1
|
Holanda JBDL, Richter S, Campos RB, Trindade RFCD, Monteiro JCDS, Gomes-Sponholz FA. Relationship of the type of breastfeeding in the sexual function of women. Rev Lat Am Enfermagem 2021; 29:e3438. [PMID: 34287538 PMCID: PMC8294779 DOI: 10.1590/1518.8345.3160.3438] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Accepted: 09/19/2020] [Indexed: 11/22/2022] Open
Abstract
Objective: to relate the type of breastfeeding in the women’s sexual function. Method: a cross-sectional study conducted with 150 women in the postpartum period
registered in the Family Health Strategy of a large Brazilian municipality.
Two instruments were used: one for characterizing sociodemographic,
obstetric and breastfeeding variables, and the Female Sexual Function Index
for the sexual function. Descriptive data analysis was performed, comparing
the variables of interest using the Analysis of Variance, Brown-Forsythe and
Tukey tests. Results: there was statistical significance between the groups that practiced
different types of breastfeeding in the vaginal lubrication domain (p =
0.015), with the mothers in mixed or partial breastfeeding presenting a
higher score for this domain (3.8). Conclusion: there is a difference in the female sexual function between different types
of breastfeeding. Women who presented better vaginal lubrication belonged to
the mixed breastfeeding group.
Collapse
Affiliation(s)
- Juliana Bento de Lima Holanda
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
| | - Solina Richter
- Faculty of Nursing, Univerasity of Alberta, Edmonton, Alberta, Canada.,Professor and Academic Director, Global Nursing Office
| | - Regiane Bezerra Campos
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.,Universidade do Oeste do Paraná, Centro de Educação Letras e Saúde, Foz do Iguaçu, PR, Brazil.,Scholarship holder at the Fundação Araucária, Brazil
| | | | - Juliana Cristina Dos Santos Monteiro
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
| | - Flávia Azevedo Gomes-Sponholz
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
| |
Collapse
|
2
|
Monge-Montero C, van der Merwe LF, Papadimitropoulou K, Agostoni C, Vitaglione P. Mixed milk feeding: a systematic review and meta-analysis of its prevalence and drivers. Nutr Rev 2020; 78:914-927. [PMID: 32357372 DOI: 10.1093/nutrit/nuaa016] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
CONTEXT Extensive literature is available on exclusive breastfeeding and formula-feeding practices and health effects. In contrast, limited and unstructured literature exists on mixed milk feeding (MMF), here defined as the combination of breastfeeding and formula feeding during the same period in term infants > 72 hours old (inclusion criterion). OBJECTIVE A systematic review and meta-analysis were performed, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, on the global prevalence of MMF (primary outcome) and related drivers and practices (secondary outcomes). DATA SOURCES The search of MMF in generally healthy populations was conducted across 6 databases, restricted to publications from January 2000 to August 2018 in English, Spanish, French, and Mandarin. DATA EXTRACTION Two reviewers independently performed screenings and data extraction according to a priori inclusion and exclusion criteria. DATA ANALYSIS Of the 2931 abstracts identified, 151 full-text publications were included for data extraction and 96 of those were included for data synthesis (the majority of those were cross-sectional and cohort studies). The authors summarized data across 5 different categories (feeding intention prenatally, and 4 age intervals between > 72 hours and > 6-23 months) and 5 regional subgroups. The overall prevalence of MMF across different age intervals and regions varied between 23% and 32%; the highest rate was found for the age group 4-6 months (32%; 95% confidence interval, 27%-38%); regional comparisons indicated highest MMF rates in Asia (34%), North and South America (33%), and Middle East and Africa together (36%), using a random effects meta-analysis model for proportions. Some drivers and practices for MMF were identified. CONCLUSION MMF is a widespread feeding reality. A shared and aligned definition of MMF will help shed light on this feeding practice and evaluate its influence on the duration of total breastfeeding, as well as on infants' nutrition status, growth, development, and health status in the short and long terms. PROSPERO registration number CRD42018105337.
