Evaluation of Couple’s Sexual Function after Childbirth with the Biopsychosocial Model: A Systematic Review of Systematic Reviews and Meta Analysis

Saiedeh Sadat Hajimirzaie, Najmeh Tehranian, Fatemeh Razavinia, Ahmad Khosravi, Afsaneh Keramat, Arezoo Haseli, Mehdi Mirzaii, Seyed Abbas Mousavi

Abstract


Background: After childbirth, sexual dysfunction refers to a chain of psychiatric, physiological, social changes and a couple’s experiences. The purpose of our Systematic Review (Syst.Rev.) is to evaluate available high‑quality evidence and construct a Bio Psycho Social (BPS) model of couple’s sexual function after childbirth.

Materials and Methods: A systematic search was done with MeSH terms in databases, including PubMed, Web of Science, Scopus, and Science direct. A total number of 9 Syst.Rev. were evaluated from 2009 to 2019 years. The quality of extracted articles was evaluated based on the Preferred Reporting Items for Systematic Reviews and Meta‑Analyses (PRISMA) checklist of contents using two qualified reviewers. Data synthesis was performed using the thematic analysis.

Results: Biopsychosocial Model of Postpartum Couple’s Sexual Function (BMPCSF) is proposed as a developmental process similar to Bronfenbrenner’s Bioecological Systems Model. Studies showed a significant relationship among the type of childbirth, trauma of perineum, breastfeeding, mood swings, fears, changes in the self‑body image, spousal support, and Postpartum Sexual Dysfunction (PSD). Hence, the evidence about male sexuality in the postpartum period doesn’t seem sufficient.

Conclusions: The information from this study will help health policymakers develop the appropriate guidelines to inform couples and healthcare professionals about the BPS changes after childbirth and PSD. Besides, BMPCSF can be used in postpartum sexual counseling to improve sexual health and marital relationships. We propose comprehensive original study on couples’ postpartum sexuality, especially men’s conduct, emphasizing socio‑cultural factors.



Keywords


Biological factors, parturition, postpartum period, sexual health, socioeconomic factors

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References


Mortazavi F, Mousavi SA, Chaman R, Khosravi A. Maternal quality of life during the transition to motherhood. Iran Red Crescent Med J 2014;16:e8443.

Razavinia F, Tehranian N, Tatari FT, Bidhendi Yarandi R, Ramezani Tehrani F. The postpartum marital satisfaction, maternal serum concentration of orexin A and mode of delivery. J Sex Marital Ther 2019;45:488 96.

Moghimi Hanjani S, Mehdizadeh Tourzani Z. Comparison of sexual function after childbirth in primiparous women experiencing vaginal delivery and caesarian section in Karaj city. Quarterly Horizon Med Sci2013;18:224 31.

Dabiri F, Yabandeh AP, Shahi A, Kamjoo A, Teshnizi SH. The effect of mode of delivery on postpartum sexual functioning in primiparous women. Oman Med J 2014;29:276 9.

Khajehei M, Doherty M, Tilley PJ, Sauer K. Prevalence and risk factors of sexual dysfunction in postpartum Australian women. J Sex Med 2015;12:1415 26.

Anzaku A, Mikah S. Postpartum resumption of sexual activity, sexual morbidity and use of modern contraceptives among Nigerian women in Jos. Ann Med Health Sci Res 2014;4:206 10

Banaei M, Tork Zahrani S, Pormehr Yabandeh A, Ozgoli G, Azad M. Investigating the impact of counseling based on PLISSIT model on sexual intimacy and satisfaction of breastfeeding women. IJPRAS 2016;5:489 99.

McCool Myers M, Theurich M, Zuelke A, Knuettel H, Apfelbacher C. Predictors of female sexual dysfunction: A systematic review and qualitative analysis through gender inequality paradigms. BMC Womens Health 2018;18:108.

Kaviani M, Rahnavard T, Azima S, Emamghoreishi M, Asadi N, Sayadi M. The effect of education on sexual health of women with hypoactive sexual desire disorder: A randomized controlled trial. Int J Community Based Nurs Midwifery 2014;2:94 102.

Zamani M, Roudsari RL, Moradi M, Esmaily H. The effect of sexual health counseling on women’s sexual satisfaction in postpartum period: A randomized clinical trial. Int J Reprod Biomed 2019;17:41 50.

Malary M, Khani S, Pourasghar M, Moosazadeh M, Hamzehgardeshi Z. Biopsychosocial determinants of hypoactive sexual desire in women: A narrative review. Mater Sociomed 2015;27:383 9.

Hosseini Tabaghdehi M, Keramat A, Khosravi A. Prevalence of female sexual dysfunction in Iran: A meta analysis study. Int J Health Stud 2017;2. doi: http://dx.doi.org /10.22100/ijhs.v2i4.158.

Ghiasi A, Keramat A. Prevalence of sexual dysfunction among reproductive age women in Iran: A systematic review and meta analysis. J Midwifery Reprod Health 2018;6:1390 8.

Haseli A, Shariati M, Nazari AM, Keramat A, Emamian MH. Infidelity and its associated factors: A systematic review. J Sex Med 2019;16:1155 69.

Labbok MH. Postpartum sexuality and the lactational amenorrhea method for contraception. Clin Obstet Gynecol 2015;58:915 27.

Mohsenzadeh Ledari F, Keramat A, Khosravi A. Sexual dysfunctions and some related factors in northeast part of Iran. J Health Stud 2019;5:1 4.

