產婦產後性生活現況調查

本研究為一回溯性研究，旨在探討一般正常產婦產後一年之性生活概況，以119位住院經產婦為樣本，運用自塡式問卷，使產婦回溯其前一次生產產後性生活經驗。資料經SPSS Window 11.0版套裝軟體進行統計分析。研究結果發現：一、生產對婦女的性生活確實造成改變，產婦在性交、性慾、性滿意度以及與配偶性溝通機會均下降，特別在產後1-3個月階段；但隨著時間的增加，性生活整體表現逐漸回升，迄產後六個月到一年時已趨近於孕前水凖。二、產婦平均恢復產後性生活的時間是在產後6.98週，超過一半以上(55.2%)的產婦在產後六週已開始與配偶恢復性生活；在產後三個月時，大多數婦女已恢復性生活(93.8%)。然而，仍有半數以上的產婦表示有性交疼痛與不適的情形。三、困擾產婦性生活的因素依序為「性交疼痛與不適」、「擔心把小孩吵醒」、「害怕性交對傷口有不良影響」、「沒有時間進行性生活」與「害怕避孕失敗導致意外懷孕」等。

關鍵字

產婦；性；性生活

並列摘要

The purpose of the retrospective study is to investigate women's sexual life one year after childbirth. One hundred nineteen multipara women, required to answer a self-report questionnaire, were used as the sample population. The data were processed through the SPSS Window's 11.0 package. The major findings are as follows: I .Within one year after these women have given birth, the frequency of intercourse, sexual communication, sexual desire and sexual satisfaction decreased, especially at the beginning of the first three months post partum. However, as the post partum period extended, the postpartum sexual life revived to its initial level before the pregnancy. 2.Intercourse resumed on average 6 weeks after birth. Over half of the subjects resumed sexual intercourse by 6 weeks (55.2%). The majority of these women resumed sexual intercourse by 3 months postpartum (93.8%); However, many experienced sexual difficulties or dyspareunia. 3.The factors that effect postpartum sexual life are ranked as follows: ”Pain and discomfort during sex”, ”Fear of waking up the children”, ”Fear of wounding the scar due to coitus”, ”No time for sex life”, and ”Fear of invalid contraception causing accidental pregnancy.”