Collapse
Affiliation(s)
- Carmen Monge-Montero
- Department of Agricultural Sciences, University of Naples Federico II, Portici, Italy
| | | | | | - Carlo Agostoni
- Pediatric Clinic, Fondazione IRCCS Ospedale Maggiore Policlinico, Milano, Italy; and the Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
| | - Paola Vitaglione
- Department of Agricultural Sciences, University of Naples Federico II, Portici, Italy
| |
Collapse
|
3
|
Serrano Drozdowskyj E, Gimeno Castro E, Trigo López E, Bárcenas Taland I, Chiclana Actis C. Factors Influencing Couples' Sexuality in the Puerperium: A Systematic Review. Sex Med Rev 2019; 8:38-47. [PMID: 31447412 DOI: 10.1016/j.sxmr.2019.07.002] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2019] [Revised: 07/09/2019] [Accepted: 07/10/2019] [Indexed: 12/15/2022]
Abstract
INTRODUCTION The puerperium is a period of adaptation in which various transformations take place in the lives of women and men on their way to becoming mothers and fathers. These changes can also have repercussions on their sexual relations. How the couple deals with this transition is crucial to the well-being of the couple and affects how parents relate to the baby. AIM This study aimed to explore the factors that influence sexuality in both women and men during postpartum. METHODS We conducted a bibliographic review of 236 articles found on the PubMed database and published from 2008 to January 2019. MAIN OUTCOME MEASURE The main outcome measure was the impact of various physical, psychological, and sociocultural factors on couples' sexual functioning during postpartum. RESULTS The main problems that couples face after childbirth can be classified as (i) psychological changes, such as loss of a sense of self, transitioning to parenthood, taking on the new roles of mother and father, and feelings of abandonment among men; (ii) body changes in women that affect their self-image and perineal trauma; (iii) hormonal changes in women and men that can lead to reduced sexual desire in both and vaginal dryness or dyspareunia in women; (iv) changes in the marital relationship, including changes in each other's roles, taking time for intimacy, and initiating sexual intercourse; (v) sociocultural influences, such as social support, culturally expected roles, and beliefs regarding when to resume sex; and (vi) lifestyle changes, especially with regard to baby care. CONCLUSION Sexuality during postpartum is influenced by multiple factors: physical, psychological, and sociocultural. Our findings offer a deeper understanding of how the transition to parenthood affects sexual relationships during the postpartum period. Implications regarding caring for and promoting the sexual health of individuals and couples after childbirth are discussed, and some medical recommendations for parents are offered. Serrano Drozdowskyj E, Gimeno Castro E, Trigo López E, et al. Factors Influencing Couples' Sexuality in the Puerperium: A Systematic Review. Sex Med Rev 2020;8:38-47.
Collapse
Affiliation(s)
- Elena Serrano Drozdowskyj
- Perinatal Mental Health Unit, Consulta Dr Carlos Chiclana, Madrid, Spain; Universidad Pontificia de Comillas, Madrid, Spain
| | | | - Elena Trigo López
- Perinatal Mental Health Unit, Consulta Dr Carlos Chiclana, Madrid, Spain
| | - Inés Bárcenas Taland
- Perinatal Mental Health Unit, Consulta Dr Carlos Chiclana, Madrid, Spain; Universidad Francisco de Victoria, Madrid, Spain
| | - Carlos Chiclana Actis
- Perinatal Mental Health Unit, Consulta Dr Carlos Chiclana, Madrid, Spain; Universidad San Pablo CEU, Madrid, Spain
| |
Collapse
|
4
|
Fuentealba-Torres M, Cartagena-Ramos D, Lara LAS, Alves JD, Ramos ACV, Campoy LT, Alonso JB, Nascimento LC, Arcêncio RA. Determinants of Female Sexual Function in Breastfeeding Women. JOURNAL OF SEX & MARITAL THERAPY 2019; 45:538-549. [PMID: 30836903 DOI: 10.1080/0092623x.2019.1586020] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Knowledge about the determinants of female sexual function in breastfeeding women is limited. A total of 355 breastfeeding women completed the Female Sexual Function Index (FSFI) and the Qol-8 quality of life questionnaire. FSFI scores decreased in the first six months of breast feeding. There was a positive relationship between FSFI scores and the importance of sex, level of communication, income, quality of life, and receiving brief sexual counseling.
