and cesarean section in Dr. Cipto Mangunkusumo Hospital in Jakarta. Method: This was an observational research, sexual function was measured at three months post-delivery with Female Sexual Function Index (FSFI) questionnaire. The study design used was cross sectional with consecutive sampling. Analysis for comparative nonpaired categorical variables was done using Chi square or Fisher analysis. Analysis for confounding variables was carried out using multivariate logistic regression. Result: From 150 respondents, 43.3% had sexual dysfunction, with 52% of the spontaneous labor group and 34% of the cesarean section group. Bivariate analysis showed that occurrence of sexual dysfunction at three months post-spontaneous labor was 1.5 times higher (95% CI 1.02-3.19) compared with cesarean section. Sexual encouragement shows a two-fold difference (95% CI 1.17-3.40) compared to cesarean section. However, orgasm disturbance was 8 times higher (95% CI 1.90-3.58) in the spontaneous labor group, with confounding variable of perineal rupture. Disturbance of sexual stimuli, satisfaction, and pain were not significantly different between spontaneous labor and cesarean section. Multivariate analysis found that spontaneous labor was statistically significant for sexual dysfunction at three months post-delivery in patients with sexual encouragement (RR=2.716, p=0.008) and orgasm accession dysfunction (RR= 6.952, p=0.031). However, the more than 30 years old of age variable was statistically significant in sexual dysfunction variable with RR= 2.60 and p=0.021. Conclusion: Spontaneous labor is statistically significant for sexual dysfunction at three months post-delivery, especially for sexual encouragement and orgasm accession. Meanwhile, the variables with the age of 30 years old or older of age were influential on sexual dysfunction, especially to the sexual stimuli variable. Keywords: labor method, sexual dysfunction, three months postdelivery

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“…While the interaction of employment and child rearing for women's health and productivity is important throughout the adult life cycle, it is particularly important at the time of childbirth. Women as caregivers in the early postpartum period must juggle the demands of employment against their need to adapt to changes that occur in marital relationships and role identities (Ellis, 1985;Mercer, 1985), and to recover from the effects of pregnancy and childbirth .…”

Section: Mcgovern Mattermentioning

confidence: 99%