Sexuality and Counseling in Postpartum Women

Year 2023, Volume: 5 Issue: 2, 59 - 67, 31.08.2023

Nergiz Eryılmaz , Ayten Şentürk Erenel

https://doi.org/10.59124/guhes.1261592

Abstract

The World Health Organization describes sexuality as a developmental process like pregnancy and postpartum period and the complete well-being of the individual in physical, emotional, mental and social harmony, noting that it is affected by many factors such as culture, society, family, hormones and daily activities. In other words, a woman's sexuality in the postpartum period is affected by the type of birth, interventions performed at birth, breastfeeding, a woman's body image, postpartum depression, and fear of becoming pregnant again. In addition, factors such as dyspareunia, decreased sexual desire, fatigue, and insomnia that occur in postpartum women lead to a decrease in the frequency of sexual intercourse. However, qualified sexual health education and counseling by nurses during this sensitive period can be effective in eliminating women's concerns, correcting misinformation and misconceptions, and preventing sexual problems. Therefore, this review discusses the factors affecting sexuality of women's sexuality in the postpartum period and the importance of nursing services in line with the current literature.

Keywords

counseling, nursing, postpartum, sexuality

References

• Abd Aziz, K. H., Jamani, N. A., DrKhalid, N. N., & Draman, N. (2021). Risk Factors for Sexual Dysfunction among Postpartum Women in Kuantan, Pahang. IIUM Medical Journal Malaysia, 20(2). https://doi.org/10.31436/imjm.v20i2.1440
• Abdelhakm E.M, Said A.R, Elsayed D.M.S. (2018). Effect of PLISSIT Model Sexual Counseling Program on Sexual Quality of Life for Postpartum Women, American Journal of Nursing Science. 7(2), 63-72. https://doi.org/10.11648/j.ajns.20180702.14
• Acavut, G. & Güvenç, G. (2020). Doğum eylemi ile ilişkili perine travmalarının azaltılmasına yönelik yaklaşımlar. Sağlık Akademisyenleri Dergisi, 7 (2), 125-130. Retrieved from https://dergipark.org.tr/tr/pub/sagakaderg/issue/55845/701339
• American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice, & Association of Women’s Health, Obstetric and Neonatal Nurses. (2016). Committee opinion no. 666: optimizing postpartum care. Obstet Gynecol, 127(6), e187-e192. Retrieved from https://pcainitiative.acog.org/wp-content/uploads/Postpartum-Contraception-and-Breastfeeding-1.pdf
• Adedokun, B., Abdus-Salam, R. A., Babawarun, T., Morhason-Bello, I., & Ojengbede, O. (2020). Resumption of Sexual Intercourse and Family Planning use Among Postpartum Women Attending Infant Welfare Clinics in Ibadan, Southwest Nigeria - A Cross-Sectional Study. Nigerian journal of clinical practice, 23(12), 1648–1655. https://doi.org/10.4103/njcp.njcp_76_20
• Akpınar, A. (2016). Postpartum süreçte kadınların cinsellikle ilgili bilgi ve inanışlarının belirlenmesi. Yüksek Lisans Tezi. Akdeniz Üniversitesi, Sağlık Bilimleri Enstitüsü, Antalya.
• Aktaş, N., & Karaçam, Z. (2017). Doğum sonrası yorgunluk, kadının özbakım gücü ve ilişkili faktörler. Tepecik Eğit. ve Araşt. Hast. Dergisi, 27(3), 186-196. https://doi.org/10.5222/terh.2017.186
• Akyüz, E.Ö. (2009). Doğum sonrası cinsel sorunlar ve etkileyen etmenlerin incelenmesi. Yüksek Lisans Tezi. Adnan Menderes Üniversitesi, Sağlık Bilimleri Enstitüsü. Aydın.
