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首页> 外文期刊>The journal of sexual medicine >The relationship between depressive/anxiety symptoms during pregnancy/postpartum and sexual life decline after delivery
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The relationship between depressive/anxiety symptoms during pregnancy/postpartum and sexual life decline after delivery

机译：怀孕/产后抑郁/焦虑症状与分娩后性生活下降之间的关系

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Introduction: Several factors have been found to be independently associated with decline in sexual activity after delivery. However, the association between depression in pregnancy/postpartum and sexual problems is less clear. Aim: To prospectively evaluate the relationship between depressive/anxiety symptoms (DAS) during the perinatal period and sexual life in the postpartum period. Methods: A prospective cohort study conducted between May 2005 and March 2007 included 831 pregnant women recruited from primary care clinics of the public sector in S?o Paulo, Brazil. Four groups with DAS during antenatal and postpartum periods were identified using the Self Report Questionnaire (SRQ-20): absence of both antenatal and postpartum DAS; presence of antenatal DAS only; presence of postpartum DAS only; and presence of both antenatal and postpartum DAS. The primary outcome was perception of sexual life decline (SLD) before and after pregnancy/delivery. Crude and adjusted risk ratios (RR), with 95% confidence intervals (95% CI), were calculated using Poisson regression to examine the associations between DAS and SLD. Main Outcome Measure: The main outcome measure of this study is the perception of SLD before and after pregnancy/delivery. Results: SLD occurred in 21.1% of the cohort. In the multivariable analysis, the following variables were independently associated with SLD: DAS during both pregnancy and postpartum (RR: 3.17 [95% CI: 2.18-4.59]); DAS during only the postpartum period (RR: 3.45 [95% CI: 2.39-4.98]); a previous miscarriage (RR: 1.54 [95% CI: 1.06-2.23]); and maternal age (RR: 2.11 [95% CI: 1.22-3.65]). Conclusions: Postpartum women with DAS have an increased likelihood for SLD up to 18 months after delivery. Efforts to improve the rates of recognition and treatment of perinatal depression/anxiety in primary care settings have the potential to preserve sexual functioning for low-income mothers.
机译：简介：已经发现一些因素与分娩后性活动下降独立相关。但是，怀孕/产后抑郁与性问题之间的关联尚不清楚。目的：前瞻性评估围产期抑郁/焦虑症状（DAS）与产后性生活之间的关系。方法：2005年5月至2007年3月进行的前瞻性队列研究包括从巴西圣保罗的公共部门初级保健诊所招募的831名孕妇。使用自我报告调查表（SRQ-20）确定了四组DAS在产前和产后时期：产前和产后DAS均不存在;仅存在产前DAS;仅存在产后DAS;以及产前和产后DAS的存在。主要结局是在怀孕/分娩前后对性生活下降（SLD）的感知。使用Poisson回归来计算具有95％置信区间（95％CI）的粗略和调整后的风险比（RR），以检查DAS与SLD之间的关联。主要指标：本研究的主要指标是妊娠/分娩前后对SLD的感知。结果：SLD发生在队列的21.1％。在多变量分析中，以下变量与SLD独立相关：妊娠和产后DAS（RR：3.17 [95％CI：2.18-4.59]）;仅在产后时期进行DAS（RR：3.45 [95％CI：2.39-4.98]）;先前的流产（RR：1.54 [95％CI：1.06-2.23]）;和产妇年龄（RR：2.11 [95％CI：1.22-3.65]）。结论：产后DAS的女性在分娩后18个月内发生SLD的可能性增加。在初级保健机构中提高围产期抑郁症/焦虑症的识别率和治疗率的努力有可能保持低收入母亲的性功能。

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