SEXUAL NURSING CARE FOR THE POSTPARTUM PERIOD AND ITS IMPACT ON SEXUAL DYSFUNCTION AND LIFE SATISFACTION AMONG EGYPTIAN WOMEN
Many couples experience postpartum period of decreasing sexual satisfaction. Postpartum sexual dysfunction is a very common and relevant clinical problem, with significant adverse effects on women's health. The aim of this study was to evaluate the impact of sexual nursing care for the postpartum period on sexual dysfunction and life satisfaction among Egyptian women. A quasi-experimental design was used to study 219 women selected using a purposive sample. The study was conducted in out-patients maternity clinic at Zagazig university hospitals, Sharkia Governorate, Egypt, between the periods from February 2019 to February 2020. Data was collected using three tools. The first: Structured interview questionnaire that consist from three parts, part one: socio demographic characteristics , part two obstetric history and part three sexual history, the second: Female Sexual dysfunction index (FSDI), and the third: Satisfaction with Life Scale (SWLS).Four session about sexual education was done. The Results showed an improvement in sexuality and life satisfaction after application of sexual nursing care for the postpartum period including kegel’s exercise, positioning and distractions techniques post intervention compared to pre intervention. The study concluded that sexual nursing intervention for postpartum period improve sexual functioning and create enjoyable intercourse and there was high positive correlation between sexuality and life satisfaction after implementation of the sexual nursing care intervention. The study recommended to provide counselling /training program about sexual nursing care intervention during postpartum period for nurses working in different health care settings.
Ducarme G, Hamel JF, Brun S, et al. Sexual function and postpartum depression 6 months after attempted operative vaginal delivery according to fetal head station: A prospective population-based cohort study. PLoS One; 2017, 12(6): e0178915.
Lee JT, Tsai JL. Transtheoretical Model-Based Postpartum Sexual Health Education Program Improves Women’s Sexual Behaviors and Sexual Health. J Sex Med; 2012, 9(4):986–996.
Chang SR, Chen KH, Ho HN, et al. Depressive symptoms, pain, and sexual dysfunction over the first year following vaginal or cesarean delivery: a prospective longitudinal study. Int J Nurs Stud; 2015, 52(9):1433–1444.
Banaei M, Torkzahrani S, Ozgoli G,et al. A Addressing the Sexual Function of Women During First Six Month After Delivery: Aquasi-Experimental Study. Mater Sociomed. 2018 Jun; 2018, 30(2):136–140.
Liu HL, Hsu P, Chen KH. Sexual activity during pregnancy in Taiwan: a qualitative study. Sex Med; 2013, 1(2):54–61.
Yıldız H. The relation between pre-pregnancy sexuality and sexual function during pregnancy and the postpartum period: a prospective study. J Sex Marital Ther; 2015, 41(1):49–59.
Wright JJ, O’Connor KM. Female sexual dysfunction. Med Clin N Am.; 2015, 99(3):607–28.
Elnashar A.M, Ibrahim M., EL-Desoky M.M.,et al. "Female sexual dysfunction in Lower Egypt", BJOG; 2016, 114:201–06.
Mansour.S E, Shebl A M, Waheda S M. The Effect of Sexual Counseling Program on Pain Level and Sexual Function among Women with Dyspareunia. J Educ Pract., SSN 22221735 (Paper), 2014, Vol.5, No.3.
Khajehei M, Doherty M, Tilley PJ, et al. Prevalence and risk factors of sexual dysfunction in postpartum Australian women. J Sex Med, 2015, 12: 1415–1426.
Leeman LM, Rogers RG. Sex after childbirth: postpartum sexual function. Obstet Gynecol2012, 119: 647–655. Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med 2011, 2011, 8: 1267–1284.
hahraki Z, Tanha FD, Ghajarzadeh M. Depression, sexual dysfunction and sexual quality of life in women with infertility. BMC Womens Health; 2018, 18(1):92.
Banaei M, Tork Zahrani S, Pormehr-Yabandeh A, et al. Investigating the impact of counseling based on PLISSIT model on sexual intimacy and satisfaction of breastfeeding women. Int J Pharm Res Allied Sci; 2016, 5(3):489–99.
McCool-Myers M, Theurich M, Zuelke A, et al. Predictors of female sexual dysfunction: a systematic review and qualitative analysis through gender inequality paradigms. BMC Womens Health; 2018, 18(1):108.
Kaviani M, Rahnavard T, Azima S, et al. The effect of education on sexual health of women with hypoactive sexual desire disorder: a randomized controlled trial. Int J Community Based Nurs Midwifery; 2014, 2(2):94.
