Long-term changes in sexual functions following complicated pregnancies and deliveries

Year 2013, Volume: 4 Issue: 4, 429 - 435, 01.12.2013

Ali Özler Mehmet Sıddık Evsen Pınar Em Abdulkadir Turgut Serdar Başaranoğlu Yasin Bez Ahmet Yalınkaya Talip Gül

https://doi.org/10.5799/ahinjs.01.2013.04.0319

Abstract

Objective: The aim of this study is to evaluate the effects of complicated pregnancy and delivery (P/D) on sexual functions and to determine possible risk factors that affect sexual functions. Methods: Women, who have the history of severe preeclampsia, placenta previa totalis, abruption placentae or postpartum uterine atonia, comprised the study group. The control group was comprised the women matched for age, parity, mode of delivery, vocation, the level of income and education status. Their fear of getting pregnant again and fear of death in the most recent delivery were measured by questionnaires. The Arizona Sexual Experience Scale was used to assess the sexual functions. We compared sexual functions of the women with and without suffering from complicated P/D. Results: Fear of death during the last delivery and fear of getting pregnant again were significantly more intense in the study group (p=0.002 and p

Keywords

Fear of death, fear of getting pregnant again, complicated pregnancy, complicated delivery, sexual dysfunction

Komplike gebelikler ve doğumdan sonra cinsel fonksiyonlardaki uzun dönem değişiklikler

Abstract

Amaç: Bu çalışmanın amacı komplike gebelik ve doğumun cinsel fonksiyonlar üzerine olan etkilerini değerlendirmek ve cinsel fonksiyonları etkileyen olası risk faktörlerini belirlenmek. Yöntemler: Çalışma grubunu öyküsünde ağır preeklampsi, plasenta previa totalis, dekolman plasenta, post partum atoni öyküsü olan oluşturdu. Kontrol grubu yaş, parite, doğum şekli, meslek, gelir düzeyi ve eğitim durumu eşleşen kadınlardan oluşuyordu. Hastaların tekrar hamile kalma korkusu ve son doğumdaki ölüm korkusu anketler ile ölçüldü. Cinsel fonksiyonları değerlendirmek için Arizona cinsel deneyim skalası kullanıldı. Komplike gebelik ve doğumu olan ve olmayan kadınların cinsel fonksiyonlarını karşılaştırdık. Bulgular: Son doğum esnasında görülen ölüm korkusu ve tekrar hamile korkusu çalışma grubunda anlamlı olarak daha yüksek olduğu gözlendi (p = 0,002 ve p < 0,001, sırasıyla). Çalışma ve kontrol grubunda cinsel işlev bozukluğu gönüllülük oranı sırasıyla % 55,1 ve % 38,7 (p = 0,081) tespit edildi. Son doğum esnasında yaşanan ölüm korkusu cinsel işlev bozukluğu için önemli bir risk faktörü olarak bulunmuştur (odds oranı [OR] = 1,653; 95% CI = 1,131-2,415; p=0,009). Sonuç: Sonuç olarak, komplike gebelik ve doğum öyküsü olan kadınlarda cinsel işlev bozukluğu oranı sağlıklı gebelik ve doğum öyküsü olan kadınlarla neredeyse eşitti. Son doğum esnasında görülen ölüm korkusunun cinsel işlev bozukluğu için en önemli risk faktörü olduğu bulunmuştur.

Keywords

Ölüm korkusu, tekrar gebe kalma korkusu, komplike gebelik, komplike doğum, cinsel işlev bozukluğu

