产后恢复性生活,女性采用什么策略?一项定性研究
Recovering Sexuality after Childbirth. What Strategies Do Women Adopt? A Qualitative Study
——原载《国际环境研究与公共卫生杂志》2022年第19卷第2期——
<International Journal of Environmental Research and Public Health > 2022, 19 (2)
【摘要】本研究旨在确定妇女为适应影响分娩后第一次性关系的变化而采用的策略。采用现象学方法的定性研究,使用了三种数据收集技术(深度访谈、讨论组和在线论坛)。产后前六个月的36名妇女参加了这项研究,她们来自西班牙几个地区的母婴专业物理治疗中心。包括不同分娩类型、分娩过程中是否存在会阴损伤、既往分娩和不同类型母乳喂养的女性。在这些策略中,亲密支持和理解是女性用来适应新情况的策略,以改善夫妻关系、亲密关系,并应对产后前六个月出现的重大变化。性行为的变化和适应成为应对新性行为的工具,尤其是当它受到与身体变化相关的疼痛或不适的影响时。个人时间有助于情绪管理和改善与母亲需求相关的情绪变化。接受母性带来的变化对于应对新情况至关重要。产后女性使用的策略侧重于接受、自我保健、伴侣、夫妻时间、个人时间和适应遭遇。这项研究的结果引起了卫生专业人员的兴趣,因为它们提供了有关女性如何应对产后头六个月出现的变化的见解。通过这种方式,研究结果将能够向夫妻传达他们在恢复性关系之前可以采取的替代方案,以提高夫妻双方以及分娩后的性行为方面的满意度。【关键词】策略;性欲;亲密关系;产后;情绪管理;母性
[Abstract] This study aimed to determine the strategies used by women to adapt to the changes that affect the first sexual relations after childbirth. A qualitative study with a phenomenological approach used three data collection techniques (in-depth interviews, discussion groups, and online forums). Thirty-six women in the first six months postpartum participated in the study, from physiotherapy centers with maternal child specialties in several locations in Spain. Women with different types of delivery, presence or absence of perineal trauma during delivery, previous deliveries, and different types of breastfeeding were included. Among the strategies, closeness support and understanding were the ones that women used to adjust to the new situation, in order to improve the couple’s relationship, intimacy, and cope with the significant changes that appear in the first six months postpartum. Changes and adaptations in sexual practices become a tool for coping with a new sexuality, especially if it is affected by the presence of pain or discomfort associated with physical changes. Personal time facilitates emotional management and improvement of emotional changes related to the demands of motherhood. Accepting the changes that motherhood brings is critical to dealing with the new situation. Strategies used by postpartum women focus on acceptance, self-care, partner, couple time, personal time, and adapting encounters. The findings of this study are of interest to health professionals as they provide insight into how women cope with the changes that appear in the first six months postpartum. In this way, the findings will be able to transmit to couples the alternatives they can adopt before the resumption of sexual relations to improve satisfaction both as a couple and in terms of sexuality after childbirth.
[Key words] strategies; sexuality; intimacy; postpartum; emotional management; motherhood
论文原文:Esther Delgado-Pérez, Isabel Rodríguez-Costa, Fernando Vergara-Pérez, María Blanco-Morales and María Torres-Lacomba (2022). Recovering Sexuality after Childbirth. What Strategies Do Women Adopt? A Qualitative Study. International Journal of Environmental Research and Public Health,19(2), 950. https://doi.org/10.3390/ijerph19020950