Sexual function in the postpartum period, the gateway to newness and change, can be affected by problems such as caring for a new baby, breastfeeding, fatigue, anxiety about pain during sexual intercourse, postpartum depression, pelvic floor dysfunction, urinary symptoms and body image. Changes in sexual function are common in the postpartum period. Pregnancy and childbirth is a period in a woman's life that causes hormonal and physical changes and has an impact on the parents' quality of life.
Postpartum sexual function is an important issue for couples, as the first sexual intercourse after childbirth is an important step for couples to establish intimate relationships. Many factors affect postpartum sexual dysfunction, including number of births, breastfeeding, mode of delivery, episiotomy, physical and psychological dysfunction, including fatigue and postpartum depression. Without adequate information and counseling on sexual life by health professionals in the postpartum period, most women may remain silent about their sexual concerns and anxieties, preferring instead to share their problems with friends. More holistic and multidisciplinary approaches are needed to treat female sexual dysfunctions. The use of mindfulness-based therapies has recently become widespread in the treatment of women diagnosed with sexual dysfunction.Thanks to mindfulness practices, it has been observed that women perceive stimuli better and are able to notice clues that they did not notice before. The Compassion Focused Therapy program is one of these practices. It is known to integrate well with existing approaches to therapy and offers some useful ways of reducing sexual problems to provide a coherent rationale for treatment strategies.
Erbal communicator and no literacy disability,
Living with his wife,
Beginning postpartum sexual intercourse, menstrual cycle has not started
Between 2-6 months postpartum,
Having undergone gynecological surgery during the study,
Have been or are currently diagnosed with a psychiatric illness,
Having attended any awareness-based training at least 6 months ago
Parallel
Sexual Dysfunction in the Postpartum Period
Other interventionThe experimental group will receive mindfulness-based self-compassion training. The control group will not receive any intervention.
Arizona Sexual Experiences Scale- Female (ASES-F)
The female form includes questions investigating sexual drive, psychological arousal, physiological arousal (vaginal lubrication), the capacity to reach orgasm and the feeling of satisfaction after orgasm. Each question in the scale is scored from 1 to 6, and the minimum score that can be obtained from the total score is 5 and the maximum is 30. A total score of 19 and above from the scale, a score of 5 or 6 for any item or a score of 4 for three or more items indicates the presence of sexual dysfunction. While low scores represent that the sexual response is effective, comfortable and satisfying, high scores indicate the presence of sexual dysfunction. The total internal consistency coefficient of the scale is 0.89 and the Cronbach alpha reliability coefficient is 0.90.
Sexual Quality of Life Scale- Female (SQOL-F)
The reliability level of the scale was determined to be high and the reliability coefficient of the scale and the Cronbach alpha value are equal to each other and are 0.83. The scale, which consists of a total of 18 questions, requires answers to problems related to sexual life, including the last 4 weeks. The scale is Likert-type and has a six-point response option. The scoring system of the scale is between 0 and 5 or 1 and 6. The minimum and maximum score that can be obtained from the scale is 18-108. In addition, when the scale is scored between 0 and 5, the score range is 0-90. High scores obtained from the scale indicate that the quality of sexual life is good. The reliability of the scale, which has a reliability coefficient and Cronbach alpha value of 0.83, is high.
The Revised Marital Adjustment Scale
The scale was developed to evaluate the relationship quality of married or cohabiting couples in marriage or similar dual relationships. The 7th, 8th, 9th, and 10th items of the scale are reverse scored. The highest score that can be obtained from the scale is 70 points, the obtained score indicates the relationship quality. The Cronbach alpha coefficient of the YÇUÖ with three sub-dimensions is .87, .80, .80, .74 for the total score, satisfaction, consensus, and consensus sub-scales, respectively. The correlation of the scale with the Marital Adjustment Scale used for criterion-dependent validity was calculated as 68 (p\<0.01) in the positive direction (Busby et al. 1997).
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