Journal of Health And Care
Volume 24, Issue 3 (Autumn 2022)
JHC 2022, 24(3): 221-231 |
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Ethics code: IR.ARUMS.REC.1398. 137
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Mashoufi M, Mardi A, Hashemian Z. Sexual Function and Satisfaction among Breastfeeding Women in Ardabil in 2019. JHC 2022; 24 (3) :221-231
URL: http://hcjournal.arums.ac.ir/article-1-1406-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1406-en.html
Department of Public Health, School of Health, Ardabil University of Medical Science, Ardabil, Iran.
Abstract: (701 Views)
Background & aim: Women’s sexual function and satisfaction is often ignored by health professionals in the postpartum and breastfeeding periods. The aim of this study was to determine the status of sexual function and satisfaction in lactating women in Ardabil in 2019.
Methods: An analytical, cross-sectional study was conducted on 371 lactating women attended in health care centers of Ardabil city in 2019 (from July 5 to the end of December). Health centers were selected by cluster-stratified sampling method. Then, convenience sampling approach was used to recruit the eligible lactating women from fourth week to 6 months after delivery. Data collection scales were three questionnaires (demographic, Rosen's sexual function and Hudson's sexual satisfaction) which were completed by a trained health expert or midwife in the center. Data analysis was performed in SPSS version 23 at significance level of p<0.05.
Results: The mean total score of sexual function was 21.73±3.99. Pain (1.87±93) and satisfaction (4.99±1.13) dimensions had the lowest and highest scores, respectively. There was a direct and significant correlation (r=0.000, p=0.613) between women’s sexual function and satisfaction. There was a statistically significant relationship between the variables of women's age (p=0.022), women's education (p=0.006) and husband’s income (p=0.011) with women's sexual function and between the variables of woman's age (p=0.000), husband's age (p=0.021), husband's income (p=0.000), number of births (p=0.011) and having a private room (p=0.027) with sexual satisfaction of lactating women in 4 weeks to 6 months after birth.
Conclusion: Besides sexual satisfaction, the majority of lactating women were suspected to have sexual dysfunction. It seems that more attention should be given to sexual health in the lactating women by health providers and physicians.
Type of Study: cross-sectional design |
Subject:
pregnancy health
Received: 2022/10/4 | Accepted: 2022/11/2 | Published: 2022/12/1
Received: 2022/10/4 | Accepted: 2022/11/2 | Published: 2022/12/1
References
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4. Khamse A. New strategies in couple therapy. Tehran: Arjmand-Nasle Farda. 2010.
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14. Pissolato LKBP, Alves CN, Prates LA, Wilhelm LA, Ressel LB. Breastfeeding and sexuality: an interface in the experience of puerperium. Revista de Pesquisa: Cuidado é Fundamental Online. 2016;8(3):4674-78. [DOI:10.9789/2175-5361.2016.v8i3.4674-4680]
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16. Saleh DM, Hosam F, Mohamed TM. Effect of mode of delivery on female sexual function: a cross‐sectional study. Journal of Obstetrics and Gynaecology Research. 2019;45(6):1143-47. [DOI:10.1111/jog.13962] [PMID]
17. Rosen NO, Pukall C. Comparing the prevalence, risk factors, and repercussions of postpartum genito-pelvic pain and dyspareunia. Sexual Medicine Reviews. 2016;4(2):126-35. [DOI:10.1016/j.sxmr.2015.12.003] [PMID]
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19. Mohammadi K, Heydari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian version. 2008;7(3):269-78.
20. Hudson WW, Harrison DF, Crosscup PC. A short‐form scale to measure sexual discord in dyadic relationships. Journal of Sex Research. 1981;17(2):157-74. [DOI:10.1080/00224498109551110]
21. Bakhshayesh A, Mortazavi M. The relationship sexual satisfaction, mental health, and martial satisfaction in couples. The Principles of Mental Health. 2009;11(3):238-88.
