Factors related to female sexual dysfunction during the postpartum period: a systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i2.25638

Keywords:

Postpartum Period; Sexual Health; Physiotherapy.

Abstract

The postpartum period corresponds to the period between the expulsion of the fetus and ends of the phenomena generated by pregnancy ceases. Some complications are independent of the mode of delivery, among the main findings is sexual dysfunction, exemplified mainly by the decrease in sexual desire and, consequently, a decrease in the woman's quality of life. The objective of the present study was to analyze the main factors related to female sexual dysfunctions during the postpartum period. This is a systematic review using the PRISMA protocol. Therefore, the strategy used in this study included carrying out systematic searches in the literature, using PubMed, Lilacs, Scielo and PEDro databases. For analysis, 16 articles were included in the research. It is concluded that the main causes of sexual dysfunctions were anxiety and depression, especially in the immediate postpartum period, where there was a need for understanding from the partner for the resumption of sexual activities. The literature does not present a consensus on which mode of delivery suggests more sexual dysfunctions, but the history of obstetric pelvic injury hinders the return of sexual activities, generating more pain and fatigue during intercourse. In turn, the cesarean delivery method decreased vaginal lubrication and sexual satisfaction in the women studied.

References

Amiri, F. N., Omidvar, S., Bakhtiari, A., & Hajiahmadi, M. (2017). Female sexual outcomes in primiparous women after vaginal delivery and cesarean section. African health sciences, 17(3), 623-631.

Anglès-Acedo, S., Ros-Cerro, C., Escura-Sancho, S., Elías-Santo-Domingo, N., Palau-Pascual, M. J., & Espuña-Pons, M. (2019). Coital resumption after delivery among OASIS patients: differences between instrumental and spontaneous delivery. BMC women's health, 19(1), 1-7.

Baud, D., Sichitiu, J., Lombardi, V., De Rham, M., Meyer, S., Vial, Y., & Achtari, C. (2020). Comparison of pelvic floor dysfunction 6 years after uncomplicated vaginal versus elective cesarean deliveries: a cross-sectional study. Scientific Reports, 10(1), 1-8.

Brasil, Ministério da Saúde. Banco de dados do Sistema Único de Saúde-

Cardoso, P. O., Alberti, L. R., & Petroianu, A. (2010). Morbidade neonatal e maternas relacionada ao tipo de parto. Ciência & Saúde Coletiva, 15, 427-435.

Chaparro, M.; Pérez, R.; & Sáez, K. Función sexual femenina durante el período posparto. Revista de Obstetricia y Ginecología de Venezuela, 73(3), 181-186, 2013.

DATASUS, Sistema de Informações Hospitalares. http://www.datasus.gov.br/catalogo/sihsus.htm, 2009.

de MOURA, T. R., Nunes, E. F. C., sutter Latorre, G. F., & Vargas, M. M. (2018). Dispareunia relacionada à via de parto: uma revisão integrativa. Revista de Ciências Médicas, 27(3), 157-165.

Dean, N., Wilson, D., Herbison, P., Glazener, C., Aung, T., & MacArthur, C. (2008). Sexual function, delivery mode history, pelvic floor muscle exercises and incontinence: A cross‐sectional study six years post‐partum. Australian and New Zealand Journal of Obstetrics and Gynaecology, 48(3), 302-311.

Faisal‐Cury, A., Huang, H., Chan, Y. F., & Menezes, P. R. (2013). The relationship between depressive/anxiety symptoms during pregnancy/postpartum and sexual life decline after delivery. The journal of sexual medicine, 10(5), 1343-1349.

Fan, D., Li, S., Wang, W., Tian, G., Liu, L., Wu, S., & Liu, Z. (2017). Sexual dysfunction and mode of delivery in Chinese primiparous women: a systematic review and meta-analysis. BMC pregnancy and childbirth, 17(1), 1-9.

Galvão, M. C. B., & Ricarte, I. L. M. (2019). Revisão sistemática da literatura: conceituação, produção e publicação. Logeion: Filosofia da informação, 6(1), 57-73.

Girardi, F. (2019). Itinerários de cuidado e práticas de atenção à saúde das mulheres kaingang no período gravídico-puerperal na aldeia Kondá/SC.

Gommesen, D., Nøhr, E., Qvist, N., & Rasch, V. (2019). Obstetric perineal tears, sexual function and dyspareunia among primiparous women 12 months postpartum: a prospective cohort study. BMJ open, 9(12), e032368.

Hadizadeh-Talasaz, Z., Sadeghi, R., & Khadivzadeh, T. (2019). Effect of pelvic floor muscle training on postpartum sexual function and quality of life: A systematic review and meta-analysis of clinical trials. Taiwanese Journal of Obstetrics and Gynecology, 58(6), 737-747.

Hjorth, S., Kirkegaard, H., Olsen, J., Thornton, J. G., & Nohr, E. A. (2019). Mode of birth and long-term sexual health: a follow-up study of mothers in the Danish National Birth Cohort. BMJ open, 9(11), e029517.

Huang, L. H., Lai, Y. F., Chen, G. D., Lee, M. S., & Ng, S. C. (2019). Effect of far-infrared radiation on perineal wound pain and sexual function in primiparous women undergoing an episiotomy. Taiwanese Journal of Obstetrics and Gynecology, 58(1), 68-71.

Lawrence, L., Rebecca, R., Noelle, B., Dusty, T., & Clifford, Q. (2016). The effect of perineal lacerations on pelvic floor function and anatomy at six months postpartum in a prospective cohort of nulliparous women. Birth (Berkeley, Calif.), 43(4), 293.

Mascarello, K. C., Matijasevich, A., Santos, I. D. S. D., & Silveira, M. F. (2018). Early and late puerperal complications associated with the mode of delivery in a cohort in Brazil. Revista Brasileira de Epidemiologia, 21.

O’Malley, D., Higgins, A., Begley, C., Daly, D., & Smith, V. (2018). Prevalence of and risk factors associated with sexual health issues in primiparous women at 6 and 12 months postpartum; a longitudinal prospective cohort study (the MAMMI study). BMC pregnancy and childbirth, 18(1), 1-13.

Pereira, T. R. C., Dottori, E. H., Mendonça, F. M. D. A. F., & Beleza, A. C. S. (2018). Avaliação da função sexual feminina no puerpério remoto: um estudo transversal. Revista Brasileira de Saúde Materno Infantil, 18, 289-294.

Pereira, T. R. C., Dottori, E. H., Mendonça, F. M. D. A. F., & Beleza, A. C. S. (2018). Avaliação da função sexual feminina no puerpério remoto: um estudo transversal. Revista Brasileira de Saúde Materno Infantil, 18, 289-294.

Rogers, R. G., Borders, N., Leeman, L. M., & Albers, L. L. (2009). Does spontaneous genital tract trauma impact postpartum sexual function? Journal of midwifery & women's health, 54(2), 98-103.

Santana, L. S., Gallo, R. B. S., Marcolin, A. C., Ferreira, C. H. J., & Quintana, S. M. (2011). Utilização dos recursos fisioterapêuticos no puerpério: revisão da literatura. Femina.

Published

23/01/2022

How to Cite

PARENTE, A. C. C.; REGIS, K. S. C.; COSTA, D. L. da . Factors related to female sexual dysfunction during the postpartum period: a systematic review . Research, Society and Development, [S. l.], v. 11, n. 2, p. e23111225638, 2022. DOI: 10.33448/rsd-v11i2.25638. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/25638. Acesso em: 22 dec. 2024.

Issue

Section

Health Sciences