Monteiro MN, Medeiros KS, Vidal I, et al. (2019): Non-pharmacological interventions for treating sexual dysfunction in postpartum women: a systematic review protocol. BMJ Open2019;9: e028660. doi:10.1136/bmjopen-2018-028660.
Woolhouse H, McDonald E, Brown SJ. Changes to sexual and intimate relationships in the postnatal period: women’s experiences with health professionals. Aust J Prim Health, 2014, 20: 298–304.
Sayasneh A, Pandeva I. Postpartum Sexual Dysfunction: A literature review of risk factors and role of mode of delivery. BJMP, 2010, 3: 316–320.
Lee JT, Tsai JL, Tsou TS, et al. Effectiveness of a theory-based postpartum sexual health education pro-gram on women’s contraceptive use: a randomized con-trolled trial. Contraception, 2011, 84: 48–56.
Nezhad MZ, Goodarzi AM. Sexuality, intimacy, and marital satisfaction in Iranian first-time parents. J Sex Marital Ther; 2011, 37:77-88.
Shahsiah M, Bahrami F, Etemadi O, et al. Effect of sex education on improving couples marital satisfaction in Isfaha. J Health Syst Res; 2010, 6:690-7.
Wallwiener S, Müller M, Doster A, et al. Sexual activity and sexual dysfunction of women in the perinatal period: a longitudinal study. Arch Gynecol Obstet; 2017, 295:873–83.
Rosen, R., Brown, C., Heiman, et al. The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther, 2000, 26, 191–208.
Diener, E., Emmons, R. A., Larsen, R. J., et al. The Satisfaction with Life Scale. J Pers Assess, 1985, 49, 71-75.
El-Gilany, A., El-Wehady, El-Wasify. Updating and validation of the socioeconomic status scale for health research in Egypt. Eastern Mediterranean Health Journal. EMHJ;2012, 18 ( 9 ), 962-968.
Asselmann E, Hoyer J, Wittchen H-U, et al. Sexual problems during pregnancy and after delivery among women with and without anxiety and depressive disorders prior to pregnancy: a prospective-longitudinal study. J Sexual Med; 2016, 13: 95-104.
Barbara G, Pifarotti P, Facchin F, et al. Impact of mode of delivery on female postpartum sexual functioning: spontaneous vaginal delivery and operative vaginal delivery vs. cesarean section. J Sex Med; 2016, 13:393–401.
Zamani, M., Roudsari. RL, Moradi. M., et al. The effect of sexual health counseling on women’s sexual satisfaction in postpartum period: A randomized clinical trial. Int J Reprod Biomed. 2019, 17(1): 41–50.
Banaei M, Safarzadeh S, Shahrahmani H. Impact of counseling on sexual intimacy of lactating women. Ann Trop Med Public Health [serial online] 2017 [cited 2020 Feb 19];10:1763-9. Available from: http://www.atmph.org/text.asp?2017/10/6/1763/222717.
Sok C, Sanders JN, Saltzman HM, et al. Sexual behavior, satisfaction, and contraceptive use among postpartum women. J Midwif Women’s Health, 2016, 61: 158–165.
Elnashar AM, EL-Dien Ibrahim AM, EL-Desoky MM, et al. Female sexual dysfunction in Lower Egypt. The Authors Journal compilation ª RCOG 2007 BJOG An International Journal of Obstetrics and Gynaecology. BJOG; 2007, 114:201–206.
Acele EÖ, Karaçam Z. Sexual problems in women during the first postpartum year and related conditions. J Clin Nurs.; 2012, 21(7-8):929–37.
Karimi A, Dadgar S, Afiat M, et al. The effect of sexual health education on sexual satisfaction in couples. Iran J Obstet Gynecol Infertil; 2013, 15:22-30.
Hosseini Zand M, Shafiabadi A, Sodani M. The effectiveness of couple therapy based on Islamic teachings on sexual intimacy couples who referred to clinics in Tehran righteous. Soc Psychol; 2012, 25:27-39.
Alide SM , Tatiana PK , Jaime B D. Sexual satisfaction in couples in the male and female climacteric stage. Cad. Saúde Pública, Rio de Janeiro;2015 ,31(2):311-320.
Schmiedeberg C,Huyer-May B, Castiglioni L,Matthew D Johnson (2016). How Sex Contributes to Life Satisfaction. Archives of Sexual Behavior;2016, 46(2):465-473.