Sexual Dysfunction in Postpartum Turkish Women: It’s Relationship with Depression and Some Risk Factors

Figen Alp Yilmaz, Dilek Avci, Yilda Arzu Aba, Resmiye Ozdilek, Nafiye Dutucu

Abstract

This study aimed to determine the prevalence of sexual dysfunction in postpartum Turkish women, and the relation between sexual dysfunction and depression, and some risk factors. This study was conducted with 530 postpartum women who had given birth during the previous 2-12 months. Data were collected with the Personal Information Form, Index of Female Sexual Function, and Edinburg Postnatal Depression Scale. For the data analysis, descriptive statistics, the Chi-square test, and Pearson correlation analysis were conducted using SPSS version 16. In the study, 74.3% of the postpartum women experienced sexual dysfunction. Sexual dysfunction was more prevalent in women who were high school graduates, whose reported economic status was middle class, who had a history of high-risk pregnancy, and whose menstruations did not recommence. It was also prevalent in women who experienced dyspareunia, who did not use a family planning method, who used withdrawal family planning method, and who experienced postnatal depression. A medium correlation was determined between the sexual dysfunction and postnatal depression. Assessment of the sexual dysfunction prevalence and risk factors of postpartum women enables healthcare professionals to use necessary intervention strategies. (Afr J Reprod Health 2018; 22[4]: 54-63).

 

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References

Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med 2011; 8(5): 1267–1284.

Yeniel AO and Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J 2014; 25(1): 5–14.

Bien A, Rzońca E, Palus G and Lenkiewicz E. Factors affecting sexual activity of women after childbirth. Journal of Public Health, Nursing and Medical Rescue 2016; 18(2): 647–55.

Leeman LM and Rogers RG. Sex after childbirth: postpartum sexual function. Obstet Gynecol 2012; 119(3): 647–655.

McBride H and Kwee J. Sex after baby: women‘s sexual function in the postpartum period. Curr Sex Health Rep 2017; 9(3): 142–149.

Abdool Z, Thakar R and Sultan AH. Postpartum female sexual function. Eur J Obstet Gynecol Reprod Biol 2009; 145(2): 133–137.

Holanda JBL, Abuchaim ESV, Coca KP and Abrao ACFV. Sexual dysfunction and associated factors reported in the postpartum period. Acta Paul Enferm 2014; 27(6): 573-578.

Khajehei M, Doherty M, Tilley PJ and Sauer K. Prevalence and risk factors of sexual dysfunction in postpartum Australian women. J Sex Med 2015; 12(6): 1415–26.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM–5. American Psychiatric Association, Washington, 2014.

McCool ME, Theurich MA and Apfelbacher C. Prevalence and predictors of female sexual dysfunction: a protocol for a systematic review. Syst Rev 2014; 3: 75-80.

World Health Organization. Pregnancy, Childbirth, Sexual dysfunction in postpartum Turkish women Postpartum, and Newborn Care: A Guide For

Essential Practice. World Health Organization,

Geneva, 2015.

Hanafy S and El-Esawy F. Female sexual dysfunction during the postpartum period: an Egyptian study. Human Andrology 2015; 5(4): 71–81.

Rezaei N, Azadi A, Sayehmiri K and Valizadeh R. Postpartum sexual functioning and its predicting factors among Iranian women. Malays J Med Sci 2017; 24(1): 94–103.

Wallwiener S, Müller M, Doster A, Kuon RJ, Plewniok K, Feller S, Wallwiener M, Reck C, Matthies LM and Wallwiener C. Sexual activity and sexual dysfunction of women in the perinatal period: a longitudinal study. Arch Gynecol Obstet 2017; 295(4): 873–883.

Vettorazzi J, Marques F, Hentschel H, Ramos JGL, Martins-Costa SH and Badalotti M. Sexuality and the postpartum period: a literature review. Rev HCPA 2012; 32(4): 473–479.

Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V, Cromi A, Ghezzi P and Bolis P. Female sexual function during pregnancy and after childbirth. J Sex Med 2010; 7(8): 2782–90.

