The meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry

Background: Sexual health is a multidimensional phenomenon constructed by personal, social, and cultural factors but continues to be studied with a biomedical approach. During the postpartum period, a woman transitions to mother, as well as partner-to-parent and couple-to-family. There are new reali...

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Autores:
Pardell-Dominguez, Lidia
Palmieri, Patrick
Dominguez-Cancino, Karen
Camacho-Rodriguez, Doriam
Edwards, Joan
Watson, Jean
Layva-Moral, Juan
Tipo de recurso:
Article of investigation
Fecha de publicación:
2021
Institución:
Universidad Cooperativa de Colombia
Repositorio:
Repositorio UCC
Idioma:
OAI Identifier:
oai:repository.ucc.edu.co:20.500.12494/46508
Acceso en línea:
https://doi.org/10.1186/s12884-021-03578-y
https://hdl.handle.net/20.500.12494/46508
Palabra clave:
Pregnancy, Postpartum, Sexual health, Sexuality, Body image, Social support
Rights
openAccess
License
Atribución
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dc.title.spa.fl_str_mv The meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry
title The meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry
spellingShingle The meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry
Pregnancy, Postpartum, Sexual health, Sexuality, Body image, Social support
title_short The meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry
title_full The meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry
title_fullStr The meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry
title_full_unstemmed The meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry
title_sort The meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry
dc.creator.fl_str_mv Pardell-Dominguez, Lidia
Palmieri, Patrick
Dominguez-Cancino, Karen
Camacho-Rodriguez, Doriam
Edwards, Joan
Watson, Jean
Layva-Moral, Juan
dc.contributor.author.none.fl_str_mv Pardell-Dominguez, Lidia
Palmieri, Patrick
Dominguez-Cancino, Karen
Camacho-Rodriguez, Doriam
Edwards, Joan
Watson, Jean
Layva-Moral, Juan
dc.subject.spa.fl_str_mv Pregnancy, Postpartum, Sexual health, Sexuality, Body image, Social support
topic Pregnancy, Postpartum, Sexual health, Sexuality, Body image, Social support
description Background: Sexual health is a multidimensional phenomenon constructed by personal, social, and cultural factors but continues to be studied with a biomedical approach. During the postpartum period, a woman transitions to mother, as well as partner-to-parent and couple-to-family. There are new realities in life in the postpartum period, including household changes and new responsibilities that can impact the quality of sexual health. This phenomenon is understudied especially in the context of Spain. The purpose of this study was to describe the lived experience of postpartum sexual health among primiparous women giving birth in Catalonia (Spain). Methods: This was a phenomenological study with a purposive sample of primiparous women. Data was collected through semi-structured interviews until saturation. Analysis followed Colaizzi’s seven-step process with an eighth translation step added to limit cross-cultural threats to validity. Also, the four dimensions of trustworthiness were established through strategies and techniques during data collection and analysis. Results: Ten women were interviewed from which five themes emerged, including: Not feeling ready, inhibiting factors, new reality at home, socio-cultural factors, and the clinician within the health system. Returning to sexual health led women to engage in experiential learning through trial and error. Most participants reported reduced libido, experienced altered body image, and recounted resumption of sexual activity before feeling ready. A common finding was fatigue and feeling overloaded by the demands of the newborn. Partner support was described as essential to returning to a meaningful relationship. Discussions about postpartum sexual health with clinicians were described as taboo, and largely absent from the care model. Conclusion: Evidence-based practices should incorporate the best evidence from research, consider the postpartum sexual health experiences and preferences of the woman, and use clinician expertise in discussions that include the topic of postpartum sexual health to make decisions. As such, human caring practices should be incorporated into clinical guidelines to recognize the preferences of women. Clinicians need to be authentically present, engage in active communication, and individualize their care. More qualitative studies are needed to understand postpartum sexual health in different contexts, cultures, and countries and to identify similarities and differences through meta-synthesis
publishDate 2021
dc.date.issued.none.fl_str_mv 2021-01-28
dc.date.accessioned.none.fl_str_mv 2022-09-24T23:11:29Z
dc.date.available.none.fl_str_mv 2022-09-24T23:11:29Z
dc.type.none.fl_str_mv Artículos Científicos
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dc.identifier.bibliographicCitation.spa.fl_str_mv Pardell-Dominguez, L., Palmieri, P.A., Dominguez-Cancino, K.A. et al. The meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry. BMC Pregnancy Childbirth 21, 92 (2021). https://doi.org/10.1186/s12884-021-03578-y
url https://doi.org/10.1186/s12884-021-03578-y
https://hdl.handle.net/20.500.12494/46508
identifier_str_mv Pardell-Dominguez, L., Palmieri, P.A., Dominguez-Cancino, K.A. et al. The meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry. BMC Pregnancy Childbirth 21, 92 (2021). https://doi.org/10.1186/s12884-021-03578-y
dc.relation.ispartofjournal.spa.fl_str_mv BMC Pregnancy and Childbirth
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dc.publisher.spa.fl_str_mv Biomed Central
Universidad Cooperativa de Colombia Campus Santa Marta, Facultad de Enfermería
dc.publisher.program.spa.fl_str_mv Enfermería
dc.publisher.place.spa.fl_str_mv Santa Marta
institution Universidad Cooperativa de Colombia
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spelling Pardell-Dominguez, LidiaPalmieri, PatrickDominguez-Cancino, KarenCamacho-Rodriguez, DoriamEdwards, JoanWatson, JeanLayva-Moral, Juan212022-09-24T23:11:29Z2022-09-24T23:11:29Z2021-01-28https://doi.org/10.1186/s12884-021-03578-yhttps://hdl.handle.net/20.500.12494/46508Pardell-Dominguez, L., Palmieri, P.A., Dominguez-Cancino, K.A. et al. The meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry. BMC Pregnancy Childbirth 21, 92 (2021). https://doi.org/10.1186/s12884-021-03578-yBackground: Sexual health is a multidimensional phenomenon constructed by personal, social, and cultural factors but continues to be studied with a biomedical approach. During the postpartum period, a woman transitions to mother, as well as partner-to-parent and couple-to-family. There are new realities in life in the postpartum period, including household changes and new responsibilities that can impact the quality of sexual health. This phenomenon is understudied especially in the context of Spain. The purpose of this study was to describe the lived experience of postpartum sexual health among primiparous women giving birth in Catalonia (Spain). Methods: This was a phenomenological study with a purposive sample of primiparous women. Data was collected through semi-structured interviews until saturation. Analysis followed Colaizzi’s seven-step process with an eighth translation step added to limit cross-cultural threats to validity. Also, the four dimensions of trustworthiness were established through strategies and techniques during data collection and analysis. Results: Ten women were interviewed from which five themes emerged, including: Not feeling ready, inhibiting factors, new reality at home, socio-cultural factors, and the clinician within the health system. Returning to sexual health led women to engage in experiential learning through trial and error. Most participants reported reduced libido, experienced altered body image, and recounted resumption of sexual activity before feeling ready. A common finding was fatigue and feeling overloaded by the demands of the newborn. Partner support was described as essential to returning to a meaningful relationship. Discussions about postpartum sexual health with clinicians were described as taboo, and largely absent from the care model. Conclusion: Evidence-based practices should incorporate the best evidence from research, consider the postpartum sexual health experiences and preferences of the woman, and use clinician expertise in discussions that include the topic of postpartum sexual health to make decisions. As such, human caring practices should be incorporated into clinical guidelines to recognize the preferences of women. Clinicians need to be authentically present, engage in active communication, and individualize their care. 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