Tawfik GM, Dila KA, Mohamed MY, Tam DN, Kien ND, Ahmed AM, et al. A step by step guide for conducting a systematic review and meta analysis with simulation data. Trop Med Health 2019;47:46.

Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V, et al. Female sexual function during pregnancy and after childbirth. J Sex Med 2010;7:2782 90.

Yeniel A, Petri E. Pregnancy, childbirth, and sexual function: Perceptions and facts. Int Urogynecol J 2014;25:5 14.

O’Malley D, Higgins A, Smith V. Postpartum sexual health: A principle based concept analysis. J Adv Nurs 2015;71:2247 57.

Andreucci CB, Bussadori JC, Pacagnella RC, Chou D, Filippi V, Say L, et al. Sexual life and dysfunction after maternal morbidity: A systematic review. BMC Pregnancy Childbirth 2015;15:307.

Torkzahrani S, Banaei M, Ozgoli G, Azad M, Emamhadi M. Postpartum sexual function; conflict in marriage stability: A systematic review. Int J Med Toxicol Forensic Med 2016;6:88 98.

Fan D, Li S, Wang W, Tian G, Liu L, Wu S, et al. Sexual dysfunction and mode of delivery in Chinese primiparous women: A systematic review and meta analysis. BMC Pregnancy Childbirth 2017;17:408.

Bucher MK, Spatz DL. Ten year systematic review of sexuality and breastfeeding in medicine, psychology, and gender studies. Nurs Womens Health 2019;23:494 507.

Saei Ghare Naz M, Banaei M, Ghasemi V, Rashidi Fakari F, Khiabani A, Abed M, et al. Postpartum female sexual dysfunction and related factors in Iranian women: A systematic review and meta analysis. J Isfahan Med School 2019;37:1149 61.

Manresa M, Pereda A, Bataller E, Terre Rull C, Ismail KM, Webb SS. Incidence of perineal pain and dyspareunia

following spontaneous vaginal birth: A systematic review and meta analysis. Int Urogynecol J 2019;30:853 68.

Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta analyses: The PRISMA statement. PLoS Med 2009;6:e1000097.

Li J l, Ge L, Ma J c, Zeng Q l, Yao L, An N, et al. Quality of reporting of systematic reviews published in “evidence based” Chinese journals. Syst Rev 2014;3:58.

Salleh I, Ali NS, Yusof KM, Jamaluddin H. Analysing qualitative data systematically using thematic analysis for deodoriser troubleshooting in palm oil refining. Chem Eng Trans 2017;56:1315 20.

Akbarin MM, Shirdel A, Bari A, Mohaddes ST, Rafatpanah H, Karimani EG, et al. Evaluation of the role of TAX, HBZ, and HTLV 1 proviral load on the survival of ATLL patients. Blood Res 2017;52:106 11.

Torshizi R, Karimani EG, Etminani K, Akbarin MM, Jamialahmadi K, Shirdel A, et al. Altered expression of cell cycle regulators in adult T cell leukemia/lymphoma patients. Rep Biochem Mol Biol 2017;6:88 94.

Bitzer J, Giraldi A, Pfaus J. Sexual desire and hypoactive sexual desire disorder in women. Introduction and overview. Standard operating procedure (SOP Part 1). J Sex Med 2013;10:36 49.

Del Río JP, Alliende MI, Molina N, Serrano FG, Molina S, Vigil P. Steroid Hormones and Their Action in Women's Brains: The Importance of Hormonal Balance. Front. Public Health 2018;6141.

Pahlavan F, Kazemnejad A, Razavinia F, Daryasari SR, Tahranian N. Biological reflect of Adiponectin hormone in postpartum marital satisfaction and depression scores. BMC Pregnancy Childbirth 2020;20:1 6.

McBride HL, Olson S, Kwee J, Klein C, Smith K. Women’s postpartum sexual health program: A collaborative and integrated approach to restoring sexual health in the postpartum period. J Sex Marital Ther 2017;43:147 58.

Schiller CE, Meltzer Brody S, Rubinow DR. The role of reproductive hormones in postpartum depression. CNS Spect 2015;20:48 59.

Gallimore A, Craig A, Cameron S, Milne D, Lakha F. Developing the role of midwives as ‘contraceptive champions’ to support early access to effective postnatal contraception for women. BMJ Sex Reprod Health 2019;45:309 12.

Drozdowskyj ES, Castro EG, López ET, Taland IB, Actis CC. Factors influencing couples’ sexuality in the puerperium: A systematic review. Sex Med Rev 2020;8:38 47.

O’Malley D, Smith V. Altered sexual health after childbirth: Part 1. Pract Midwife 2013;16:30 2.

Heller R, Cameron S, Briggs R, Forson N, Glasier A. Postpartum contraception: A missed opportunity to prevent unintended pregnancy and short inter pregnancy intervals. J Fam Plann Reprod Health Care 2016;42:93 8.

Thwaites A, Logan L, Nardone A, Mann S. Immediate postnatal contraception: What women know and think. BMJ Sex Reprod Health 2019;45:111 7.

Keramat A, Vakilian K, Mousavi S. Barriers to youths’ use of reproductive health services in Iran. Life Sci J 2013;10:943 9.

Marvi N, Golmakani N, Miri HH, Esmaily H. The effect of sexual education based on sexual health model on the sexual function of women with infertility. Iran J Nurs Midwifery Res 2019;24:444 50.

Shariati M, Babazadeh R, Mousavi SA, Najmabadi KM. Iranian adolescent girls’ barriers in accessing sexual and reproductive health information and services: A qualitative study. J Fam Plann Reprod Health Care 2014;40:270 5.


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