分娩方式和随后的自我感知性生活满意度:基于人口的队列研究
Alma Larsdotter Zweygberg1, Florence Z Martin2, Boel Brynedal3
1Centre for Epidemiology and Community Medicine, Region Stockholm, Stockholm, Sweden.
American journal of obstetrics and gynecology
|February 17, 2024
概括
分娩方式,包括剖腹产和仪器分娩,不会显著影响分娩父母的性生活满意度. 这一发现不论从分娩到产后的时间有多长,都适用,为分娩后的性健康提供了明确的信息.
科学领域:
- 产科和妇科 产科和妇科
- 性健康研究性健康研究
- 公共卫生 公共卫生
背景情况:
- 产科分娩方式与产后性结果,特别是性生活满意度之间的关系还不清楚.
- 之前的研究还没有充分探讨不同交付方法后的积极性健康.
研究的目的:
- 调查分娩方式 (剖腹产,仪器,自发性阴道) 与分娩父母随后的性生活满意度之间的关联.
- 检查这种关联是如何受到自交付以来的时间所影响的.
主要方法:
- 一项大型队列研究 (n=46,078) 将斯德哥尔摩公共卫生队列的参与者与瑞典医疗出生登记册的分娩数据进行了匹配.
- 自我评估性生活满意度使用5分级;分娩方式和分娩后的时间从注册表中检索.
- 使用多项逻辑回归分析来评估关联,并对共变量进行调整.
主要成果:
- 在对共变量进行调整后,在自发性阴道,仪器或剖腹产之间没有发现性生活满意度的统计学上显著差异.
- 报告非常不满意的性生活的几率比率略高,但与自发性阴道分娩相比,剖腹产 (1.11) 和仪器分娩 (1.16) 的几率比率略高,但不显著.
- 在产后两年内,剖腹产 (4.0%) 和自发性阴道分娩 (2.8%) 中,非常不满意的性生活满意度的流行率略高,但这种差异在统计学上并不显著.
结论:
- 产妇分娩方式似乎对分娩个体的后续性生活满意度没有重大影响.
- 这些发现在分娩后的各种时间间隔中分析时保持一致.
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