• Aliakbari Dehkordi M., (2010). Relationship between women sexual function and maritalad justment. International Journal of Behavioral Sciences, 4(3), 199-206.
• Alnuaimi, K., & Almalik, M. (2021). Sexual educational needs of Jordanian women after giving birth. Birth (Berkeley, Calif.), 48(1), 52–60. https://doi.org/10.1111/birt.12509
• Alp Yilmaz, F., Avci, D., Arzu Aba, Y., Ozdilek, R., & Dutucu, N. (2018). Sexual Dysfunction in Postpartum Turkish Women: It's Relationship with Depression and Some Risk Factors. African journal of reproductive health, 22(4), 54–63. https://doi.org/10.29063/ajrh2018/v22i4.6
• Amir Aliakbari, S., Safarzadeh, S., Bayat, F., Pormehr-Yabandeh, A., Dashti, S., Roozbeh, N., & Mojdeh, B. (2018). Related factors of domestic violence: A population-based research on Iranian women. International Journal of Women’s Health and Reproduction Sciences, 6(3), 269–275. https://doi:10.15296/ijwhr.2018.45
• Anbaran, Z. K., Baghdari, N., Pourshirazi, M., Karimi, F. Z., Rezvanifard, M., & Mazlom, S. R. (2015). Postpartum sexual function in women and infant feeding methods. JPMA. The Journal of the Pakistan Medical Association, 65(3), 248–252.
• Aydın, N.S. (2022). Normal doğum sırasında mediolateral epizyotomi uygulanan ve epizyotomi uygulanmayan primipar gebelerde doğum sonrası dönemde cinsel disfonksiyonun araştırılması. Tıpta Uzmanlık Tezi. Sağlık Bilimleri Üniversitesi, Ankara Şehir Hastanesi, Kadın Hastalıkları ve Doğum Kliniği. Ankara.
• Barbara, G., Pifarotti, P., Facchin, F., Cortinovis, I., Dridi, D., Ronchetti, C., Calzolari, L., & Vercellini, P. (2016). Impact of Mode of Delivery on Female Postpartum Sexual Functioning: Spontaneous Vaginal Delivery and Operative Vaginal Delivery vs. Cesarean Section. The journal of sexual medicine, 13(3), 393–401. https://doi.org/10.1016/j.jsxm.2016.01.004
• Başkaya, Y., Karakoç, H., & Özerdoğan, N. (2018). Postpartum dönemde yaşanan cinsel sağlık sorunları, ebe ve hemşirenin rolü. Hemşirelikte Eğitim ve Araştırma Dergisi, 15(4), 269-274. https://doi:org/10.5222/HEAD.2018.269
• Bender, S. S., Sveinsdóttir, E., & Fridfinnsdóttir, H. (2018). "You stop thinking about yourself as a woman". An interpretive phenomenological study of the meaning of sexuality for Icelandic women during pregnancy and after birth. Midwifery, 62, 14–19. https://doi.org/10.1016/j.midw.2018.03.009
• Beyazıt, F., Pek, E., & Şahin, B. (2018). Gebelik ve doğum sonrasında cinsel işlevlerde gözlenen değişiklikler: Önyargı mı? yoksa Gerçek mi? (Alterations in sexual functions during and after pregnancy: Prejudice? Or Real?). Clinical Psychiatry, 21(4), 397–406. https://doi.org/10.5505/kpd.2018.73644
• Bokaie, M., Hajimaghsoudi, S., Dehghani, A., & Hosseini, F. (2019). The effect of sexual health counselling on the sexual function and satisfaction of breastfeeding women in the form of group consultation and telephone consultancy. Journal of Advanced Pharmacy Education & Research, 9(S2). 91–98.
• Brummelte, S., & Galea, L. A. (2016). Postpartum depression: Etiology, treatment and consequences for maternal care. Hormones and behavior, 77, 153–166. https://doi.org/10.1016/j.yhbeh.2015.08.008
