哺乳期女性的性功能障碍:系统审查和元分析
Darya Smetanina1, Shouq Alnuaimi2, Afra Alkaabi2
1Department of Radiology, College of Medicine & Health Sciences (CMHS), United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates.
Journal of clinical medicine
|February 13, 2025
概括
产后妇女经历的性功能障碍,无论养方法. 与纯母乳养或奶瓶养相比,补充养显示出更好的性功能得分.
科学领域:
- 生殖健康 生殖健康
- 妇女健康 妇女健康
- 性医学性医学性医学性医学
背景情况:
- 女性性功能障碍 (FSD) 影响了大量产后妇女,患病率范围广泛.
- 讨论了产后FSD的危险因素,特别是不同类型母乳养的不同影响.
- 婴儿养习惯对产后性健康的具体影响仍然不够理解.
研究的目的:
- 进行一项元分析,探讨婴儿养习惯与产后妇女性功能障碍的发展之间的联系.
- 综合当前关于不同养方法 (纯母乳养,补充养,奶瓶养) 如何影响产后女性性功能的证据.
- 澄清婴儿养实践在产后性健康背景下的作用.
主要方法:
- 在主要的生物医学数据库 (PubMed,Scopus,Embase,Web of Science,CINAHL) 进行系统的文献搜索,寻找2000年1月至2023年6月期间发表的研究.
- 包括英语,波兰语和阿拉伯语的同行评审的原始研究,报告了产后期女性性功能障碍指数 (FSFI) 分数或其他与性相关的问题.
- 使用随机效应模型对FSFI得分进行元分析,并对其他发现进行叙事综合.
主要成果:
- 18项研究符合纳入标准,证实了女性在所有养类型中的性功能障碍.
- 使用补充养的妇女报告了较高的整体性功能得分 (22.16) 与纯母乳养 (21.61) 和奶瓶养 (20.18) 相比.
- 与使用补充养的女性相比,纯母乳养的女性在所有FSFI子表中表现出略低的得分.
结论:
- 产后妇女参与母乳养,不管方法如何,报告性功能方面的挑战.
- 婴儿养习惯似乎影响产后的性福利,补充养与更好的结果有关.
- 这些发现支持制定有针对性的预防策略,以解决妇女产后性功能障碍.
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