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Master Thesis

Les dyspareunies du post-partum

Abstract : Aim/Objective: To study the occurrence of dyspareunias during the postnatal period, in order to highlight its eventual risk factors.

Methods: This study consisted of a survey of 79 female patients during their hospitalisation after childbirth in the maternity ward of the University Hospital of Angers. The female patients were sent anonymous questionnaires which they were asked to send it back within 2 and 6 months after the delivery.

Results: The sample was not sufficient to obtain significant results. However, an important rate of dyspareunias was found for patients starting sexual intercourse again after giving birth (57%). No significant results were found concerning the relationship between the postpartum dyspareunias and the patients' parity. Though no significant results were found, this survey showed that among the patients who had postnatal dyspareunias, the proportion that also had dispareunias before the delivery was more important than those who did not have dispareunias before the delivery (8.9% vs 2.9%). Results also highlighted that dyspareunias patients restarted sexual intercourse later (57.7% of them were sexually active after 2 months, versus 82.4% of the non dyspareunias patients). Ninety-three percent of the patients with dyspareunias were anxious about starting sexual intercourse again compared to 61.8% of the non dyspareunias patients. The difference in the persistence of dyspareunia according to birthing methods used was not important. The length of dyspareunias increased with the time spent for breastfeeding (5.3 weeks, 6 and 9.3 weeks for a breastfeeding time of 2-3 months, 3-4 months and 4-5 months, respectively). Finally, only 6.6% of the women consulted a specialist for this issue.

Conclusion: In accordance with the screening and the accompaniment midwives are in charge of, it is necessary to ask and inform the patients about the possible changes of their sexuality in order to better meet their needs. The preventive message has to be relieving and reassuring. The midwives should advise patients to consult health professionals specialised in private relationships. It is necessary not to ignore the psychological dimension of the pain which is often denied whereas this is often the main reason for the problem.

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https://dumas.ccsd.cnrs.fr/dumas-00557017
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Submitted on : Tuesday, January 18, 2011 - 12:24:30 PM
Last modification on : Friday, October 23, 2020 - 4:37:18 PM
Long-term archiving on: : Tuesday, April 19, 2011 - 3:03:21 AM

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  • HAL Id : dumas-00557017, version 1

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Amandine Paquereau. Les dyspareunies du post-partum. Gynécologie et obstétrique. 2010. ⟨dumas-00557017⟩

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