Introduction: Sexual function is undoubtedly an important dimension of adult life. Due to all the conflicting results with regard to sexual function after the normal vaginal delivery (NVD) or the Cesarean Section (CS)...Introduction: Sexual function is undoubtedly an important dimension of adult life. Due to all the conflicting results with regard to sexual function after the normal vaginal delivery (NVD) or the Cesarean Section (CS), in the present study, we aimed to compare the sexual function in women pre-pregnancy and postpartum and also after the NVD and CS. Materials and Methods: In this cohort study, two groups of healthy women, with antenatal normal pregnancies, who underwent NVD (n = 90) and CS (n = 113), were prospectively studied. The sexual function of the participants was assessed through a Female Sexual Function Index (FSFI) questionnaire in two stages: once before pregnancy and then within 3 to 6 months after delivery, which lasted from June 2011 to September 2012. The data were analyzed by descriptive and inferential statistics. Data were analyzed using chi-square test, Mann-Whitney test, and T Test. Results: Based on the data gathered from 206 women who completed the FSFI questionnaire in two stages, the mean (±SD) self-reported timing of the resumption of sexual activity was 8.9 ± 1.3. There was no significant statistical difference found between the two groups by timing of the resumption of sexual activity in NVD and CS groups. There was also no statistically significant difference found in the overall sexual function scores between the two groups (NVD vs. CS). The average score for female sexual function in desire, arousal, orgasm, and satisfaction within 3 to 6 months after delivery was significantly lower than that of their pre-pregnancy period (p < 0.004). The mean coitus in postpartum period was 1.84 ± 1.20 per week. Conclusion: Based on the findings of this study, there was no significant relationship between the mode of delivery and changes in sexual function. Therefore, it can be claimed that CS is not preferred to NVD with regard to preserving normal sexual functioning.展开更多
目的探讨在产后I度子宫脱垂患者中实施低频低刺激联合凯格尔训练的应用效果。方法选取2021年8月—2023年8月富川县人民医院妇产科收治的产后I度子宫脱垂患者72例作为研究对象,采用随机数字表法分为A组与B组,每组36例。其中,A组给予凯格...目的探讨在产后I度子宫脱垂患者中实施低频低刺激联合凯格尔训练的应用效果。方法选取2021年8月—2023年8月富川县人民医院妇产科收治的产后I度子宫脱垂患者72例作为研究对象,采用随机数字表法分为A组与B组,每组36例。其中,A组给予凯格尔训练干预,B组在A组基础上联合使用低频电刺激干预,比较两组临床疗效、盆底功能[采用盆底功能障碍问卷(pelvic floor distress inventory-short form 20,PFDI-20)评估]、心理状态[采用抑郁自评量表(self-rating depression scale,SDS)、焦虑自评量表(self-rating anxiety scale,SAS)评估]、性生活质量[采用女性性功能指数评价表(Female Sexual Function Index,FSFI)评估]。结果干预后,B组临床总有效率较A组偏高(P<0.05)。干预后,两组PFDI-20评分均低于干预前,且B组PFDI-20评分低于A组(P<0.05)。干预后,两组SAS评分、SDS评分均低于干预前,且B组各评分均低于A组(P<0.05)。干预后,两组FSFI评分均高于干预前,且B组FSFI评分高于A组(P<0.05)。结论低频电刺激联合凯格尔训练可提高产后I度子宫脱垂患者临床疗效,增强盆底功能,改善患者心理状态及性生活质量,值得借鉴。展开更多
文摘Introduction: Sexual function is undoubtedly an important dimension of adult life. Due to all the conflicting results with regard to sexual function after the normal vaginal delivery (NVD) or the Cesarean Section (CS), in the present study, we aimed to compare the sexual function in women pre-pregnancy and postpartum and also after the NVD and CS. Materials and Methods: In this cohort study, two groups of healthy women, with antenatal normal pregnancies, who underwent NVD (n = 90) and CS (n = 113), were prospectively studied. The sexual function of the participants was assessed through a Female Sexual Function Index (FSFI) questionnaire in two stages: once before pregnancy and then within 3 to 6 months after delivery, which lasted from June 2011 to September 2012. The data were analyzed by descriptive and inferential statistics. Data were analyzed using chi-square test, Mann-Whitney test, and T Test. Results: Based on the data gathered from 206 women who completed the FSFI questionnaire in two stages, the mean (±SD) self-reported timing of the resumption of sexual activity was 8.9 ± 1.3. There was no significant statistical difference found between the two groups by timing of the resumption of sexual activity in NVD and CS groups. There was also no statistically significant difference found in the overall sexual function scores between the two groups (NVD vs. CS). The average score for female sexual function in desire, arousal, orgasm, and satisfaction within 3 to 6 months after delivery was significantly lower than that of their pre-pregnancy period (p < 0.004). The mean coitus in postpartum period was 1.84 ± 1.20 per week. Conclusion: Based on the findings of this study, there was no significant relationship between the mode of delivery and changes in sexual function. Therefore, it can be claimed that CS is not preferred to NVD with regard to preserving normal sexual functioning.
文摘目的探讨在产后I度子宫脱垂患者中实施低频低刺激联合凯格尔训练的应用效果。方法选取2021年8月—2023年8月富川县人民医院妇产科收治的产后I度子宫脱垂患者72例作为研究对象,采用随机数字表法分为A组与B组,每组36例。其中,A组给予凯格尔训练干预,B组在A组基础上联合使用低频电刺激干预,比较两组临床疗效、盆底功能[采用盆底功能障碍问卷(pelvic floor distress inventory-short form 20,PFDI-20)评估]、心理状态[采用抑郁自评量表(self-rating depression scale,SDS)、焦虑自评量表(self-rating anxiety scale,SAS)评估]、性生活质量[采用女性性功能指数评价表(Female Sexual Function Index,FSFI)评估]。结果干预后,B组临床总有效率较A组偏高(P<0.05)。干预后,两组PFDI-20评分均低于干预前,且B组PFDI-20评分低于A组(P<0.05)。干预后,两组SAS评分、SDS评分均低于干预前,且B组各评分均低于A组(P<0.05)。干预后,两组FSFI评分均高于干预前,且B组FSFI评分高于A组(P<0.05)。结论低频电刺激联合凯格尔训练可提高产后I度子宫脱垂患者临床疗效,增强盆底功能,改善患者心理状态及性生活质量,值得借鉴。
