目的探讨女性产后早期的性问题及对产后性健康知识的知晓情况。方法选择在我院住院分娩,且于2010年10月至11月在我院产科门诊行产后检查的产妇109例,以自行设计的产后性健康情况调查表,由专人负责调查填表,分析其产后性问题发生情况及对产后性健康知识的知晓情况。结果产后妇女首次行产后检查的时间为6~12周;产后6周内,有5.50%(6/109)的产妇恢复性生活;产后6~8周时,有15.60%(17/109)的产妇恢复性生活;产后12周时,42.20%(46/109)的产妇恢复了性生活。产后出现的性问题有:性交疼痛占76.09%(35/46)、阴道干涩占63.04%(29/46)、性欲低下占54.35%(25/46)、高潮缺失占23.91%(11/46),其中性交疼痛、阴道干涩、性欲低下为常见;产后性生活采取避孕措施的占10.87%(5/46)。21.10%(23/109)的产妇知道产后恢复性生活的时间,12.84%(14/109)的产妇知道产后可能出现的性问题,13.76%(15/109)产妇知道产后避孕知识,6.42%(7/109)的产妇表示愿意在出现产后性问题时主动就医,9.17%(10/109)产妇其丈夫愿意了解产后性保健知识。结论产后早期性问题较为普遍,应当引起医务人员的重视;产妇性健康知识普遍薄弱,应大力加强产前产后宣教,提高产后性保健知识的知晓率。
Objective To investigate the sexual problems during early postpartum period and the awareness of postpartum sexual health. Methods A questionnaire survey was carried out in 109 women who received routine postpartum check-up in our outpatient department between October and November 2010 to identify postpartum sexual problems and the awareness of postpartum sexual health. Results The first postpartum check-up was received 6 to 12 weeks after the delivery. Of 109 participants, 6 (5.5%), 17 ( 15.6% ) and 46 (42.2%) resumed sexual activity within 6,6 to 8, and 12 weeks after the delivery, respectively. Postpartum sexual problems included dyspareunia (35/46,76. 09% ) ,vaginal dryness (29/46, 63.04% ), hypoactive sexual desire (25/46,54. 35% ) and lack of orgasm (11/46,23.91% ). 10. 87 % (5/ d6)took contraceptive measures, 21.10% (23/109) understood the appropriate time to resume sexual activity, 12. 84% (14/109) was aware of the possible postpartum sexual problems, 13.76% (15/109) knew how to avoid pregnant, 6. 42% (7/109) would visit a doctor in case of the sexual disorders, and 9. 17% (10/109) hoped that their husband know about sexual health. Conclusion Postpartum sexual problems may be common and maternal awareness of postpartum sexual health could be low.