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Dispareunia en mujeres después del parto: estudio de casos y controles en un hospital de Acapulco, México

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Date
2008
Author
Solana-Arellano, Elvia
Villegas-Arrizón, Ascencio
Legorreta-Soberanis, José
Cárdenas-Turanzas, Marylou
De la Cruz, José Enzaldo
Andersson, Neil
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Abstract
OBJETIVO: Identificar los factores asociados con la dispareunia entre 60 y 180 días después del parto en mujeres con antecedentes de uno o dos partos. MÉTODOS: Estudio de casos y controles, pareados por la edad y la paridad en 304 mujeres que acudieron al servicio de planificación familiar de un hospital de Acapulco, Guerrero, México, entre los 60 y 180 días después del parto. Se aplicó un cuestionario con preguntas sobre su situación socioeconómica (edad, escolaridad propia y de su pareja, estado civil, situación laboral, de seguridad social y de tenencia de su casa) y sus antecedentes obstétricos (características del parto, paridad, lugar de atención, desgarros, episiotomía y complicaciones) y ginecológicos (sensación de estrechez del introito, presencia de cicatriz queloide de la episiorrafia, síntomas de vaginitis, resequedad vaginal, métodos anticonceptivos empleados y tipo y duración de la lactancia). Se consideraron como casos a las mujeres que refirieron dolor, ardor o sangrado al tener relaciones sexuales con penetración vaginal después del parto. Se aplicó un modelo de regresión logística no condicionada y se calcularon las razones de posibilidades (odds ratios, OR) y los intervalos de confianza de 95 por ciento (IC95 por ciento). RESULTADOS: De 368 mujeres que habían reiniciado relaciones sexuales, 152 (41,3 por ciento) refirieron dispareunia. Los factores asociados con dispareunia fueron haber tenido infección con o sin dehiscencia de la episiorrafia (OR = 34,09; IC95 por ciento: 10,59 a 109,78), presentar síntomas de vaginitis (OR = 7,43; IC95 por ciento: 3,68 a 14,99), tener sensación de estrechez del introito vaginal (OR = 6,38; IC95 por ciento: 2,92 a 13,94) y practicar la lactancia exclusiva (OR = 4,86; IC95 por ciento: 2,44 a 9,69). CONCLUSIONES: La dispareunia estuvo relacionada con las complicaciones de la episiotomía y sus posibles secuelas, como la infección, la dehiscencia de la episiorrafia y la estrechez del introito...(AU)
 
OBJECTIVE: To identify the factors associated with dyspareunia, during the 60-180 days following childbirth, in women with a history of one or two childbirths. METHODS: A case study of 304 women, matched by age and parity who visited family planning services in a hospital in Acapulco, State of Guerrero, Mexico, 60-180 days after giving birth. A questionnaire was administered to assess socioeconomic status (age, level of education, partner s level of education, marital status, employment, social security, and homeownership), obstetric history (type of birth, parity, location of the birth, tearing, episiotomy, and complications), and gynecological status (constricted introitus, scar tissue at the episiotomy site, symptoms of vaginitis, vaginal dryness, contraceptive use, and breast feeding duration). Cases were defined as those women who related pain, burning, or bleeding following vaginal intercourse after childbirth. An unconditional logistic regression model was applied and odd ratios (OR) and 95 percent confidence interval were calculated. RESULTS: Of the 368 women who had reinitiated sexual relations, 152 (41.3 percent) mentioned dyspareunia. The factors associated with dyspareunia were: an infection with or without episiorrhaphy dehiscence (OR = 34.09; CI95 percent: 10.59-109.78); symptoms of vaginitis (OR = 7.43; CI95 percent: 3.68-14.99); tightness in the introitus of the vagina (OR = 6.38; CI95 percent: 2.92-13.94), and breast feeding exclusively (OR = 4.86; CI95 percent: 2.44- 9.69). CONCLUSIONS: Dyspareunia was related to complications with episiotomy and its possible sequelae, such as infection, episiorrhaphy dehiscence, and constricted introitus. More attention should be given to the episiotomy site during the postpartum period and greater selectivity is needed when deciding which women require an episiotomy.(AU)
 
Translated title
Women s dyspareunia after childbirth: a case study in a hospital in Acapulco, Mexico
Series
Rev Panam Salud Publica;23(1),ene. 2008
Subject
Dispareunia; Episiotomía; Vaginitis; Lactancia Materna; Disfunción Sexual Fisiológica; Mexico; Dyspareunia; Episiotomy; Vaginitis; Breast feeding; Sexual dysfunction; Physiological; Mexico; Episiotomía; Transtornos Puerperais; Vaginite; Dispareunia; Dispareunia; Nível de Saúde; Modelos Logísticos; Estado Civil; Mexico; Paridade; Transtornos Puerperais; Questionários; Fatores de Risco; Previdência Social; Fatores Socioeconômicos
URI
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892008000100006
https://iris.paho.org/handle/10665.2/7741
Citation
Solana-Arellano, Elvia,Villegas-Arrizón, Ascencio,Legorreta-Soberanis, José,Cárdenas-Turanzas, Marylou,De la Cruz, José Enzaldo,Andersson, Neil (2008) Dispareunia en mujeres después del parto: estudio de casos y controles en un hospital de Acapulco, México. Rev Panam Salud Publica;23(1) 44-51,ene. 2008. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892008000100006
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