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Creado el : 02 Aug 2014
Alterado em : 10 Aug 2014

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Ficha bibliográfica (sin autores) :

Sexual function after childbirth by the mode of delivery: a prospective study - Archives of Gynecology and Obstetrics - Vol. 288, 4 - ISBN: 0932-0067, 1432-0711 - p.785-792

Autores :

Lurie, Samuel; Aizenberg, Michal; Sulema, Vicky; Boaz, Mona; Kovo, Michal; Golan, Abraham; Sadan, Oscar

Año de publicación :

2013

URL(s) :

http://link.springer.com/article/10.1007/s00404-01…
https://doi.org/10.1007/s00404-013-2846-4

Résumé (français)  :

Objectif. Evaluation longitudinale du comportement sexuel pendant la période post partum, par mode d’accouchement

Méthode. Etude prospective, 5 groupes: femmes ayant accouché vaginalement sans épisiotomie (n = 16), avec épisiotomie (n = 14), par accouchement instrumental (n = 16), par césarienne en urgence (n = 19), et par césarienne élective (n = 17). Le comportement sexuel est estimé par le questionnaire indice de sexualité féminine(Female sexual function index FSFI) à 6, 12, 24 semaines postpartum, et par le délai de reprise des relations sexuelles

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Abstract (English)  :

Purpose The objective of the present study was to evaluate sexual behavior longitudinally in the postpartum period by mode of delivery.

Methods In this prospective study, five groups were defined: women who delivered vaginally without an episiotomy (n = 16), women who delivered vaginally with an episiotomy (n = 14), women who delivered by instrumental delivery (n = 16), women who delivered by an emergent cesarean section (n = 19), and women who delivered by an elective cesarean section (n = 17). Sexual behavior was assessed by the female sexual function index (FSFI) questionnaire at 6, 12, and 24 weeks postpartum and by the timing of resumption of sexual intercourse.

Results The mean ± SD self-reported timing of resumption of sexual activity was 4.5 ± 1.8, 7.9 ± 3.0, 7.3 ± 3.4, 6.1 ± 2.6, and 6.1 ± 2.4 weeks in the vaginal delivery without an episiotomy group, in the vaginal delivery with an episiotomy group, in the instrumental delivery group, in the elective cesarean delivery group, and in the emergent cesarean delivery group, respectively (p = 0.013). The FSFI total score in the entire study group (n = 82) was 14.1 ± 10.8, 24.6 ± 7.6, and 27.7 ± 5.1 at 6, 12, and 24 weeks postpartum, respectively (p < 0.05). The FSFI total score did not differ significantly across types of mode of delivery at 6, 12, or 24 weeks postpartum.

Conclusion The significance by delivery mode difference in the postpartum resumption of sexual activity was not accompanied by difference in sexual function scores. Specifically, elective cesarean delivery was not associated with a protective effect on sexual function after childbirth.

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Import 02/08/2014 — 02 Aug 2014