Effect of PLISSIT Model Sexual Counseling Program on Sexual Quality of Life for Postpartum Women

Eman Mohammed Abdelhakm

doi:10.11648/j.ajns.20180702.14

Abstract

Sexual changes after childbirth between couples are an important factor in creating a sense of satisfaction which effects on their quality of life. Aim: to evaluate effect of PLISSIT Model sexual counseling program on sexual quality of life for postpartum women. Research design: A quasi experimental design. Setting: The study was conducted in Obstetrics and Gynecological Outpatient Clinic at Benha University Hospital. Sample: A purposive sample of all admitted postpartum women for a period of 6 months (110) woman. Tools: Three tools were used I): An interviewing questionnaire. II): Arizona Sexual Experience Scale. III) The sexual quality of life-female questionnaire. Results: showed that the mean age of studied women were 25.02  4.47 years, 85.5% of women did not receive information about sexuality, 72.3% suffered from pain during intercourse after labor, 63.6% of them returned to sexual relation six week after labor. Only 13.6% of women had good total sexual quality of life before PLISSIT model counseling program, which increased to 44.5% after program. there were highly statistically significant differences between women regarding Arizona Sexual Experiences Scale and all sexual quality of life items before and after sexual counseling program (p<0.001). Conclusion: the PLISSIT model counseling program had a significant effect on the improvement of the women' sexual quality of life. Recommendations: Establish strategies to facilitate the women’s understanding and support sexual quality of life through apply this study on a large sample at outpatient clinics.

Highlights

Postpartum is a critical period in a woman's life, which involves significant physical, hormonal, psychological, social, and cultural changes that may influence her own sexuality as well as the health of a couple's sexual relationship
As regards studied sample sexual quality of life, the current study showed that, there were highly statistical significant differences between women before and after the PLISSIT model sexual counseling program regarding all sexual quality of life items (p
Based on the findings of the current study; the study concluded that research hypothesis is supported and the PLISSIT model sexual counseling program had a significant effect on improvement of postpartum women' sexual function and sexual quality of life

Summary

Introduction

Postpartum is a critical period in a woman's life, which involves significant physical, hormonal, psychological, social, and cultural changes that may influence her own sexuality as well as the health of a couple's sexual relationship. The sexual health of women during postpartum period can be changed by many conditions These include age, level of education, the years of marriage or the relationship with their husbands, sexual condition before and during pregnancy, type of delivery, breast-feeding, psychological troubles and perennial lacerations [15]; [19]. Sleeplessness, some stressors such as baby care which is highly time consuming, hormonal changes (reduction of estrogen & progesterone level and elevation of prolactin) and modifications in the woman’s body image during the postpartum period are motives for reduced interest in sexual life and the reduced frequency of sexual relations [7]

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Discussion

Conclusion