مقایسه مشکلات جنسی طی 6 ماه اول بعد از زایمان طبیعی و سزارین در زنان نخست‌زای مراجعه‌کننده به مراکز بهداشتی و درمانی شهرستان رامسر 94-1393

نوع مقاله: اصیل پژوهشی

نویسندگان

1 مربی گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی بابل، بابل، ایران.

2 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

3 استادیار گروه فیزیولوژی، مرکز تحقیقات سلامت باروری زنان، دانشکده پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

چکیده

مقدمه: روابط جنسی مهم‌ترین بخش روابط زناشویی است که کیفیت آن نه تنها سلامت فرد و خانواده، بلکه سلامت جامعه را تحت تأثیر قرار می‌دهد. زایمان با ایجاد تغییراتی در روابط جنسی منجر به مشکلات قابل توجهی در زندگی زناشویی می‌شود. مطالعه حاضر با هدف مقایسه مشکلات جنسی بعد از زایمان طبیعی و سزارین انجام شد.
روش کار: این مطالعه توصیفی - مقطعی در سال 1393 بر روی 800 نفر از زنان طی 6 ماه اول بعد از زایمان در مراکز بهداشتی درمانی شهرستان رامسر انجام شد.ابزارگردآوریداده‌ها، پرسشنامهدوقسمتیشاملمشخصاتفردیو سؤالات مربوط به مشکلات جنسی بود. مشکلات جنسی در طی 6 ماه اول بعد از زایمان مورد بررسی قرار گرفت. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 15) و آزمون‌های تی مستقل، کای دو و آزمون دقیق فیشر انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ها: فقدان میل جنسی (002/0=p)، ناراحتی در محل اپی زیاتومی (004/0=p)، لوبرکاسیون ناکافی (006/0=p)، درد در زمان نزدیکی (003/0=p) و خستگی در گروه زایمان واژینال (007/0=p) بیشتر از سزارین بود که از نظر آماری ارتباط معنی‌داری وجود داشت.
نتیجه‌گیری: میزان مشکلات جنسی در گروه زایمان طبیعی بیشتر از سزارین است.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of Sexual problems during the first 6 month after normal vaginal delivery and cesarean in nulliparous women referred to health centers of Ramsar in 2014-2015

نویسندگان [English]

  • Amene Mahmodiyan 1
  • Samiyeh Kazemi 2
  • Morteza Ghojazade 3
1 Instructor, Department of Nursing, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran.
2 M.Sc. in Midwifery, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
3 Assistant Professor, Department of Physiology, Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
چکیده [English]

Introduction: The most important part of marital relations is sexual relations which not only affects the health of individual and family, but also affects the public health. Delivery causes changes in sexual relationships and leads to significant problems in the marital life. This study was performed with aim to compared sexual problems after normal vaginal delivery and cesarean.
Methods: This descriptive and cross-sectional study was performed on 800 women during the first 6 months after delivery in Ramsar health centers in 2014. Data collection tools included a two-part questionnaire consisted of demographic information and questions related to sexual problems. The sexual problems during the first six months after delivery was evaluated. Data was analyzed by SPSS software (version 15) and independent t-test, Chi-square and Fisher exact test. P<0.05 was considered significant.
Results:Lack of libido (P=0.002), discomfort at the site of episiotomy (P=0.004), inadequate Lubrication (P=0.006), pain during intercourse (P=0.003) and fatigue (P=0.007) was higher in vaginal delivery group compared to cesarean group (P=0.007) that the significant relationship was observed.
Conclusion: The rate of sexual problems is higher in vaginal delivery group than cesarean group.

کلیدواژه‌ها [English]

  • Cesarean delivery
  • Nulliparous women
  • Sexual problems
  • Vaginal delivery
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