Collapse
Affiliation(s)
- Miguel Fuentealba-Torres
- a Department of Maternal-Infant Nursing and Public Health , University of São Paulo , Ribeirão Preto , Brazil
| | - Denisse Cartagena-Ramos
- a Department of Maternal-Infant Nursing and Public Health , University of São Paulo , Ribeirão Preto , Brazil
| | - Lucia A S Lara
- b Faculty of Medicine of Ribeirão Preto, Department of Gynecology and Obstetrics , University of São Paulo , Ribeirão Preto , Brazil
| | - Josilene D Alves
- a Department of Maternal-Infant Nursing and Public Health , University of São Paulo , Ribeirão Preto , Brazil
| | - Antônio C V Ramos
- a Department of Maternal-Infant Nursing and Public Health , University of São Paulo , Ribeirão Preto , Brazil
| | - Laura T Campoy
- a Department of Maternal-Infant Nursing and Public Health , University of São Paulo , Ribeirão Preto , Brazil
| | - Jonas B Alonso
- c Collage of Nursing , University of São Paulo , Ribeirão Preto , Brazil
| | - Lucila C Nascimento
- a Department of Maternal-Infant Nursing and Public Health , University of São Paulo , Ribeirão Preto , Brazil
| | - Ricardo A Arcêncio
- a Department of Maternal-Infant Nursing and Public Health , University of São Paulo , Ribeirão Preto , Brazil
| |
Collapse
|
5
|
Lau CYK, Lok KYW, Tarrant M. Breastfeeding Duration and the Theory of Planned Behavior and Breastfeeding Self-Efficacy Framework: A Systematic Review of Observational Studies. Matern Child Health J 2019; 22:327-342. [PMID: 29427014 DOI: 10.1007/s10995-018-2453-x] [Citation(s) in RCA: 57] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Introduction Numerous studies have shown that the constructs of the Theory of Reasoned Action (TRA), Theory of Planned Behavior (TPB) and Breastfeeding Self-Efficacy (BSE) Framework can effectively identify relationships between maternal psychosocial factors and breastfeeding initiation. However, the ability of these theories to predict breastfeeding duration has not been adequately analyzed. The aim of the review was to examine the utility of the constructs of TRA/TPB and BSE to predict breastfeeding duration. Methods We conducted a literature search using Pubmed (1980-May 2015), Medline (1966-May 2015), CINAHL (1980-May 2015), EMBASE (1980-May 2015) and PsycINFO (1980-May 2015). We selected studies that were observational studies without randomization or blinding, using TRA, TPB or BSE as the framework for analysis. Only studies reporting on breastfeeding duration were included. Results Thirty studies were selected, which include four using TRA, 10 using TPB, 15 using BSE and one using a combination of TPB and BSE. Maternal intention and breastfeeding self-efficacy were found to be important predictors of breastfeeding duration. Inconsistent findings were found in assessing the relationship between maternal attitudes, subjective norms, perceived behavior control and breastfeeding duration. Discussion The inadequacy of these constructs in explaining breastfeeding duration indicates a need to further explore the role of maternal self-determination in breastfeeding behavior.
