与持续性功能障碍和疼痛相关的因素 产后12个月
Sonia Bhandari Randhawa1, Andrea Rizkallah1, David B Nelson1
1University of Texas Southwestern Medical Center, Department of Obstetrics and Gynecology, Dallas, TX, United States.
概括
产后性功能障碍和疼痛与尿失禁和压力有关. 解决这些相互关联的问题对于改善分娩后妇女健康至关重要.
科学领域:
- 生殖健康 生殖健康
- 妇女健康 妇女健康
- 围产期结局的结果
背景情况:
- 产后恢复涉及身体和心理健康的挑战.
- 性功能障碍和疼痛是常见的,但经常被低估的产后问题.
- 服务不足的人群在产后护理方面可能面临更大的差异.
研究的目的:
- 为了确定与持续性功能障碍和疼痛相关的因素,产后12个月.
- 研究产后妇女的失禁,心理健康和性健康之间的关系.
- 为改善服务不足社区产后性健康提供有针对性的干预信息.
主要方法:
- 评估了328名来自妊娠后延长孕产妇护理 (eMCAP) 计划的性活跃产后患者队列.
- 标准化问卷测量了性功能障碍 (PISQ-12),尿失禁 (UDI-6),焦虑 (GAD-7) 和抑郁 (EPDS).
- 双变量和多变量逻辑回归分析探索了性健康结果与健康变量的人口,围产和社会决定因素之间的相关性.
主要成果:
- 性功能障碍 (9.5%) 和疼痛 (13.7%) 在分娩后12个月普遍存在.
- 性功能障碍与急性尿失禁 (UUI) 和压力尿失禁 (SUI) 有显著的关联.
- 更高的焦虑 (GAD-7) 和抑郁 (EPDS) 评分,以及增加的压力水平,与性功能障碍和疼痛有关.
结论:
- 尿失禁和心理压力是导致产后性功能障碍和疼痛的重要因素.
- 性健康,失禁和心理健康之间的相互作用需要进一步调查.
- 在产后护理中,建议进行例行查和综合性健康,失禁和心理健康管理.
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