Dispareunia en mujeres después de parto vaginal. Prevalencia en dos clínicas de Armenia, Colombia, 2012-2017

• Autores: Franklin José Espitia de la Hoz
• Localización: Duazary: Revista internacional de Ciencias de la Salud, ISSN-e 2389-783X, ISSN 1794-5992, Vol. 18, Nº. 1, 2021 (Ejemplar dedicado a: (January March)), págs. 32-44
• Idioma: español
• DOI: 10.21676/2389783X.3887
• Títulos paralelos:
  • Dyspareunia in women after vaginal delivery. Prevalence in two clinics in Armenia, Colombia, 2012-2017
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Se realizó un estudio de corte transversal que tuvo como objetivo determinar la prevalencia de la dispareunia en mujeres con parto vaginal, evaluar posibles factores de riesgo y la asociación con la episiotomía. Ingresaron mujeres atendidas por parto vaginal entre 2012 y 2017 en dos clínicas de alta complejidad en Armenia (Colombia). Se utilizó el cuestionario Índice de Función Sexual Femenina (IFFS-6) para evaluar la función sexual. Los resultados reportan una prevalencia de dispareunia del 59,37%, siendo más prevalente en mujeres sometidas a episiotomía (OR: 68,17; IC95 %: 60,57-79,15). Respecto a la asociación de la episiotomía con la presencia de dispareunia se encontró asociación significativa con la episiotomía medio-lateral (OR: 8,17; IC95%: 2,15-56,32), lesión del esfínter (OR: 7,32; IC95%: 4,86-12,75) y dehiscencia de la sutura (OR: 6,48; IC95%: 4,92-14,28). Se observaron como factores de riesgo: antecedente de endometriosis (OR: 11,6; IC95 %: 9,15-17,52), dolor pélvico crónico (OR: 3,56; IC95%: 2,21–6,32) e ITS (OR: 2,67; IC95%: 1,54–5,14), p=0,003). Se concluye que la prevalencia de dispareunia en mujeres con parto vaginal, atendidas en Armenia, varía en función de la realización de episiotomía, asociándose tanto a las complicaciones de esta como a otros antecedentes.

  • English

    A cross-sectional study was conducted to determine the prevalence of dyspareunia in women with vaginal delivery, to assess possible risk factors and the association with episiotomy. Women attended for vaginal delivery, between 2012 and 2017, were admitted in two high complexity clinics in Armenia (Colombia). The Female Sexual Function Index (IFFS-6) questionnaire was used to assess sexual function. The results report a prevalence of dyspareunia of 59.37%, prevalent in women undergoing episiotomy (OR: 68,17; IC95%: 60,57-79,15). Regarding the association of episiotomy with the presence of dyspareunia, a significant association was found with mid-lateral episiotomy (OR: 8,17; IC95%: 2,15-56,32), sphincter injury (OR: 7,32; IC95%: 4,86-12,75), and suture dehiscence (OR: 6,48; IC95%: 4,92-14,28). The following were observed as risk factors: history of endometriosis (OR: 11,6; IC95%: 9,15-17,52), chronic pelvic pain (OR: 3,56; IC95%: 2,21–6,32) and STIs (OR: 2,67; IC95%: 1,54– 5,14), p = 0,003). It is concluded that the prevalence of dyspareunia in women with vaginal delivery, attended in Armenia, varies depending on the episiotomy performance. Both are associated with the complications of this and other backgrounds

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