Collapse
Affiliation(s)
- Christine Y K Lau
- School of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, 4/F William MW Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong.
| | - Kris Y W Lok
- School of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, 4/F William MW Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong
| | - Marie Tarrant
- School of Nursing, University of British Columbia, Okanagan Campus, Kelowna, BC, Canada
| |
Collapse
|
6
|
Lee S, Sohn M, Kim S, Choi S, Jun Y, Ahn Y. Health in Optimal Fitness and its Related Factors in Young Korean Children Born Prematurely. CHILD HEALTH NURSING RESEARCH 2016. [DOI: 10.4094/chnr.2016.22.4.336] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
|
7
|
[What do we know about perinatal sexuality? A scoping review on sexoperinatality - Part 2]. ACTA ACUST UNITED AC 2016; 45:809-820. [PMID: 26989006 DOI: 10.1016/j.jgyn.2015.11.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2015] [Revised: 10/30/2015] [Accepted: 11/04/2015] [Indexed: 02/04/2023]
Abstract
The intimate and sexual dimension of future and new parenting couples' relationship is the most affected and the most vulnerable during the transition to parenthood. The purpose of this scoping review is to present the portrait of perinatal sexuality through 123 empirical articles published in the last 15 years. This second article in a series of two is about sexuality during labor and birth, during the postpartum, and in relation to breastfeeding. A total of 29 sexual variables were analyzed. Sexuality during the intrapartal and postnatal periods is very diversified. Some recurring items, however, can be identified: a period of non-sexuality in the first postnatal months, followed by a gradual return of sexuality from 3 to 6 months postpartum and continuing until 12 months or more. Sexuality during the intrapartum is considered taboo and couples' experiences can be at opposite ends: some couples' experiences are sensual and erotic during childbirth, while others experience birth trauma with a negative sexual impact postnatally. Sexuality during breastfeeding is also taboo with a negative impact on women's sexuality. In all of these circumstances, women's and men's sexuality are affected and a multitude of simultaneous physiological and psychological factors affect their experiences. Fluctuations in the intimate and sexual dimensions of the conjugal relationship are considered as a natural phenomenon but temporary. Sexoperinatal interventions should be part of holistic perinatal health care in order to help couples maintain a positive intimate and sexual relationship.
Collapse
|
8
|
Ahn Y, Sohn M, Jun Y, Lee S. Growth patterns and their implications for preterm infants in a culture of rapid modernization. J Child Health Care 2013; 17:242-52. [PMID: 23449630 DOI: 10.1177/1367493512456114] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This prospective longitudinal study explored the growth patterns of preterm infants and the implications of rearing them in an advancing culture. The study measured the weight, length, and head circumference of 343 Korean preterm infants over 12 months corrected age. Data were analyzed using a generalized estimation equation for growth patterns of preterm infants by the degree of prematurity (mild, moderate, or severe). Results showed that the early 'catch-up phenomenon', accelerated growth rate, occurred around 11 months corrected age, although the mild preterm group weighed less, was shorter, and had a smaller head circumference than the moderate and severe preterm groups. This may reflect the Asian culture's preference for big babies and draws special attention to the influence of cultural values and childrearing practices in the growth of preterm infants. Pediatric nurses should be alert to accelerated growth in preterm infants in societies in cultural transition.
Collapse
|
9
|
Florencio A, Van der Sand ICP, Cabral FB, Colomé ICDS, Girardon-Perlini NMO. [Sexuality and breastfeeding: concepts and approaches of primary health care nurses]. Rev Esc Enferm USP 2013; 46:1320-6. [PMID: 23380773 DOI: 10.1590/s0080-62342012000600006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2012] [Accepted: 03/31/2012] [Indexed: 11/22/2022] Open
Abstract
The objective of this study is to identify the primary health care nurses' concepts about sexuality, and how this theme is integrated within the health care practices of these professionals when working with breastfeeding women. This qualitative, exploratory and descriptive study was performed with eight nurses from three primary health care units in a city in the north region of Rio Grande do Sul state. Data collection was performed through semi-structured interviews. Thematic content analysis revealed three themes: ideation about sexuality; sexuality and breastfeeding; and sexuality and nursing practices aimed at the breastfeeding woman. The study revealed that nursing professionals understand the broad meaning that sexuality represents and the relationship it has with breastfeeding, but they do not approach this theme in the care provided to women engaged in the breastfeeding process, thus their practices are grounded in the biomedical approach.
Collapse
|