diplomsko delo
Nicole Poljanšek (Author), Ana Polona Mivšek (Reviewer), Andrej Starc (Mentor), Tomislav Jukić (Co-mentor)

Abstract

Uvod: Strokovnjaki odsvetujejo spolnost od dva do tri tedne po porodu, spet drugi pa do šest tednov po porodu oziroma dokler epiziotomijska rana ni zaceljena in se preneha izločati čišča. Po treh mesecih od poroda so ženske navajale veliko težav, kot so disparevnija, suha nožnica, težji dosežek orgazma, tesna ali ohlapna nožnica, krvavitev in iritacija po spolnem odnosu ter slaba spolna želja. Pri dojenju se zviša tudi raven oksitocina, ki tudi zmanjšuje spolno poželenje in vpliva na boleč spolni odnos. Namen: Namen diplomske naloge je raziskati spolnost žensk po porodu. Cilj diplomskega dela je primerjati literaturo tega področja z odgovori slovenskih žensk, ki so rodile v zadnjih petih letih. Metode dela: V teoretičnem delu smo uporabili deskriptivno metodo dela. Literaturo smo iskali po podatkovnih bazah Google Scholar, PubMed, DiKul, SpringerLink ter v fizični obliki v Osrednji knjižnici Srečka Vilharja Koper. V empiričnem delu diplomskega dela smo uporabili kvantitativno metodo s pomočjo anketnega vprašalnika, izdelanega v spletnem portalu 1KA. Ciljna populacija so bile odrasle ženske, ki so že rodile. Sodelovanje v raziskavi je bilo prostovoljno in anonimno. Vprašalnik je vseboval 16 vprašanj in je bil objavljen na družbenem omrežju Facebook. Podatki so bili analizirani s statistično programsko opremo SPSS 26.0. Raziskava je potekala od 5. 10. do 16. 11. 2021. Rezultati: V celoti je bilo izpolnjenih 431 anketnih vprašalnikov. Največ anketirank je bilo starih od 26 do 30 let. Večina udeleženk je zaključila prvo stopnjo visokošolske izobrazbe (n = 162; 37,6 %). Velika večina je rodila vaginalno (n = 318; 73,8 %). Med vaginalnim porodom je bila največkrat opravljena epiziotomija pri anketirankah, starih od 26 do 30 let (n = 161; 78,2 %). Največ anketirank je imelo prvi spolni odnos po porodu takoj po prvem ginekološkem pregledu (n = 130; 30,2 %). Največ težav pri spolnem odnosu po porodu imajo s suho nožnico (n = 237; 55 %), bolečinami zaradi šivanega presredka (n = 230; 53,4 %), težave so še z doživljanjem orgazma in drugačnostjo orgazma v primerjavi z orgazmom pred porodom. Navedle so še strah pred prvim spolnim odnosom, boleč in pekoč občutek med spolnim odnosom, preozko nožnico ter uhajanje urina. 71 % anketirank je v času prvega spolnega odnosa po porodu dojila. Razprava in zaključek: Ženska spolnost v poporodnem obdobju predstavlja edinstveno sliko o tem, kako se biološki, psihološki in socialni dejavniki križajo in prispevajo k normalnim spremembam v spolnosti v prvem letu po porodu.

Keywords

diplomska dela;babištvo;spolnost po porodu;težave s spolnostjo po porodu;dojenje;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [N. Poljanšek]
UDC: 618.2/.7
COBISS: 107795203 Link will open in a new window
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Downloads: 51
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Other data

Secondary language: English
Secondary title: Sexual function of women after childbirth
Secondary abstract: Introduction: Experts advise against sex for two to three weeks after childbirth, and others for up to six weeks after childbirth, or until the episiotomy wound has healed and the lochia has stopped. Three months after childbirth, women reported many problems such as: dyspareunia, lack of vaginal lubrication, difficulty in achieving orgasm, tight or loose vagina, bleeding and irritation after intercourse and poor sexual desire. Breastfeeding also increases oxytocin levels, which also reduces sexual desire and makes intercourse painful. Purpose: The purpose of this thesis is to explore the sexuality of women after childbirth. The aim of the thesis is to compare the literature of this area with the responses of Slovenian women who have given birth in the last five years. Methods: In the theoretical part, we used the descriptive method of work. Literature was searched in Google Scholar, PubMed, DiKul, SpringerLink databases and in physical form in the Central Library Srečko Vilhar Koper. In the empirical part of the thesis, we used a quantitative method with the help of a survey questionnaire developed in the 1KA web portal. The target population was adult women who had already given birth. Participation in the survey was voluntary and anonymous. The questionnaire consisted of 16 questions and was published on Facebook. The data were analysed using SPSS 26.0 statistical software. The survey was carried out from 5 October to 16 November 2021. 431 questionnaires were completed in total. Results: The majority of respondents were aged between 26 and 30 (n = 162; 37,6 %). The vast majority gave birth by vaginal delivery (n = 318; 73,8 %). Episiotomy was the most common procedure performed during vaginal birth in respondents aged 26-30 years (n = 161; 78,2 %). Most respondents had their first sexual intercourse after delivery immediately after the first gynaecological examination (n = 130; 30,2 %). The most problems with sexual intercourse after childbirth were lack of vaginal lubrication (n = 237; 55 %), pain due to stitched crotch (n = 230; 53,4 %), difficulties with experiencing orgasm and the different orgasm compared to the orgasm before childbirth. They also reported fear of having sex for the first time, pain and burning during intercourse, a vagina that was too tight and urine leakage. 71 % of women in our study were breastfeeding at the time of first intercourse after giving birth. Discussion and conclusion: Women's sexuality in the postnatal period presents a unique picture of how biological, psychological and social factors intersect and contribute to the normal changes in sexuality in the first year after childbirth.
Secondary keywords: diploma theses;midwifery;sex after childbirth;postpartum sexual disfunctions;breastfeeding;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Embargo end date (OpenAIRE): 1970-01-01
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za babištvo
Pages: 29 str., [5] str. pril.
ID: 15297843