Comparison of the Effectiveness of Midwifery Counseling with Cognitive-Behavioral Approach and Counseling Based on the EX PLISSIT Model on Womens Sexual Function During Lactation

Backgrounds: Birth and delivery is the most important occurrence of a woman s life. Postpartum period is recognized as a vulnerable and stressful period for women with different cultures. Many factors contribute to postpartum sexual dysfunction. Such as the type of childbirth, episiotomy, fatigue and physical and psychological problems ... Abnormal postpartum sexual activity can cause distress of the husband and wife and disunity in their marital sexual relations. The consultation can provide the information needed to create the desired sexual life It is important for couples to take advantage of this information to improve their marital qualities. Considering the importance of sexual relations in marital life and its effect on family and community health and reproductive health, this study was conducted with the aim of reviewing and comparing the effectiveness of cognitive-behavioral counseling and counseling based on the EX-PLISSIT model on female sexual function during lactationMaterial and Method: This clinical trial study was a pretest-posttest with two groups of intervention and one control group in the year 1395. The statistical population of the nursing mothers referring to the health centers of Neyshabur city that was nulliparous and started sex after delivery and at most one year They had had a maternity leave, had no physical health and had not already been treated for sexual problems. Out of 102 women who entered the study were randomly assigned to two groups of behavioral cognitive behavioral and EX-PLISSIT and one control group (34 groups each). The sexual function variable was evaluated using the standard FSFI questionnaire. Independent cognitive-behavioral group counseling variables in 4 sessions of 90 minutes and individual counseling with EX-PLISSIT model were performed at a maximum of three sessions on intervention groups. Before, immediately and one month after intervention, sexual function was evaluated. Data were analyzed by SPSS-20 software. The significance level (P <0.05) was considered.Result: According to ANOVA and Chi-square tests, the participants did not have a significant difference in terms of demographic characteristics (age, spouse s age, gender, type of delivery, prevention method). Regarding the fact that the three groups in the baseline had a significant difference in the score of sexual function, the changes in the sexual function score after the start of the intervention in general and in the different groups under study were adjusted based on the amount of basic sexual performance score and Then they were compared together. Based on this, the impact of the basic sexual function score varied among different groups of study, so we used the change method to control and neutralize this effect. The results showed that changes in female sexual function scores were not significant after one month after the intervention before intervention between the behavioral cognitive behavioral group and EX-PLISSIT (P = 0.619) Between cognitive behavioral group. The control group was significant (P <0.001). And between EX-PLISSIT and control groups (P = 0.012).Conclusion: Based on the results of this study, the effectiveness of cognitive behavioral counseling and the EX-PLISSIT model on the sexual function of lactating women was determined. Therefore, considering the capacity of health care providers, it can be used to prevent and improve livelihood sexual problems at health centers, counseling centers and the treatment of these counseling methods in postpartum care.