Page 137 - Petelin, Ana, Nejc Šarabon, Boštjan Žvanut, eds. 2017. Zdravje delovno aktivne populacije ▪︎ Health of the Working-Age Population. Proceedings. Koper: Založba Univerze na Primorskem/University of Primorska Press
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e quality of sexual life after experiencing
the episiotomy birth

Polona A. Mivšek, Petra Petročnik, Anita Jug Došler, Teja Škodič Zakšek

University of Ljubljana, Faculty of Health Sciences, Midwifery Department,
Zdravstvena pot 5, 1000 Ljubljana, Slovenia
polona.mivsek@zf.uni-lj.si

Abstract
Introduction: Episiotomy is a surgical cut of the perineum during
childbirth to widen the pelvic outlet. The evidence shows women are less
interested into sexual intercourse in the period after birth than they were
before or during the pregnancy. This is the consequence of the changes
in the postpartum period and often affected also by the perineal trauma.
The purpose of literature review is to study the connection of perineal
trauma on pain during sexual 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 included
the following Key words: »episiotomy«, »sexuality«, »postpartum« and
»dyspareunia«. The literature searching was limited on the Slovenian
and English language and included the relevant papers published
between 2007 and 2017. Results: The incidence of episiotomy in Slovenia
is lower than 30 % and varies between individual birth hospitals. The
first episiotomy is a frequent reason resulting in women’s fear of their
first sexual intercourse, mostly the accompanied pain. Discussion and
conclusions: The research shows that dyspareunia is more common
in women having a vaginal birth, especially if the woman sustained a
perineal rupture or episiotomy. Women usually return to their sexual 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

doi: https://doi.org/10.26493/978-961-7023-32-9.135-141
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