22. Hidalgo-Lopezosa P, Pérez-Marín S, Jiménez-Ruz A, López-Carrasco JdlC, Cubero-Luna AM, García-Fernández R, et al. Factors associated with postpartum sexual dysfunction in Spanish women: a cross-sectional study. Journal of Personalized Medicine. 2022;12(6):926. [DOI:10.3390/jpm12060926] [PMID] []
23. Hajimirzaie SS, Tehranian N, Razavinia F, Khosravi A, Keramat A, Haseli A, et al. Evaluation of couple's sexual function after childbirth with the biopsychosocial model: a systematic review of systematic reviews and meta-analysis. Iranian Journal of Nursing and Midwifery Research. 2021;26(6):469. [DOI:10.4103/ijnmr.IJNMR_426_20] [PMID] []
24. Razavinia F, Tehranian N, Tatari FT, Bidhendi Yarandi R, Ramezani Tehrani F. The postpartum marital satisfaction, maternal serum concentration of orexin-A and mode of delivery. Journal of Sex & Marital Therapy. 2019;45(6):488-96. [DOI:10.1080/0092623X.2019.1566947] [PMID]
25. Abidi I, Bettaieb H, Frikha M, Halouani S, Mbarki W, Boufarguine R, et al. Sexual dysfunction and satisfaction in Tunisian couples during postpartum: a prospective cohort study. The Journal of Sexual Medicine. 2022;19(5):S229. [DOI:10.1016/j.jsxm.2022.03.522]
26. Rezaei N, Janani F, Sharifi N, Omidi F, Azadi A. Sexual function and quality of life among postpartum women: a cross-sectional study. International Journal of Womens Health and Reproduction Sciences. 2018;6(3):307-12. [DOI:10.15296/ijwhr.2018.51]
27. Banaei M, Moridi A, Dashti S. Sexual dysfunction and its associated factors after delivery: longitudinal study in Iranian women. Materia Socio-Medica. 2018;30(3):198. [DOI:10.5455/msm.2018.30.198-203] [PMID] []
28. Lagaert L, Weyers S, Van Kerrebroeck H, Elaut E. Postpartum dyspareunia and sexual functioning: a prospective cohort study. The European Journal of Contraception & Reproductive Health Care. 2017;22(3):200-206. [DOI:10.1080/13625187.2017.1315938] [PMID]
29. Heidari M, Merghati Khoei E, Kiani A. A study of the relationship between sexual activity and breastfeeding. Journal of Mazandaran University of Medical Sciences. 2009;19(70):54-60.
30. Saei-Gharenaz M, Banaei M, Ghasemi V, Rashidi-Fakari F, Khiabani A, Abed M, et al. Postpartum female sexual dysfunction and related factors in Iranian women: a systematic review and meta-analysis. Journal of Isfahan Medical School. 2019;37(546):1149-61.
31. Rezaei N, Azadi A, Sayehmiri K, Valizadeh R. Postpartum sexual functioning and its predicting factors among Iranian women. Malaysian Journal of Medical Sciences. 2017;24(1):94. [DOI:10.21315/mjms2017.24.1.10] [PMID] []
32. Banaei M, Alidost F, Ghasemi E, Dashti S. A comparison of sexual function in primiparous and multiparous women. Journal of Obstetrics and Gynaecology. 2020;40(3):411-18. [DOI:10.1080/01443615.2019.1640191] [PMID]
33. Heidari M, Khoei EM, Asiabar AK. What happens to sexuality of women during lactation period? a study from Iran. Pakistan Journal of Medical Sciences. 2009;25(6):938-43
34. Saotome TT, Yonezawa K, Suganuma N. Sexual dysfunction and satisfaction in Japanese couples during pregnancy and postpartum. Sexual Medicine. 2018;6(4):348-55. [DOI:10.1016/j.esxm.2018.08.003] [PMID] []
35. Van Brummen H, Bruinse H, Van De Pol G, Heintz A, Van Der Vaart C. Which factors determine the sexual function 1 year after childbirth? BJOG: An International Journal of Obstetrics & Gynaecology. 2014;113(8):914-18. [DOI:10.1111/j.1471-0528.2006.01017.x] [PMID]
36. Eid M, Sayed A, Abdel-Rehim R, Mostafa T. Impact of the mode of delivery on female sexual function after childbirth. International Journal of Impotence Research. 2015;27(3):118-20. [DOI:10.1038/ijir.2015.2] [PMID]
37. Ghodsbin F, Yazdani K, Jahanbin I, Keshavarzi S. The effect of education on health-promoting behaviors at the first six weeks post-delivery on the quality of life of primiparous women. Armaghane-danesh. 2012;4(17):279-88 [persian].
