A document by maryam zamani. Click on the document to view its contents.

Background: Many couples experience decreasing sexual satisfaction in postpartum period. Various sexual health counseling approaches have been designed for postpartum women to address their common sexual concerns and problems. Objective: This study aimed to investigate the effectiveness of Women's Postpartum Sexual Health Program (WPSHP) on women's sexual satisfaction in postpartum period. Materials and Methods: The study was a single blind randomized clinical trial on 75 postpartum women aged 18-35 yr with low sexual satisfaction who attended urban health-care centres in Mashhad, Iran in 2016. Data were collected using a demographic questionnaire, the Depression Anxiety Stress Scales-21, and the Larson Sexual Satisfaction Questionnaire. The intervention group received counselling based on the WPSHP, a four-session, group-and couples-based program. The control group just received postpartum routine care. Results: Both the intervention and control groups were homogeneous for demographic variables. According to the Mann-Whitney test, sexual satisfaction score in the intervention group was significantly higher than the control group 8 weeks after the intervention (p < 0.001). According to the Wilcoxon test, there was a significant difference in the mean score of sexual satisfaction before and after intervention in the intervention group (p < 0.001). Conclusion: WPSHP caused higher levels of sexual satisfaction. It is therefore recommended to use this program in women during the postpartum period to promote their sexual satisfaction. Production and Hosting by Knowledge E Maryam Zamani et al. This article is distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use and redistribution provided that the original author and source are

Sexual Function after Childbirth: A Meta-analysis base on Mode of DeliveryAbstractBackground: Although many women report sexual dysfunction in the postpartum period, controversial research has been reported the relationship between delivery mode and sexual function.Objectives: This meta-analysis aimed to investigate the sexual function after childbirth and identify the difference of sexual function in women with elective cesarean section and spontaneous vaginal delivery.Search Strategy: Studies were found by searching in Medline, PubMed, Web of Science, Scopus, Google Scholar databases and considering the references of the related papers.Selection Criteria: All observational studies in English that reported the mean and SD of score of sexual function and its domains based on the mode of delivery were included in this meta-analysis.Data Collection and Analysis: Finally, 17 articles with a total population of 3410 were included in the meta-analysis. Random effect model was used to combine the results of included studies on female sexual function and its subdomains.Main Result: The subgroup analysis showed that there were no significant differences in the mean score of sexual function and subdomain among the three delivery groups(P>0.05). However, the mean score of sexual function was significantly differed in the term of time elapsed since delivery (P = 0.04) and studied country (P < 0.001).Conclusions: The result indicated that the mode of delivery are not associated with the female sexual function. As a result, women’s preference for cesarean section to avoid possible impairment of sexual function has gone almost under-questioned.Keywords: Spontaneous vaginal delivery, Episiotomy, Elective cesarean section, Sexual function

A document by maryam zamani. Click on the document to view its contents.