References

• Abdool Z, Thakar R, Sultan AH. Postpartum female sexual function. Eur J Obstet Gynecol Reprod Biol 2009;145:133-137.
• Lewis RW, Fugl-Meyer KS, Bosch R, et al. Epidemi- ology/risk factors of sexual dysfunction. J Sex Med 2004;1:35-39.
• World Health Organization. Sexual Health: working definitions. 2002; Available at: http://www.who.Inter- national/reproductive-health/gender/sexual_ health. html (accessed July 24, 2008).
• Barrett G, Pendry E, Peacock J, et al. Women’s sexual health after childbirth. BJOG 2000;107:186-195.
• Acele EÖ, Karaçam Z. Sexual problems in women dur- ing the first postpartum year and related conditions. J Clin Nurs 2012;21:929-937.
• Connolly A, Thorp J, Pahel L. Effects of pregnancy and childbirth on postpartum sexual function: a longitudi- nal prospective study. Int Urogynecol J Pelvic Floor Dysfunct 2005;16:263-267.
• Baskett TF, O’Connell CM. Maternal critical care in ob- stetrics. J Obstet Gynaecol Can 2009;31:218-221.
• Sak ME, Evsen MS, Soydinc HE, et al. Risk fac- tors for maternal mortality in eclampsia: analysis of 167 eclamptic cases. Eur Rev Med Pharmacol Sci 2012;16:1399-1403.
• Côte-Arsenault D, Mahlangu N. Impact of perinatal loss on the subsequent pregnancy and self: wom- en’s experiences. J Obstet Gynecol Neonatal Nurs 1999;28:274-282.
• Polachek IS, Harari LH, Baum M, et al. Postpartum post-traumatic stress disorder symptoms: the unin- vited birth companion. Isr Med Assoc J 2012;14:347- 353.
• Ryding EL, Wijma B, Wijma K, et al. Fear of child- birth during pregnancy may increase the risk of emer- gency cesarean section. Acta Obstet Gynecol Scand 1998;77:542-547.
• Storksen HT, Eberhard-Gran M, Garthus-Niegel S, et al. Fear of childbirth; the relation to anxiety and de- pression. Acta Obstet Gynecol Scand 2012;91:237- 242.
• Hosseini L, Iran-Pour E, Safarinejad MR. Sexual function of primiparous women after elective ce- sarean section and normal vaginal delivery. Urol J 2012;9:498-504.
• Khajehei M, Ziyadlou S, Safari RM, et al. A compari- son of sexual outcomes in primiparous women expe- riencing vaginal and caesarean births. Indian J Com- munity Med 2009;34:126-130.
• Moel JE, Buttner MM, O’Hara MW, et al. Sexual func- tion in the postpartum period: effects of maternal de- pression and interpersonal psychotherapy treatment. Arch Womens Ment Health 2010;13:495-504.
• Aitken RC. Measurement of feelings using visual ana- logue scales. Proc R Soc Med 1969;62:989-993.
• McGahuey CA, Gelenberg AJ, Laukes CA, et al. The Arizona Sexual Experience Scale (ASEX): reliability and validity. J Sex Marital Ther 2000;26:25-40.
• Soykan A. The reliability and validity of Arizona sexual experiences scale in Turkish ESRD patients undergo- ing hemodialysis. Int J Impot Res 2004;16:531-534.
• Hicks TL, Goodall SF, Quattrone EM, et al. Postpar- tum sexual functioning and method of delivery: sum- mary of the evidence. J Midwifery Womens Health 2004;49:430-436.
• Xu X, Yao Z, Wang H, et al. [Women’s postpartum sexuality and delivery types]. Zhonghua Fu Chan Ke Za Zhi 2003;38:219-222.
• Williams A, Herron-Marx S, Carolyn H. The prevalence of enduring postnatal perineal morbidity and its rela- tionship to perineal trauma. Midwifery 2007;23:392- 403.
• Moleman N, van der Hart O, van der Kolk BA. The partus stress reaction: a neglected etiological factor in postpartum psychiatric disorders. J Nerv Ment Dis 1992;180:271-272.
• Furuta M, Sandall J, Bick D. A systematic review of the relationship between severe maternal morbidity and post-traumatic stress disorder. BMC Pregnancy Childbirth 2012;12:125.
• Ryding EL, Wijma K, Wijma B. Predisposing psycho- logical factors for posttraumatic stress reactions after emergency cesarean section. Acta Obstet Gynecol Scand 1998;77:351-352.
• Hoedjes M, Berks D, Vogel I, et al. Symptoms of post- traumatic stress after preeclampsia. J Psychosom Obstet Gynaecol 2011;32:126-134.
• Fones C. Posttraumatic stress disorder occurring after painful childbirth. J Nerv Ment Dis 1996;184:195-196.
• Rathfisch G, Dikencik BK, Kizilkaya Beji N, et al. Ef- fects of perineal trauma on postpartum sexual func- tion. J Adv Nurs 2010;66:2640-2649.
• Lin C-F, Juang Y-Y, Wen J-K, et al. Correlations be- tween sexual dysfunction, depression, anxiety, and somatic symptoms among patients with major depres- sive disorder. Chang Gung Med J 2012;35:323-331.
• Mathias C, Cardeal Mendes CM, Pondé de Sena E, et al. An open-label, fixed-dose study of bupropion effect on sexual function scores in women treated for breast cancer. Ann Oncol 2006;17:1792-1796.
• Alvarez Navascués R, Marín R. [Severe maternal complications associated with pre-eclampsia: an al- most forgotten pathology?]. Nefrologia 2001;21:565- 573.
• Williams D. Long-term complications of preeclampsia. Semin Nephrol 2011;31:111-122.
• Walker MG, Allen L, Windrim RC, et al. Multidisci- plinary management of invasive placenta previa. J Obstet Gynaecol Can 2013;35:417-425.
• Tan P, Evsen MS, Soydinc HE, et al. Increased psy- chological trauma and decreaseddesire to have chil- dren after a complicated pregnancy. J Turkish-Ger- man Gynecol Assoc 2013;14:11-14.