38. Khamse A. New strategies in couple therapy. Tehran: Arjmand-Nasle Farda. 2010.
39. Ustunsoz A, Guvenc G, Akyuz A, Oflaz F. Comparison of maternal-and paternal-fetal attachment in Turkish couples. Midwifery. 2010;26(2):e1-e9. [DOI:10.1016/j.midw.2009.12.006] [PMID]
40. Taylor HS PL, Seli E. Sperof's clinical gynecologic endocrinology and infertility. Ninth ed. Philadephia: Wolters Kluwer; 2020.
41. Perlman L. Breastfeeding and female sexuality. Psychoanalytic Review. 2019;106(2):131-48. [DOI:10.1521/prev.2019.106.2.131] [PMID]
42. Clayton AH, Juarez EMV. Female sexual dysfunction. Medical Clinics. 2019;103(4):681-98. [DOI:10.1016/j.mcna.2019.02.008] [PMID]
43. Wallwiener S, Müller M, Doster A, Kuon RJ, Plewniok K, Feller S, et al. Sexual activity and sexual dysfunction of women in the perinatal period: a longitudinal study. Archives of Gynecology and Obstetrics. 2017;295(4):873-83. [DOI:10.1007/s00404-017-4305-0] [PMID]
44. Gungor S, Baser I, Ceyhan T, Karasahin E, Kilic S. Original research-couples's sexual dysfunctions: does mode of delivery affect sexual functioning of the man partner? The Journal of Sexual Medicine. 2008;5(1):155-63. [DOI:10.1111/j.1743-6109.2007.00479.x] [PMID]
45. Anbaran ZK, Baghdari N, Pourshirazi M, Karimi FZ, Rezvanifard M, Mazlom SR. Postpartum sexual function in women and infant feeding methods. Higher Education. 2015;62:16-19.
46. Gutzeit O, Levy G, Lowenstein L. Postpartum female sexual function: risk factors for postpartum sexual dysfunction. Sexual Medicine. 2020;8(1):8-13. [DOI:10.1016/j.esxm.2019.10.005] [PMID] []
47. Wallwiener S, Marshall A, Kuon R-J, Feller S, Wallwiener M, Matthies L. Sexual activity and sexual dysfunction of women in the perinatal period: a longitudinal study. Archives of Gynecology and Obstetetrics. 2017;295(4):873-83. [DOI:10.1007/s00404-017-4305-0] [PMID]
48. Pissolato LKBP, Alves CN, Prates LA, Wilhelm LA, Ressel LB. Breastfeeding and sexuality: an interface in the experience of puerperium. Revista de Pesquisa: Cuidado é Fundamental Online. 2016;8(3):4674-78. [DOI:10.9789/2175-5361.2016.v8i3.4674-4680]
49. Marques D, Lemos A. Sexuality and breastfeeding: woman/mother's dilemmas. Revista de Enfermagen UFPE on line. 2010;4(1):622-30. [DOI:10.5205/reuol.806-7183-1-LE.0402201022]
50. Saleh DM, Hosam F, Mohamed TM. Effect of mode of delivery on female sexual function: a cross‐sectional study. Journal of Obstetrics and Gynaecology Research. 2019;45(6):1143-47. [DOI:10.1111/jog.13962] [PMID]
51. Rosen NO, Pukall C. Comparing the prevalence, risk factors, and repercussions of postpartum genito-pelvic pain and dyspareunia. Sexual Medicine Reviews. 2016;4(2):126-35. [DOI:10.1016/j.sxmr.2015.12.003] [PMID]
52. Rosen CBJ, Heiman S, Leiblum C, Meston R, Shabsigh D, Ferguson R, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex & Marital Therapy. 2000;26(2):191-208. [DOI:10.1080/009262300278597] [PMID]
53. Mohammadi K, Heydari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian version. 2008;7(3):269-78.
54. Hudson WW, Harrison DF, Crosscup PC. A short‐form scale to measure sexual discord in dyadic relationships. Journal of Sex Research. 1981;17(2):157-74. [DOI:10.1080/00224498109551110]
55. Bakhshayesh A, Mortazavi M. The relationship sexual satisfaction, mental health, and martial satisfaction in couples. The Principles of Mental Health. 2009;11(3):238-88.
