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Sexual activity (SFQ28 score) and laceration at delivery

Sexual activity (SFQ28 score) and laceration at delivery

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IntroductionFemale sexual function changes considerably during pregnancy and the postpartum period. In addition, women's physical and mental health, endocrine secretion, and internal and external genitalia vary during these times. However, there are limited studies on the relationship between delivery and sexual function.AimThe present study aimed...

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... second classification was based on the con- dition of the perineum following delivery, with classifications separated into a no laceration group, an episiotomy group, a laceration group (up to a level three laceration) without episiotomy, and a cesarean section group. Table 2 presents the scores for each SFQ28 domain in each group; the domains include desire, arousal (lubrication), arousal (cognitive), orgasm, pain, enjoyment, and partner. The no laceration group was compared with the other groups. ...

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AimThe purpose of this study was to evaluate the impact of mode of delivery on the sexual function of women using the Female Sexual Function Index (FSFI). Methods This was a prospective study of 452 nulliparous women, comparing their sexual function before and after birth. A Turkish version of the FSFI questionnaire was administered within the firs...

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... Clinical trial [21][22][23] Cross-sectional study [18,[24][25][26][27][28][29][30][31][32][33][34][35][36][37] Prospective cohort study [20,[38][39][40][41][42][43][44][45][46][47][48][49] Iranian version of 19-item FSFI [18,[50][51][52] Hungarian version of 19-item FSFI [35] Taiwan version of 19-item FSFI [44,53] The Turkish version of 19-item FSFI [46,54] German version of Female Sexual Function Index (FSFI-d) [38,55] SFQ28 [56] 2002 Sexual health Cross-sectional study [57] ----PISQ-12 [58] 2003 Sexual function in women with pelvic organ prolapse and/or urinary incontinence ...
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Background Sexual health is a critical component of overall well-being, yet discussions around sexual function, especially in the context of postpartum recovery, are often taboo or sidelined. The aim was to review measurement tools assessing women’s sexual function/health during the postpartum period. Methods We did a systematic search according to preferred reporting items for systematic reviews and meta-analyses 2020 guidelines in different databases, including PubMed, Web of Science, Scopus, Embase, ProQuest and Open Access Thesis and Dissertations, and Google scholar search engine until June 2023. Also, the reference list of the related reviews has been screened. Eligible studies included observational studies or clinical trials that evaluated women`s sexual function during the postpartum period using existing tools. Data extraction covered study characteristics, measurement tools, and their validity and reliability. Results From 3064 retrieved records, after removing duplicates and excluding ineligible studies, and reviewing the reference list of the related reviews, 41 studies were included in this review. Tools measuring sexual function were developed from 1996 to 2017. Sexual activity questionnaire, female sexual function index (FSFI), sexual function questionnaire, short form of the pelvic organ prolapse/urinary incontinence sexual questionnaire, sexual health outcomes in women questionnaire, shorter version of FSFI, and sexual function questionnaire’s medical impact scale and Carol scale. Conclusion Sexual activity questionnaire, FSFI, sexual function questionnaire, short form of the pelvic organ prolapse/urinary incontinence sexual questionnaire, sexual health outcomes in women questionnaire, shorter version of FSFI, sexual function questionnaire’s medical impact scale, and Carol scale are valid and reliable measuring tools to assess sexual function or sexual health during postpartum period, which can be used in primary studies according to the study aim and objectives.
... Of the 31 included studies, 9 were cross-sectional studies (4966 women; including at least 1591 primiparous women), 3 were case-control studies (368 women; including at least 357 primiparous women), 5 were retrospective cohort studies (1872 women; including at least 474 primiparous women) and 14 were prospective cohort studies (4217 women; including at least 3338 primiparous women). The studies were published between 2005 and 2022, originating from 17 countries including Turkey [59][60][61][62][63][64], the United States of America [65][66][67][68], Iran [69][70][71][72], Australia [73,74], Austria [75], Egypt [76], Poland [77], Germany [78], Japan [79], Italy [80,81], Switzerland [82], Hungary [83], China [84], Taiwan [85], Sweden [86], Israel [87] and Portugal [88]. One study did not disclose the country of origin of the research [89]. ...
... The SHOW-Q was used in one study [68]. The SFQ28 was used in one study [79]. The PISQ-12 was used in one study [86]. ...
