Sexualidade de puérperas com bebês de risco

Abstract

Objective: To identify possible changes in the sexuality patterns of women who have high-risk infants in the first six months postpartum. Methods: A cohort study of 193 mothers of high-risk infants born between May and October of 2008, who were included in the Newborn Risk Surveillance Program in Maringá (Paraná, Brasil). Data were collected through semi-structured interviews during two home visits (at 45 days and six months postpartum). Results: Among these participants, 45.8% and 26.3% indicated that their sexuality patterns were worse than before pregnancy at 45 days and six months after delivery, respectively. There was no association between sexuality patterns and any variable at 45 days; at six months post-delivery, associations with complications in pregnancy (p = 0.0259) and living with a partner (p = 0.0093) were identified. Conclusion: Mothers of high-risk infants, especially those who experienced complications during pregnancy, require multidisciplinary, long-term monitoring of sexuality patterns. Keywords: Sexuality; Postpartum period; Women's health; Libido RESUMOObjetivo: Identificar possíveis alterações na sexualidade de mulheres que experienciaram o puerpério com bebês de risco. Métodos: Estudo do tipo coorte realizado com 193 puérperas que tiveram filhos nascidos entre maio e outubro de 2008 e incluídos no Programa de Vigilância ao Recém-nascido de Risco de Maringá-PR. Os dados foram coletados por meio de entrevista semi-struturada em duas visitas domiciliares, aos 45 dias e seis meses pós-parto. Resultados: Entre as puérperas participantes 45,8% e 26,3% afirmaram que sua sexualidade estava pior do que antes da gravidez, respectivamente, aos 45 dias e seis meses após o parto. Não foi observada associação estatística entre sexualidade e qualquer variável aos 45 dias, mas o foi aos seis meses, após o parto em relação às intercorrências na gravidez (p=0,0259) e convívio com o companheiro (p=0,0093). Conclusão: Mães de recém-nascidos de risco, em especial, as que apresentaram intercorrência gestacional, necessitam de acompanhamento multidisciplinar e a longo prazo. Descritores: Sexualidade; Período pós-parto; Saúde da mulher; Libido RESUMENObjetivo: Identificar posibles alteraciones en la sexualidad de mujeres que experimentaron el puerperio con bebés de riesgo. Métodos: Estudio de tipo cohorte realizado con 193 puérperas que tuvieron hijos nacidos entre mayo y octubre del 2008 e incluidos en el Programa de Vigilancia al Recién nacido de Riesgo de Maringá-PR. Los datos fueron recolectados por medio de una entrevista semi-estructurada en dos visitas domiciliarias, a los 45 días y seis meses post parto. Resultados: Entre las puérperas participantes el 45,8% y el 26,3% afirmaron que su sexualidad estaba peor que antes del embarazo, a los 45 días y seis meses después del parto, respectivamente. No fue observada la asociación estadística entre sexualidad y cualquier variable a los 45 días, mas sí a los seis meses, después del parto en relación a las intercurrencias en el embarazo (p=0,0259) y con...

Disfunção sexual e fatores associados relatados no período pós-parto

“…(1,3,4,11) Similar results were identified in a study of women in the first 3 months of postpartum, in which it was identified that 83% of them experienced sexual problems, decreasing to 64% at 6 months -although not reaching pre-pregnancy levels of 38%. (12) In this sense, the fact is that health professionals need to be aware of issues related to sexuality of women/couples.…”

“…(11) However, as mentioned, the literature is inconclusive on the indication of cesarean delivery as a practical protection to female sexual function and promote early recovery of sexual activity during this period; instead, the studies diverge about the published results. (4,5,12) The ignorance of one's own body, as well as the physical and emotional changes, characteristics of pregnancy, may increase the development of sex-ual dysfunction in some women and/or couples. (9,13) The high prevalence of sexual dysfunction in pregnancy and childbirth cycle, particularly dyspareunia, found in this study and reinforced by the literature, seems to be justified by these conditions, and other factors such as perineal trauma, fatigue, physical discomfort, fear of infection, pain in the breasts, impaired of self-image and body image, and depression.…”

Amamentação e sexualidade: uma interface na vivência do puerpério Breastfeeding and sexuality: an interface in the experience of puerperium

“…These changes were also identified among the respondents of another study, 13 in which these situations were listed as factors that reverberated directly on the sexual life of puerperal women.…”

“…Beyond that, the birth poses challenges as the reworking of the woman self-image, the image of the partners between themselves, and the image of the own marital relationship. 13,[15][16] In the meantime, it is recognized that the experience of sexuality during lactation takes a broader dimension, given the fact that breastfeeding and sexuality consist of aspects conditioned and outlined by psychological and socio-cultural basis. 7,15 Thus, it is clear that some women experience changes in sexual intercourse while breastfeeding.…”

Consequências Da Maternidade Na Adolescência

“…Estas alterações, decorrentes da gravidez, são motivos de preocupação para algumas jovens, pois após o nascimento do filho, uma das primeiras conclusões que a mãe tem é que seu corpo já não é mais o mesmo de antes, surgindo incômodo e insatisfação (17) . Isso tem potencial de gerar dificuldades na percepção da autoimagem, pois incidem sobre esta as mudanças ocorridas no corpo e as transformações estéticas decorrentes da maternidade (18) .…”