Fatores relacionados à disfunção sexual no puerpério

Abstract

OBJECTIVE: to evaluate the prevalence and factors associated with sexual dysfunction in the postpartum period. METHODS: A cohort study was performed using the Nascer Project database in Sergipe, from June 2015 to April 2016 collected in 11 public and private maternity hospitals in the State of Sergipe, 269 puerperal women were studied. Data were collected in the immediate puerperium through interviews from 6 until 24 hours postpartum and phone calls 45-60 days besides six to eight months after delivery. The instruments used were a general characterization form of the population, the Female Sexual Function Index (FSFI) and the Edinburgh Postpartum Depression Scale (EPDS). For the statistical analysis, the associations between the variables were assessed using the Fisher's Exact Test, with a significance level of 5% and a relative risk with a 95% confidence level. The software used was the R Core Team 2017. RESULTS: The overall prevalence of sexual dysfunction in the study was 36.4%. The types of dysfunction most frequently identified were desire (4.0 ± 4.2), excitation (4.2 ± 4.2) and orgasm (4.3 ± 4.4). Patients submitted to intrapartum cesarean (RR: 1.55, 95% CI = 1.09-2.21, p = 0.036) presented the highest risk of sexual dysfunction, RR = 1.50, 95% CI = 1, 10-2.05, p = 0.015) and those who had probable postpartum depression (RR = 1.75, 95% CI = 1.28-2.40, p = 0.04). Among the women with probable postpartum depression, 56.5% had sexual dysfunction. There was no significant association between sexual dysfunction and schooling, type of service, obstetric risk, episiotomy and adverse neonatal outcome. CONCLUSIONS: More than one third of the women who have recently given birth presented sexual dysfunction. Women submitted to cesarean section after labor, those who breastfeed and those who had probable postpartum depression had higher risk of sexual dysfunction.