背景:妊娠损失影响了四分之一的女性,并且与较差的整体健康和关系结局有关。尽管性福对健康很重要,怀孕后性生活如何随着时间的推移而变化,以及什么可以预测这种变化,就像围产期的悲伤,从未被检查过,让从业者和夫妇不知道会发生什么。
目的:我们的目的是研究(1)性满意度性欲,性困扰,和围产期悲伤从损失后的10到25周改变对夫妇;(2)如果在损失后10周时围产期悲伤水平可以预测性生活轨迹。
方法:妇女和不同性别的人怀孕时发生了妊娠损失(在过去4个月内)和男性,女人,和性别多样化的未怀孕的伴侣(N=132对夫妇)独立完成了4个月的性健康和围产期悲伤评估。
结果:结果包括性满意度(性满意度的全球衡量标准),性欲(性欲清单),性困扰(性困扰量表-简表),围产期悲伤(围产期悲伤量表)。
结果:二元增长曲线模型表明,从损失后10到25周,这对夫妇的性满意度都增加了,他们的性欲保持稳定;伴侣的性困扰减少,但怀孕的人保持稳定;夫妇双方围产期悲伤减少。损失后10周的围产期悲伤水平并不能预测随时间的性生活轨迹。
结论:鉴于性幸福感的动态性,临床医生应在失孕后定期与夫妇双方讨论性行为.在这样的讨论中,临床医生可以通过分享这一点来向夫妇保证他们的性关系的恢复,平均而言,性满意度,性欲,和性困扰往往改善或保持相同(而不是恶化)从10到25周失联。他们还可以分享围产期悲伤在这段时间内趋于减少,并且与性满意度的轨迹无关,性欲,和性困扰。
■这是第一项研究,根据我们的知识,检查妊娠失败后性生活的变化以及围产期悲伤在这种变化中的作用。结果可能无法广泛推广,因为大多数夫妇处于混合性别/性关系中,被认定为白色,相对富裕。
结论:从损失后10到25周,这对夫妇往往经历改善他们的整体性生活和减少他们的围产期悲伤。早期围产期悲伤水平和随后的性生活轨迹似乎无关。
BACKGROUND: Pregnancy loss affects 1 in 4 women and is linked with poorer overall health and relationship outcomes. Despite sexual well-being\'s importance to health, how sexual well-being changes across time after a pregnancy loss and what might predict such changes, like perinatal grief, have never been examined, leaving practitioners and couples without knowledge of what to expect.
OBJECTIVE: We aimed to examine (1) how sexual satisfaction, sexual desire, sexual distress, and perinatal grief change from 10 to 25 weeks postloss for both couple members; and (2) if perinatal grief levels at 10 weeks postloss predict sexual well-being trajectories.
METHODS: Women and gender-diverse individuals who were pregnant when a pregnancy loss occurred (within the last 4 months) and men, women, and gender-diverse partners who were not pregnant (N = 132 couples) independently completed 4 monthly assessments of sexual well-being and perinatal grief.
RESULTS: Outcomes included sexual satisfaction (Global Measure of Sexual Satisfaction), sexual desire (Sexual Desire Inventory), sexual distress (Sexual Distress Scale-Short Form), perinatal grief (Perinatal Grief Scale).
RESULTS: Dyadic growth curve modeling indicated that, from 10 to 25 weeks postloss, both couple members\' sexual satisfaction increased, and their sexual desire remained stable; sexual distress decreased for partners but remained stable for individuals who were pregnant; and both couple members\' perinatal grief decreased. Perinatal grief levels at 10 weeks postloss did not predict sexual well-being trajectories over time.
CONCLUSIONS: Given sexual well-being\'s dynamic nature, clinicians should regularly discuss sexuality with both couple members after pregnancy loss. During such discussions, clinicians could reassure couples about their sexual relationship\'s recovery by sharing that, on average, sexual satisfaction, sexual desire, and sexual distress tend to improve or stay the same (rather than worsen) from 10 to 25 weeks postloss. They can also share that perinatal grief tends to decrease during this time and is unrelated to trajectories of sexual satisfaction, sexual desire, and sexual distress.
UNASSIGNED: This is the first study, to our knowledge, to examine how sexual well-being changes across time after a pregnancy loss and perinatal grief\'s role in such changes. The results may not generalize broadly, as most couples were in mixed-gender/sex relationships, identified as White, and were relatively affluent.
CONCLUSIONS: From 10 to 25 weeks postloss, both couple members tend to experience improvements in their overall sexual well-being and declines in their perinatal grief. Early perinatal grief levels and subsequent sexual well-being trajectories are seemingly unrelated.