... The PISQ-12 was used in one study [86]. Data in the included studies were collected by administering the valid measures of sexual function in the following ways: four studies used the postal system [73,74,79,82], nine studies used face to face structured interviews, or self-reporting in person at the clinics [59][60][61][62][63][64]71,72,84], two studies used telephone interviews to complete the questionnaire [65,87], four studies used online forums or web/based questionnaires [77,83,86,88], one study used a combination of telephone and in person questionnaires [68], and eleven studies did not specify how they administered the measures to the participants [66,67,69,70,75,76,78,80,81,85,89]. ...
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(1) Background: Sexual function can be affected up to and beyond 18 months postpartum, with some studies suggesting that spontaneous vaginal birth results in less sexual dysfunction. This review examined the impact of mode of birth on sexual function in the medium- (≥6 months and <12 months postpartum) and longer-term (≥12 months postpartum). (2) Methods: Literature published after January 2000 were identified in PubMed, Embase and CINAHL. Studies that compared at least two modes of birth and used valid sexual function measures were included. Systematic reviews, unpublished articles, protocols and articles not written in English were excluded. Quality was assessed using the Newcastle Ottawa Scale. (3) Results: In the medium-term, assisted vaginal birth and vaginal birth with episiotomy were associated with worse sexual function, compared to caesarean section. In the longer-term, assisted vaginal birth was associated with worse sexual function, compared with spontaneous vaginal birth and caesarean section; and planned caesarean section was associated with worse sexual function in several domains, compared to spontaneous vaginal birth. (4) Conclusions: Sexual function, in the medium- and longer-term, can be affected by mode of birth. Women should be encouraged to seek support should their sexual function be affected after birth.
... Puede conllevar complicaciones que incluyen dolor, hinchazón e infección de la zona; puede causar un desgarro vaginal más severo, lo que aumenta el riesgo de que el daño se extienda al esfínter (Pietras & Taiwo, 2012). Esta intervención tiene, además, consecuencias negativas en la vida sexual de las mujeres, asociándose con: dolor perineal; dispareunia (dolor al tener relaciones sexuales); sequedad vaginal; disminución del deseo sexual, de la excitación y del orgasmo (Ejegård et al., 2008;Song et al., 2014;Doğan et al., 2017;He et al., 2020). ...
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Durante el siglo XX, la episiotomía se expandió como práctica en la atención obstétrica del parto. En la actualidad, tras más de tres décadas de sólida evidencia científica que recomienda no practicarla en forma rutinaria, sigue realizándose en números alarmantemente elevados. El presente artículo analiza el sentido cultural que posee la episiotomía como rito dentro del parto tecnocrático, en base a testimonios de parto vertidos por mujeres en la Primera Encuesta sobre el Nacimiento en Chile, realizada por el Observatorio de Violencia Obstétrica de Chile en el año 2017. Estos testimonios demuestran que la episiotomía se practica en la mayoría de los casos en forma rutinaria, sin consentimiento, y que deja graves secuelas en la salud física, mental y en la vida sexual de las mujeres; lo que nos lleva a afirmar que se trata de una forma occidental de mutilación genital femenina. Se concluye planteando la urgencia de revisar esta práctica y de nombrarla por lo que es: un tipo de mutilación genital con graves secuelas en la vida de las mujeres, que debe ser visibilizado.
... Among the remaining six studies, one found no statistically significant difference between groups apart from the arousal subscale [28]. One of the studies reported significantly lower scores, but solely for a specific subscale of the instrument used (existence of partner or not) [34]. One of them found a significant difference in favor of the vaginal delivery group [35], while one of them found the exact opposite (in favor of the cesarean delivery) [36]. ...
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Female sexual function could be considered as multifactorial. Specific physiological structures and hormonal fluctuations postpartum, along with the psychological adjustment of women, could result in altered sexual function. The primary aim of this review was to systematically appraise the existing data on the effect of mode of delivery on female sexual function. This review was designed based on the PRISMA statement guidelines. An extensive literature search was performed in the Pubmed, Scopus, and PsycInfo databases, using prespecified inclusion/exclusion criteria, between the 20 September and 10 October 2021. Studies’ quality assessment was conducted using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies of the National Heart, Lung, and Blood Institute. The initial search involved 1592 studies. The last step of the screening procedure yielded 16 studies, including 41,441 subjects with a mean age of 29.9 years. Studies included groups with spontaneous and assisted vaginal and C-section delivery modes. No statistically significant difference between groups was found. The type of delivery appears to be irrelevant regarding this relationship. Moderating factors seemed to indirectly influence this relationship. Health professionals should educate expectant mothers and be aware of the possibility that delivery method could affect sexual function.