• Caruso, S., & Monaco, C. (2019). Dyspareunia in women: updates in mechanisms and current/novel therapies. Current Sexual Health Reports, 11, 9-20. https://doi.org/10.1007/s11930-019-00188-w
• Dağli, E., Kul Uçtu, A., &Özerdoğan, N. (2021). Sexual dysfunction in the postpartum period: Its relationship with postpartum depression and certain other factors. Perspectives in psychiatric care, 57(2), 604–609. https://doi.org/10.1111/ppc.12583
• Darooneh, T., Ozgoli, G., Keshavarz, Z., & Nasiri, M. (2022). Educational programs and counseling models for improving postpartum sexual health: a narrative review. Sexualand Relationship Therapy, 1-17. https://doi.org/10.1080/14681994.2022.2085250
• Erçel, Ö., & Süt, H. K. (2020). Sleep quality and quality of life in postpartum woman. Journal of Turkish Sleep Medicine, 7(1), 23–30. https://doi.org/10.4274/jtsm.galenos.2019.92400
• Eryılmaz, N., & Ege, E. (2016). Doğum sonu dönemdeki kadınların aile planlaması konusundaki tutumları ve ilişkili faktörler. Journal of Human Sciences, 13(2), 3389-3401. https://doi:10.14687/jhs.v13i2.3812
• Fan, D., Li, S., Wang, W., Tian, G., Liu, L., Wu, S., Guo, X., & 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), 408. https://doi.org/10.1186/s12884-017-1583-2
• Gadisa, T. B., G/Michael, M. W., Reda, M. M., & Aboma, B. D. (2021). Early resumption of postpartum sexual intercourse and its associated risk factors among married postpartum women who visited public hospitals of Jimmazone, Southwest Ethiopia: A cross-sectional study. PloS one, 16(3), e0247769. https://doi.org/10.1371/journal.pone.0247769
• Gutzeit, O., Levy, G., &Lowenstein, L. (2020). Postpartum Female Sexual Function: Risk Factorsfor Postpartum Sexual Dysfunction. Sexual medicine, 8(1), 8–13. https://doi.org/10.1016/j.esxm.2019.10.005
• Hacettepe Üniversitesi Nüfus Etütler Enstitüsü. (2018). Türkiye Nüfus ve Sağlık Araştırması Hacettepe Üniversitesi Nüfus Etütler Enstitüsü, T.C. Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı ve TÜBİTAK, Ankara, Türkiye.
• Handelzalts, J. E., Levy, S., Peled, Y., Yadid, L., & Goldzweig, G. (2018). Mode of delivery, childbirth experience and postpartum sexuality. Archives of gynecology and obstetrics, 297(4), 927–932. https://doi.org/10.1007/s00404-018-4693-9
• Hipp, L. E., Kane Low, L., & van Anders, S. M. (2012). Exploring women’s postpartum sexuality: social, psychological, relational, andbirth-related contextual factors. The journal of sexual medicine, 9(9), 2330-2341. https://doi.org/10.1111/j.1743-6109.2012.02804.x
• Hockey, A., Donovan, C. L., Christine Overall, N., & Kate Barlow, F. (2022). Body Image Projection Bias in Heterosexual Romantic Relationships: A Dyadic Investigation. Personality and Social Psychology Bulletin, 48(7), 987–1004. https://doi.org/10.1177/01461672211025202
• Jawed-Wessel, S., & Sevick, E. (2017). The impact of pregnancy and childbirth on sexual behaviors: a systematic review. The Journal of Sex Research, 54(4-5), 411-423. https://doi:org.10.1080/00224499.2016.1274715.
• Johnson C. E. (2011). Sexual health during pregnancy and the postpartum. The journal of sexual medicine, 8(5), 1267–1286. https://doi.org/10.1111/j.1743-6109.2011.02223.x
• Karaçam, Z., & Çalışır, H. (2012). İlk kez doğum yapan kadınlarda gebelik öncesi ve doğum sonrası dönemlerde disparoni görülme sıklığı ve ilişkili durumlar. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi.; 15(3),205-213.
