Postpartum cinsel işlev sorunlarına müdahaleler: Randomize kontrollü çalışmaların sistematik derlemesi

Abstract

OBJECTIVES: The purpose of this systematic review is to conduct a systematic review of interventions for postpartum sexual function problems. MATERIAL and METHODS: In this systematic review, “PubMed”, “Cochrane”, “Web of Science”, “Science Direct” and “Scopus” databases were searched with the keyword “interventions AND postpartum sexual dysfunction”. The systematic review aimed to include studies published in the last five years, published in English or Turkish, with full text available, and containing interventions for postpartum sexual dysfunction. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was used for study design. The methodological quality of the studies included in the systematic review was evaluated according to the “Joanna Briggs Institute Critical Appraisal Checklist for Randomized Controlled Studies” published by the Joanna Briggs Institute. RESULTS: Eight articles published between 2019–2022 were included in the synthesis phase of the systematic review. It was determined that the “Female Sexual Function Scale” was most commonly used in the studies included in the systematic review. Studies have shown that various interventions such as pelvic floor muscle exercise training, postpartum sexual health programs, and sensory focus technique have been implemented for sexual function problems. It has been determined that pelvic floor muscle exercises, sensory focus technique, pelvic floor muscle trainers, sexual counselling based on PLISSIT and BETTER models, and Postpartum Sexual Health Programs have positive effects on postpartum sexual dysfunctions, while intra-vaginal oxytocin application and far infrared radiation have no effect. CONCLUSION: It has been determined that interventions for postpartum period sexual dysfunctions generally have a positive effect on women’s sexual lives. In order to achieve improvements in postpartum sexual dysfunction, it is recommended to develop various interventions and evaluate them with different measurement tools in larger sample groups. Keywords: postpartum, sexual dysfunction, randomized controlled trial