Abstract

Several factors are associated with sexual satisfaction during the postpartum period. However, there is a lack of studies among low-income women with depression during the previous pregnancy. The aim of the present study was to estimate the prevalence of Decline of Sexual Life (DSL) and its relationship with postpartum depression (PPD), at 6 to 9 months after childbirth, in a primary care sample of mothers who had antenatal depression. We performed a cross-sectional, secondary analysis from a cluster, with 356 postpartum women from public primary care clinics in São Paulo, Brazil. The main outcome measure was the women's perception of DSL after pregnancy/delivery. The main exposure variable was PPD assessed with the Patient Health Questionnaire. A questionnaire evaluated self-perception of partner relationship and obstetric and socio-demographic maternal characteristics. Crude and adjusted Prevalence Ratios, with 95% confidence intervals, were calculated using Poisson regression. DSL occurred in 25.0% of postpartum women. In the multivariable analysis, PPD was associated with DSL and self-perception of partner relationship. In conclusion, DSL is common among postpartum women with a history of antenatal depression. The screening of sexual problems after childbirth should include assessment of PPD and perception of partner relationship, both variables amenable to interventions.

摘要

有几个因素与产后期间的性满意度有关。然而，缺乏对前一次怀孕期间患有抑郁症的低收入女性的研究。本研究的目的是在产前抑郁症母亲的初级保健样本中，评估分娩后 6 至 9 个月时性生活衰退 (DSL) 的患病率及其与产后抑郁症 (PPD) 的关系。我们对来自巴西圣保罗公共初级保健诊所的 356 名产后妇女进行了一个集群的横断面二次分析。主要结果测量是妇女在怀孕/分娩后对 DSL 的看法。主要暴露变量是使用患者健康问卷评估的 PPD。一份问卷评估了伴侣关系的自我认知以及产科和社会人口统计的母亲特征。使用泊松回归计算具有 95% 置信区间的粗略和调整后的患病率比率。25.0% 的产后妇女发生了 DSL。在多变量分析中，PPD与DSL和伴侣关系的自我认知有关。总之，DSL 在有产前抑郁症病史的产后妇女中很常见。分娩后性问题的筛查应包括对 PPD 的评估和对伴侣关系的看法，这两个变量都适合干预。PPD 与 DSL 和伴侣关系的自我认知有关。总之，DSL 在有产前抑郁症病史的产后妇女中很常见。分娩后性问题的筛查应包括对 PPD 的评估和对伴侣关系的看法，这两个变量都适合干预。PPD 与 DSL 和伴侣关系的自我认知有关。总之，DSL 在有产前抑郁症病史的产后妇女中很常见。分娩后性问题的筛查应包括对 PPD 的评估和对伴侣关系的看法，这两个变量都适合干预。