• Kargar, M., Yousefzadeh, S., Behnam, H. R., & Saeed Vaghee, S. (2021). Comparing the Effect of Solution-Focused Group Counseling and Individual Counseling Based on PLISSIT Model on Sexual Satisfaction of Women with High Body Mass Index. Journal of Midwifery and Reproductive Health, 9(2), 2697-2706. https://doi.org/10.22038/jmrh.2021.53742.1657
• Khajehei, M., Doherty, M., Tilley, P. J., & Sauer, K. (2015). Prevalence and risk factors of sexual dysfunction in postpartum Australian women. The journal of sexual medicine, 12(6), 1415–1426. https://doi.org/10.1111/jsm.12901
• Koç, E. & Oskay, Ü. (2016). Postpartum dönemde cinsellik ve danışmanlık. Kadın Sağlığı Hemşireliği Dergisi, 2 (1), 15-26. Retrieved from https://dergipark.org.tr/tr/pub/kashed/issue/22285/239030
• Kohler, S., Sidney Annerstedt, K., Diwan, V., Lindholm, L., Randive, B., Vora, K., & De Costa, A. (2018). Postpartum quality of life in Indian women after vaginal birth and cesarean section: A pilot studyusing the EQ5D-5L descriptive system. BMC Pregnancy and Childbirth, 18(1), 427. https://doi.org/10.1186/s12884-018-2038-0
• Korğalı, Ü., (2016) Emzirme ve Kadın Cinsel Sağlığı, Androloji Bülteni,18(66),198- 201.
• Lambermon, F., Vandenbussche, F., Dedding, C., & van Duijnhoven, N. (2020). Maternal self-care in the early postpartum period: An integrative review. Midwifery, 90, 102799. https://doi.org/10.1016/j.midw.2020.102799
• Leal, I. M. P., Lourenço, S., Oliveira, R., Carvalheira, A., &Maroco, J. (2014). Sexual function in women after delivery: Does episiotomy matter?.Health, 6(05), 356-363. https://doi.org/10.4236/health.2014.65052
• Leeman, L. M., &Rogers, R. G. (2012). Sex after childbirth: postpartum sexual function. Obstetrics and gynecology, 119(3), 647–655. https://doi.org/10.1097/AOG.0b013e3182479611
• Levy, S., Handelzalts, J. E., Yadid, L., & Geller, S. (2020). Personality and Postpartum Sexual Functioning in Israeli Women: The Mediating Role of Body Image. Psychological Reports, 123(2), 185–200. https://doi.org/10.1177/0033294118809935
• Manresa, M., Pereda, A., Bataller, E., Terre-Rull, C., Ismail, K. M., & Webb, S. S. (2019). Incidence of perineal pain and dyspareunia following spontaneous vaginal birth: a systematic review and meta-analysis. International urogynecology journal, 30(6), 853–868. https://doi.org/10.1007/s00192-019-03894-0
• Matthies, L. M., Wallwiener, M., Sohn, C., Reck, C., Müller, M., & Wallwiener, S. (2019). The influence of partnership quality and breastfeeding on postpartum female sexual function. Archives of gynecology and obstetrics, 299(1), 69–77. https://doi.org/10.1007/s00404-018-4925-z
• Olsson, A., Lundqvist, M., Faxelid, E., & Nissen, E. (2005). Women's thoughts about sexual life after childbirth: focus group discussions with women after childbirth. Scandinavian journal of caring sciences, 19(4), 381–387. https://doi.org/10.1111/j.1471-6712.2005.00357.x
• Öztaş, H. G., & Sohbet, R. (2023). Investigation of Health-Related Behaviours and Levels Self-Care Power Characteristics of Puerperants in the Postpartum Period. Gevher Nesibe Journal Of Medical and Health Sciences, 8(1), 97–105. https://doi.org/10.5281/zenodo.7604015
