Page 80 - Petelin, Ana, Nejc Šarabon, Boštjan Žvanut, eds. 2017. Zdravje delovno aktivne populacije ▪︎ Health of the Working-Age Population. Zbornik povzetkov z recenzijo ▪︎ Book of Abstracts. Koper: Založba Univerze na Primorskem/University of Primorska Press
P. 80
avje delovno aktivne populacije | health of the working-age population 78 predvsem bolečine. Diskusija in zaključki: Dispareunija je dokazano pogostejša
pri ženskah, ki rodijo z vaginalnim porodom, še posebej pa, če je pri njih med
porodom prišlo do rupture presredka ali epiziotomije. Pri večini žensk se spol-
no življenje v 6-12 mesecih po porodu vrne v stanje izpred nosečnosti. Kakov-
ost spolnega življenja je torej lahko okrnjena celo poporodno leto.
Ključne besede: spolnost, puerperij, poškodbe presredka, genitalno pelvična
bolečina
Introduction: Episiotomy is a surgical cut of the perineum during childbirth to
widen the pelvic outlet. The evidence shows women are less interested in-
to sexual intercourse in the period after birth than they were before or dur-
ing the pregnancy. This is the consequence of the changes in the postpartum
period and often affected also by the perineal trauma. The purpose of litera-
ture review is to study the connection of perineal trauma on pain during sex-
ual course in the postnatal period. Methods: Descriptive research method has
been used, based on the review of relevant national and international literature
on the scientific and professional level. The review of the literature took place
in the January 2017, with the help of international databases. Searching terms in-
cluded the following key words: »episiotomy«, »sexuality«, »postpartum« and
»dyspareunia«. The literature searching was limited on the Slovenian and Eng-
lish language and included the relevant papers published between 2007 and
2017. Results: The incidence of episiotomy in Slovenia is lower than 30% and var-
ies between individual birth hospitals. The first episiotomy is a frequent reason
resulting in women’s fear of their first sexual intercourse, mostly the accom-
panied pain. Discussion and Conclusions: The research shows that dyspareunia
is more common in women having a vaginal birth, especially if the woman sus-
tained a perineal rupture or episiotomy. Women usually return to their sexu-
al life before the pregnancy after 6-12 months after birth. The quality of sexual
life may be affected the whole year after childbirth.
Key words: sexuality, postpartum period, perineal trauma, genital pelvic pain
Izkušnje žensk ob perinatalni izgubi otroka
Women‘s experiences with perinatal loss of a child
Teja Novak1, Doroteja Rebec2
1 Medical center in Vrhnika, Cesta 6. maja 11, 1360 Vrhnika
2 University of Primorska, Faculty of Health Sciences, Polje 42, 6310 Izola
teja.novak@zd-vrhnika.si
Izhodišča: Perinatalna smrt otroka je izjemno občutljivo področje v življenju
staršev in ena od najbolj bolečih izgub, ki jo starši lahko doživijo. Od zdravst-
venih delavcev zahteva strokovno in sočutno obravnavo, ki bo na prizadete
starše delovala blažilno in jim bo pomagala v procesu soočanja z izgubo otro-
ka. Pomembno je, da znajo zdravstveni delavci prisluhniti prizadetim staršem,
da so dovzetni za njihove potrebe in da ne postanejo neobčutljivi za njihovo ža-
lost. Namen raziskave je bil dobiti vpogled v izkušnje žensk, ki so v slovenskih
porodnišnicah doživele izgubo otroka v perinatalnem obdobju. Metode: Kvanti-
tativni raziskovalni pristop je temeljil na spletnem anketiranju priročnega vzor-
ca žensk (n = 114), ki so doživele izgubo otroka v perinatalnem obdobju. Žen-
pri ženskah, ki rodijo z vaginalnim porodom, še posebej pa, če je pri njih med
porodom prišlo do rupture presredka ali epiziotomije. Pri večini žensk se spol-
no življenje v 6-12 mesecih po porodu vrne v stanje izpred nosečnosti. Kakov-
ost spolnega življenja je torej lahko okrnjena celo poporodno leto.
Ključne besede: spolnost, puerperij, poškodbe presredka, genitalno pelvična
bolečina
Introduction: Episiotomy is a surgical cut of the perineum during childbirth to
widen the pelvic outlet. The evidence shows women are less interested in-
to sexual intercourse in the period after birth than they were before or dur-
ing the pregnancy. This is the consequence of the changes in the postpartum
period and often affected also by the perineal trauma. The purpose of litera-
ture review is to study the connection of perineal trauma on pain during sex-
ual course in the postnatal period. Methods: Descriptive research method has
been used, based on the review of relevant national and international literature
on the scientific and professional level. The review of the literature took place
in the January 2017, with the help of international databases. Searching terms in-
cluded the following key words: »episiotomy«, »sexuality«, »postpartum« and
»dyspareunia«. The literature searching was limited on the Slovenian and Eng-
lish language and included the relevant papers published between 2007 and
2017. Results: The incidence of episiotomy in Slovenia is lower than 30% and var-
ies between individual birth hospitals. The first episiotomy is a frequent reason
resulting in women’s fear of their first sexual intercourse, mostly the accom-
panied pain. Discussion and Conclusions: The research shows that dyspareunia
is more common in women having a vaginal birth, especially if the woman sus-
tained a perineal rupture or episiotomy. Women usually return to their sexu-
al life before the pregnancy after 6-12 months after birth. The quality of sexual
life may be affected the whole year after childbirth.
Key words: sexuality, postpartum period, perineal trauma, genital pelvic pain
Izkušnje žensk ob perinatalni izgubi otroka
Women‘s experiences with perinatal loss of a child
Teja Novak1, Doroteja Rebec2
1 Medical center in Vrhnika, Cesta 6. maja 11, 1360 Vrhnika
2 University of Primorska, Faculty of Health Sciences, Polje 42, 6310 Izola
teja.novak@zd-vrhnika.si
Izhodišča: Perinatalna smrt otroka je izjemno občutljivo področje v življenju
staršev in ena od najbolj bolečih izgub, ki jo starši lahko doživijo. Od zdravst-
venih delavcev zahteva strokovno in sočutno obravnavo, ki bo na prizadete
starše delovala blažilno in jim bo pomagala v procesu soočanja z izgubo otro-
ka. Pomembno je, da znajo zdravstveni delavci prisluhniti prizadetim staršem,
da so dovzetni za njihove potrebe in da ne postanejo neobčutljivi za njihovo ža-
lost. Namen raziskave je bil dobiti vpogled v izkušnje žensk, ki so v slovenskih
porodnišnicah doživele izgubo otroka v perinatalnem obdobju. Metode: Kvanti-
tativni raziskovalni pristop je temeljil na spletnem anketiranju priročnega vzor-
ca žensk (n = 114), ki so doživele izgubo otroka v perinatalnem obdobju. Žen-