Chang SR, Chen KH, Ho HN, Lai YH, Lin MI, Lee CN and Lin WA. Depressive symptoms, pain, and sexual dysfunction over the first year following vaginal or cesarean delivery: a prospective longitudinal study. Int J Nurs Stud 2015; 52(9): 1433–44.

Khajehei M and Doherty M. Exploring postnatal depression, sexual dysfunction and relationship dissatisfaction in Australian women. BJM 2017; 25(3): 162–172.

Xie R, Lei J, Wang S, Xie H, Walker M and Wen SW. Cesarean section and postpartum depression in a cohort of Chinese women with a high cesarean delivery rate. J Womens Health 2011; 20(12): 1881–6.

Atlantis E and Sullivan T. Bidirectional association between depression and sexual dysfunction: a systematic review and meta-analysis. J Sex Med 2012; 9(6): 1497–507.

Acele E and Karacam Z. Sexual problems in women during the first postpartum year and related conditions. J Clin Nurs 2012; 21(7-8): 929–937.

Rosner B. Fundamentals of Biostatistics. Brooks/Cole, Boston, 2011.

Kaplan SA, Reis RB, Kohn IJ, Ikequchi EF, Laor E, Te AE and Martins AC. Safety and efficacy of sildenafil in postmenopausal women with sexual dysfunction. Urology 1999; 53(3): 481–486.

Yilmaz CA and Eryilmaz HY. The validity-reliability study of the Female Sexual Function Questionnaire Index (IFSF). Andrology Bulletin 2004; 18: 275– 276.

Cox JL and Holden JM. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale (EPDS). Br J Psychiatry 1987; 150: 782–6.

Engindeniz AN, Kuey L and Kultur S. Edinburgh Postpartum Depression Scale Turkish Version Validity and Reliability Study. Psychiatric Association Publications, Ankara, 1996.

Field A. Discovering Statistics Using SPSS. Sage Publications, London, 2009.

El-Sayed HAE, Ramadan SAS, Ibrahim HA and Moursi HAA. The effect of mode of delivery on postpartum sexual function and sexual quality of life in primiparous women. American Journal of Nursing Science 2017; 6(4): 347-357.

Mohammed YF, Hassan HM, Al-Dinary AM and Rashed NS. Sexual function after child birth according to the mode of delivery. AAMJ 2014; 12(4): 264–284.

Ghanbarzadeh N, Nadjafi-Semnani M, Ghanbarzadeh MR, Nadjfai-Semnani A and Nadjfai-Semnani F. Female sexual dysfunction in Iran: study of prevalence and risk factors. Arch Gynecol Obstet 2013; 287(3): 533–9.

Singh JC, Tharyan P, Kekre NS, Singh G and Gopalakrishnan G. Prevalence and risk factors for female sexual dysfunction in women attending a medical clinic in south India. J Postgrad Med 2009; 55(2): 113-20.

Fajewonyomi BA, Orji EO and Adeyemo AO. Sexual dysfunction among female patients of reproductive age in a hospital setting in Nigeria. J Health Popul Nutr 2007; 25(1): 101-106.

Ege E, Akin B, Yarali BA and Bilgili B. Prevalence and risk factors of female sexual dysfunction among healthy women. TUBAV Science Journal 2010; 3(1): 137-144.

Alsibiani SA. Effects of pregnancy on sexual function: findings from a survey of Saudi women. Saudi Med 2014; 35(5): 482–7.

Carteiro DMH, Sousa LMR and Caldeira SMA. Clinical indicators of sexual dysfunction in pregnant women: integrative literature review. Rev Bras Enferm 2016; 69(1): 153–161.

Malkoc O, Resim S and Bulut B. The effect pregnancy on female sexual functions. J Sex Med 2014; 11: 80.

Seven M, Akyuz A and Gungor S. Predictors of sexual function during pregnancy. J Obstet Gynaecol 2015; 35(7): 691–695.

Casey PM, MacLaughlin KL and Faubion SS. Impact of contraception on female sexual function. J Women's Health 2017; 26(3): 207–213.

Yanikkerem E, Acar H and Elem E. Withdrawal users‘ perceptions of and experience with contraceptive methods in Manisa, Turkey. Midwifery 2006; 22(3): 274-84.

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