• Öztürk, Y., & Özerdoğan, N. (2020). Postpartum Ağrının Fizyolojisi ve Yönetimi. Türkiye Klinikleri Sağlık Bilimleri Dergisi, 5(2), 345- 353. DOI: 10.5336/healthsci.2019-71032
• Quoc Huy, N. V., Phuc An, L. S., Phuong, L. S., & Tam, L. M. (2019). Pelvic floor and sexual dysfunction after vaginal birth with episiotomy in Vietnamese women. Sexual medicine, 7(4), 514-521. https://doi.org/10.1016/j.esxm.2019.09.002
• Rezaei, N., Azadi, A., Sayehmiri, K., & Valizadeh, R. (2017). Postpartum Sexual Functioning and Its Predicting Factors among Iranian Women. The Malaysian journal of medical sciences: MJMS, 24(1), 94–103. https://doi.org/10.21315/mjms2017.24.1.10
• Selimoğlu, E. Ş., & Beydağ, K. D. (2020). Doğum sonu dönemde emziren kadınların cinsel yaşam kalitesi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, (1), 174-180.https://doi.org/10.31067/0.2020.257 AC
• Serati, M., Salvatore, S., Siesto, G., Cattoni, E., Zanirato, M., Khullar, V., ... & Bolis, P. (2010). Female sexual function during pregnancy and after childbirth. The journal of sexual medicine, 7(8), 2782-2790. https://doi.org/10.1111/j.1743-6109.2010.01893.x
• Szöllősi, K., & Szabó, L. (2021). The Association Between Infant Feeding Methods and Female Sexual Dysfunctions. Breastfeeding medicine: the official journal of the Academy of Breastfeeding Medicine, 16(1), 93–99. https://doi.org/10.1089/bfm.2020.0256
• Taşkın, L., & Akan, N. (2020). Doğum sonu dönem, doğum sonu bakım. In L. Taşkın (Ed.), Doğum ve Kadın Sağlığı Hemşireliği. 16. Baskı, Akademisyen Yayınevi.
• Tezel A, Gözüm S (2005). Postpartum dönemde kadınlarda görülebilen depresif belirtiler ve hemşirelik bakımı. Hemşirelik Yüksekokulu Dergisi., 62–68.
• Tuğut N, Gölbaşı Z. (2014). Cinselliğin değerlendirilmesi: Hemşireler için öneriler ve klinik stratejiler. Hemşirelikte Eğitim ve Araştırma Dergisi, 11(2):59-64.
• Uludağ, E., Yıldırım, D.F., & Özkan, S. (2022). Emziren Kadınlarda Fiziksel ve Mental Yorgunluğu Yordayıcı Faktör Olarak Postpartum Uyku Kalitesi. Journal of Turkish Sleep Medicine,9, 294-300, https://doi.org/10.4274/jtsm.galenos.2022.38278
• Üstgörül, S. (2016). Doğum Sonrası Dönemde Disparoni Yaygınlığı ve Etkileyen Faktörler: Longitudinal Bir Çalışma. Celal Bayar Üniversitesi, Sağlık Bilimleri Enstitüsü, Hemşirelik Anabilim Dalı, Yüksek Lisans Tezi, Manisa.
• World Health Organization. (2013). “WHO Recommendations On Postnatal Care Of The Mother and Newborn”. http://apps.who.int/iris/bitstream/10665/97603/1/9789241506649_eng.pdf)
• World Health Organization. (2006). Defining sexual health: Report of a technical consultation on sexual health, 28-31 January 2002, Geneva. World Health Organization. https://www.who.int/reproductivehealth/publications/sexual_health/defining_sh/en/
• Zamani, M., Latifnejad Roudsari, R., Moradi, M., &Esmaily, H. (2019). The effect of sexual health counseling on women's sexual satisfaction in postpartum period: A randomized clinical trial. International journal of reproductive biomedicine, 17(1), 41–50. https://doi.org/10.18502/ijrm.v17i1.3819
• Zgliczynska, M., Zasztowt‐Sternicka, M., Kosinska‐Kaczynska, K., Szymusik, I., Pazdzior, D., Durmaj, A., ... & Wielgos, M. (2021). Impact of childbirth on women's sexuality in the first year after the delivery. Journal of Obstetrics and Gynaecology Research, 47(3), 882-892.https://doi.org/10.1111/jog.14583