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首页> 外文期刊>International Journal of Women s Health >Body after baby: a pilot survey of genital body image and sexual esteem following vaginal birth
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Body after baby: a pilot survey of genital body image and sexual esteem following vaginal birth

机译：婴儿后的身体：阴道分娩后生殖器身体形象和性自尊的初步调查

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Objective: The aim of this study was to determine acceptability of the Vaginal Changes Sexual and Body Esteem (VSBE) scale for women post childbirth and explore the association between childbirth events and sexual/body esteem. Design: This is a cross-sectional study within the Evaluating Maternal Recovery from Labor and Delivery study. Setting: This study was conducted in a community setting. Population: The study was conducted in women post first vaginal birth with birth events that posed risk factors for levator ani muscle tears. Methods: Survey, magnetic resonance images of levator ani, and physical examination were the data collected 8?months postpartum. Birth variables were collected by hospital chart review. Descriptive analysis of VSBE response rates and distribution of responses was conducted. An exploratory analysis of the potential association of demographic, birth, clinical, and magnetic resonance image characteristics with VSBE scores was conducted. Main outcome measures: The outcome measure used in this study is VSBE scale. Results: The majority of participants (97%) completed the scale, with responses to most questions skewed toward positive sexual/body esteem, with the exception of sexual enjoyment, where 38% indicated some interference due to genital changes. The scale showed high internal consistency (alpha =0.93). In the exploratory analysis of potential characteristics associated with VSBE, women with episiotomies had lower sexual/body esteem compared to those who did not (median VSBE scores 35 vs 42.5, P =0.01). Anal sphincter tear was not associated with sexual/body esteem ( P =0.78). Additional study is indicated to further explore observed trends toward the association of severe levator ani tear, maternal age at childbirth, and forceps with VSBE scores. Conclusion: The VSBE is suitable for use to assess sexual/body esteem in women post childbirth. Most women in this sample did not indicate negative genital body image/sexual esteem. However, some indicated that the changes post birth negatively affected their sexual/body esteem, particularly those who had episiotomies.
机译：目的：本研究的目的是确定分娩后女性的阴道变化性和身体自尊（VSBE）量表的可接受性，并探讨分娩事件与性/身体自尊之间的关联。设计：这是评估产妇分娩和分娩康复情况的一项横断面研究。地点：本研究在社区环境中进行。人群：这项研究是在首次阴道分娩后发生出生事件的妇女中进行的，这些事件构成了提肛肌撕裂的危险因素。方法：调查，提肛的磁共振图像，体格检查为产后8个月的数据。通过医院病历检查收集出生变量。对VSBE响应率和响应分布进行了描述性分析。对人口统计学，出生，临床和磁共振图像特征与VSBE评分的潜在关联进行了探索性分析。主要结局指标：本研究中使用的结局指标为VSBE量表。结果：大多数参与者（97％）完成了量表，对大多数问题的回答偏向积极的性/身体自尊，除了性享受之外，其中38％的人表示由于生殖器变化而产生了一些干扰。该量表显示出很高的内部一致性（alpha = 0.93）。在与VSBE相关的潜在特征的探索性分析中，患有癫痫的妇女与未接受VSBE的妇女相比，具有较低的性/身体自尊（VSBE中位数分别为35分和42.5分，P = 0.01）。肛门括约肌撕裂与性/身体自尊无关（P = 0.78）。指示需要进一步研究，以进一步探索观察到的严重提肛肌撕裂，分娩产妇年龄和镊子与VSBE评分之间的关​​系。结论：VSBE适用于评估分娩后女性的性/身体自尊。该样本中的大多数女性并未显示出阴部生殖器身体影像/性自尊。但是，有些人指出，出生后的变化会对他们的性/身体自尊产生负面影响，特别是那些患有癫痫的人。

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