... Breast sensitivity during breastfeeding has also been shown to increase sexual activity and desire (41,42). On the other hand, many studies show lower levels of sexual activity, satisfaction and libido in breastfeeding women compared to those who use formula (43)(44)(45)(46)(47)(48). Moreover, irrespective of the feeding method, physiological and hormonal changes (i.e. ...
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Objective: Majority of breastfeeding women experience changes in sexual function. The present study was designed to assess effectiveness of auriculotherapy on improving sexual function in breastfeeding women. Method: In this randomized sham controlled trial, accomplished from January 2018 to May 2019 in a referral sexual health clinic in city of Qom, Iran, 60 eligible participants were assigned to either intervention and control groups via block randomization. In the intervention group, electrical stimulation was applied for 15 seconds on Shen Men, Zero, Thalamic, Master Cerebral, Libido, Relax, Excitement, Ovary, and Uterus points in 10 auriculotherapy sessions. Then, Vaccaria seeds were stuck on these points. The control group received the same procedure with the device off as a sham method. Data were gathered using the Female Sexual Function Index (FSFI) at three different time points. Results: At baseline, mean scores of sexual function dimensions were not significantly different between the intervention and control groups except for orgasm. Post-intervention, the results showed significant differences in sexual desire (P = 0.002), sexual arousal (P = 0.008), lubrication (P = 0.001), sexual satisfaction (P = 0.001), and orgasm (P = 0.009). One month after the intervention, the results showed significant differences in sexual desire, sexual arousal, lubrication, sexual satisfaction (P = 0.001), orgasm (P = 0.006), and dyspareunia (P = 0.015). Differences in mean score of sexual function in post-intervention and one-month follow-up were only significant in the intervention group (P = 0.001). Conclusion: Based on evidence from this study, auriculotherapy is an effective technique for improving sexual function in breastfeeding women.
... delivery [40,41]. It highlights the injustice in treating the episiotomy as a routine procedure during natural labor [42,43]. Regrettably, the frequency of episiotomy during vaginal deliveries in Polish women ranges from around 40% in the above research and a study by Kope c-Godlewska et al. [44] up to over 60% according to the EuroPeriStat report [45]. ...
Article
Aim: The aim was to compare the quality of sexual life before pregnancy and after delivery and to find out whether and how selected factors affect women's sexuality during this period. Methods: The study group consisted of 433 women who completed the survey containing basic demographic questions and two Female Sexual Function Index (FSFI) questionnaires: a retrospective one, regarding time before pregnancy and the current period. The inclusion criteria: time between 10 weeks and 1 year after delivery, vaginal intercourses before pregnancy and the resumption of vaginal intercourses after delivery. Results: We observed the negative impact of labor on the total FSFI score, regardless of the time that had passed since birth and the delivery mode. The decrease by at least 10% of the initial FSFI score was noticed in 44.3% of the participants. FSD (Female Sexual Dysfunction) occurred statistically more commonly after delivery than before pregnancy (45.3% vs 17.1%; P < 0.001). The following factors had an impact on the risk of post-partum FSD: pre-pregnancy FSD (adjusted odds ratio [aOR] = 4.17 [95% confidence interval [CI] 2.38-7.31]) and nulliparity (aOR = 1.67 [95% CI 1.09-2.53]). Conclusion: Childbirth has an undeniable impact on women's sexuality. The prevention and treatment of sexual dysfunctions is very important, especially in this crucial period of life.
... The Sexual Function Questionnaire (SFQ-28) is a multidimensional and patient-centered tool and is used to check for all areas of the sexual response cycle 16 . The SFQ-28 was used to determine sexual dysfunction and is made up of 28 questions with 7 domains of dysfunction 18,19 . FSD was described as a minimum of a score in one of the domains showing high probability on the SFQ-28. ...
... In our study, using multivariate analysis, the woman's age (p = 0.008), parity (p = 0.022), family dysfunction (p = 0.019) and being literate with over 10 years of formal education (p < 0.0001) were the predictors of sexual dysfunction. On the other hand, the study by Song 2014, in which multiple regression analysis was done showed that the predictors of sexual health were also maternal age and cesarean section which were significant predictors of the domains of desire (P = 0.005 and P = 0.015, respectively), arousal (lubrication) (P = 0.003 and P = 0.032, respectively), and arousal (cognitive) (P = 0.007) and P = 0.036, respectively). Maternal age was a significant predictor of the enjoyment domain (P = 0.001) ...
