Objectives:To investigate the incidence of different types of postpartum sexual problems and the changes in postpartum sexual life.Methods:386 cases of maternal delivering in our hospital from January 2014 to March 2016 were selected as research objects."Female Postpartum Sexual Health Questionnaire" was designed to conduct a survey on their sexual health before and after pregnancy.The survey time was divided into three different periods,6 months before pregnancy,3 months after delivering and 3 to 6 months after delivering,to compare the sexual life frequency,sexual desire degree,sexual life initiative,satisfaction degree,and postpartum various sexual problems for postpartum woman at different time point.Results:The frequency of sexual life at 3 months after delivering was significantly lower than that of pre-pregnancy.While it increased after 6 months of delivering,which was still lower than that of pre-pregnancy (P ＜ 0.05).The sexual desire of postpartum women significantly decreased,but increased 6 months after delivering though did not restore to the level of pre-pregnancy (P ＜ 0.05).The sexual life initiative and sexual satisfaction of postpartum women decreased significantly with the increasing trend after six months of delivering,but it was still lower than that of pre-pregnancy (P ＜ 0.05).The sexual problems of postpartum women mainly included vaginal dryness,sexual intercourse pain,non-sexual pleasure,low sexual desire,and lack of orgasm,the incidences of which were significantly higher compared to those before pregnancy (P ＜ 0.05).The incidence rates of vaginal dryness and sexual intercourse pain were the highest;the incidence rate of various sexual problems increased significantly compared to that before pregnancy with significant improvement occurring within the investigation period.Conclusion:The frequency and quality of sexual life in postpartum women decrease significantly.Adequate attention and research should be given to the health of postpartum women with appropriate intervention.At the same time,the consultation and treatment of sexual problems in the postpartum care services should be improved to help women have normal sexual life after delivering as soon as possible to promote reproductive health and family harmony.%目的:对妇女产后不同类型性问题的发生率以及产后性生活的变化情况展开探讨与研究.方法:选取2014年1月至2016年3月在我院产科分娩的386例产妇为研究对象.设计《女性产后性健康调查表》对其孕前及产后的性健康问题进行调查.将调查时间点分为孕前6个月、产后3个月及产后3～6个月三个不同时间段,对比不同时间点产后妇女的性生活频率、性欲程度、性生活主动性与满意度,以及产后各种性问题的发生情况.结果:产后3个月时妇女的性生活频率较孕前明显下降,至产后6个月时有所上升,但仍低于孕前水平(P＜0.05).妇女产后性欲程度较孕前明显下降,至产后6个月时有所回升,但仍未恢复至孕前水平(P＜0.05).产后妇女在性生活的主动性和性生活满意度明显下降,至产后6个月时有回升的迹象,但仍较孕前明显降低(P＜0.05).产后妇女出现的性问题主要包括阴道干涩、性交疼痛、无性快感、性欲低下以及性高潮缺失等,较孕前发生率明显升高(P＜0.05),其中阴道干涩、性交疼痛的发生率最高;各种性问题的发生率较孕前明显升高,且在调查时间段内并未随时间的进展出现明显改善.结论:妇女在产后性生活频率与质量均明显下降.应给予产后妇女性健康充分的关注和研究,并给予适当的干预,同时在产后保健服务中完善关于性问题的咨询和治疗,帮助妇女在产后尽快拥有正常的性生活,促进生殖健康和家庭和睦.
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