56. Hidalgo-Lopezosa P, Pérez-Marín S, Jiménez-Ruz A, López-Carrasco JdlC, Cubero-Luna AM, García-Fernández R, et al. Factors associated with postpartum sexual dysfunction in Spanish women: a cross-sectional study. Journal of Personalized Medicine. 2022;12(6):926. [DOI:10.3390/jpm12060926] [PMID] []
57. Hajimirzaie SS, Tehranian N, Razavinia F, Khosravi A, Keramat A, Haseli A, et al. Evaluation of couple's sexual function after childbirth with the biopsychosocial model: a systematic review of systematic reviews and meta-analysis. Iranian Journal of Nursing and Midwifery Research. 2021;26(6):469. [DOI:10.4103/ijnmr.IJNMR_426_20] [PMID] []
58. Razavinia F, Tehranian N, Tatari FT, Bidhendi Yarandi R, Ramezani Tehrani F. The postpartum marital satisfaction, maternal serum concentration of orexin-A and mode of delivery. Journal of Sex & Marital Therapy. 2019;45(6):488-96. [DOI:10.1080/0092623X.2019.1566947] [PMID]
59. Abidi I, Bettaieb H, Frikha M, Halouani S, Mbarki W, Boufarguine R, et al. Sexual dysfunction and satisfaction in Tunisian couples during postpartum: a prospective cohort study. The Journal of Sexual Medicine. 2022;19(5):S229. [DOI:10.1016/j.jsxm.2022.03.522]
60. Rezaei N, Janani F, Sharifi N, Omidi F, Azadi A. Sexual function and quality of life among postpartum women: a cross-sectional study. International Journal of Womens Health and Reproduction Sciences. 2018;6(3):307-12. [DOI:10.15296/ijwhr.2018.51]
61. Banaei M, Moridi A, Dashti S. Sexual dysfunction and its associated factors after delivery: longitudinal study in Iranian women. Materia Socio-Medica. 2018;30(3):198. [DOI:10.5455/msm.2018.30.198-203] [PMID] []
62. Lagaert L, Weyers S, Van Kerrebroeck H, Elaut E. Postpartum dyspareunia and sexual functioning: a prospective cohort study. The European Journal of Contraception & Reproductive Health Care. 2017;22(3):200-206. [DOI:10.1080/13625187.2017.1315938] [PMID]
63. Heidari M, Merghati Khoei E, Kiani A. A study of the relationship between sexual activity and breastfeeding. Journal of Mazandaran University of Medical Sciences. 2009;19(70):54-60.
64. Saei-Gharenaz M, Banaei M, Ghasemi V, Rashidi-Fakari F, Khiabani A, Abed M, et al. Postpartum female sexual dysfunction and related factors in Iranian women: a systematic review and meta-analysis. Journal of Isfahan Medical School. 2019;37(546):1149-61.
65. Rezaei N, Azadi A, Sayehmiri K, Valizadeh R. Postpartum sexual functioning and its predicting factors among Iranian women. Malaysian Journal of Medical Sciences. 2017;24(1):94. [DOI:10.21315/mjms2017.24.1.10] [PMID] []
66. Banaei M, Alidost F, Ghasemi E, Dashti S. A comparison of sexual function in primiparous and multiparous women. Journal of Obstetrics and Gynaecology. 2020;40(3):411-18. [DOI:10.1080/01443615.2019.1640191] [PMID]
67. Heidari M, Khoei EM, Asiabar AK. What happens to sexuality of women during lactation period? a study from Iran. Pakistan Journal of Medical Sciences. 2009;25(6):938-43
68. Saotome TT, Yonezawa K, Suganuma N. Sexual dysfunction and satisfaction in Japanese couples during pregnancy and postpartum. Sexual Medicine. 2018;6(4):348-55. [DOI:10.1016/j.esxm.2018.08.003] [PMID] []
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