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Background: Sexual dysfunction is a common but under-reported problem of public health importance among female adults in Nigeria. Empirical evidence on sexual dysfunction among female Nigerians is scarce. Objective: To determine the prevalence and risk factors associated with sexual dysfunction among female patients presenting at the General Outpatient Clinic (GOPC), University College Hospital (UCH), Ibadan, Nigeria. Methodos: This was a cross-sectional study of 480 married female patients who presented consecutively at the GOPC, UCH, Ibadan, Nigeria. The 28-item Sexual Function Questionnaire (SFQ-28) was used to determine sexual dysfunction. Information on their sociodemographic characteristics, obstetric and gynecological history were obtained. Bivariate and multivariate analyses were carried out and alpha was set at 0.05. Results: Point prevalence of sexual dysfunction was 80.0%. The most common sexual dysfunction was problems with sexual desire (99.4%), while the least common was problems with arousal cognition (5.8%). There was a significant association between the prevalence of sexual dysfunction and age, years of relationship, number of children alive, parity, level of education, age at coitarche and family dysfunction. Age (OR=0.893; 95% CI=0.821-0.972, p=0.008), parity (OR=3.093; 95% CI=1.174- 8.151, p=0.022), having family dysfunction (OR=2.096; 95% CI= 1.129-3.891, p=0.019) and having ≥10 years of formal education (OR=4.808; 95% CI= 2.604-8.928, p<0.0001) were found to be the predictors of sexual dysfunction. Conclusion: Sexual dysfunction among female married adults in our setting was high. We propose that modifiable factors such as socio-demographic and gynaecological variables should be evaluated during the consultation of female patients at first contact.
... Physical changes in Women genitalia caused by childbirth, perineal trauma caused by episiotomy may affect the muscles and in turn may lessen the sexual pleasure and contribute to sexual dysfunction. In the same line, Asselmann E et al. 2016, Song M et al. 2014 (45,46) found that vaginal delivery is associated with higher rates of Women sexual dysfunction. ...
... Physical changes in Women genitalia caused by childbirth, perineal trauma caused by episiotomy may affect the muscles and in turn may lessen the sexual pleasure and contribute to sexual dysfunction. In the same line, Asselmann E et al. 2016, Song M et al. 2014 (45,46) found that vaginal delivery is associated with higher rates of Women sexual dysfunction. ...
... delivery [40,41]. It highlights the injustice in treating the episiotomy as a routine procedure during natural labor [42,43]. Regrettably, the frequency of episiotomy during vaginal deliveries in Polish women ranges from around 40% in the above research and a study by Kope c-Godlewska et al. [44] up to over 60% according to the EuroPeriStat report [45]. ...
... Maternal sexual function changes during pregnancy and postpartum period. This is explained by the fact during this period the pelvic floor muscles and the perineum are damaged due to laceration and mode of delivery (Song, Ishii, Toda, Tominatsu, Katsuyama, Nakamurra, Nakai & Shimoya, 2014). Postpartum period is the period beginning immediately the birth of the child and extending for six weeks or 45days (Danasu, Sridevi, & Sangeetha, 2016). ...
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Conception and child birth come with hormonal, physical and social changes that affect sexual health of couple. This paper investigated postpartum resumption of sexual activity and use of modern contraceptive among women attending post-natal clinics in Eleme Local Government Area of Rivers State. A descriptive cross sectional survey design was adopted for the study. The population of the study consisted of all women attending post-natal clinic in Eleme Local Government area of Rivers State. A sample size of256 women attending postnatal clinic between June and July 2017 was used for the study. A pretested semi-structured questionnaire was use to collect data. Data collected were analysed using percentages and binary logistic regression at 0.05 significant level. The findings of the study showed that 51.6% of the respondents had resumed sexual activity. Furthermore, only 14.5%o resumed before 6weeks while 37.1%> after 6weeks post-partum. Also, 23.8% used contraceptive on resumption of sexual activities. The finding of the study showed that resumption of sexual activity post-partum significantly predict modern contraceptive use (p=0.031). Also the finding of the study showed that time of resumption significantly predict modern contraceptive use (p= 0.047). Conclusively, resumption of post-partum sexual activity predicts modern contraceptive use. This paper recommended that contraceptive use should be emphasized at post-natal clinic.