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Reliability and structural validity of the Female Sexual Function Index in Spanish female university students.

Authors: Vicente-Gonzalez L, Del Río Olvera FJ, García-Sedeño MA, Vicente-Villardon JL, Navarro-Murcia SV, Medina-Mesa Y, Espinosa-García A, Franco-Jaén S
Journal: Frontiers in psychology
mental health psychology open access

Abstract

Postnatal care encompasses a broad spectrum of healthcare and social and developmental support services to maintain and promote the health and well‐being of women, parents, caregivers, and families [, ]. It is an ongoing, personalized care process that addresses individual needs throughout the postnatal period [], which can extend beyond the typical six‐week postpartum timeframe. Postnatal care includes multiple domains, such as maternal physical recovery and mental health, family planning, and support for returning to work, with the priority of each domain evolving throughout the postpartum period. Therefore, primary care physicians (PCPs) are well positioned to provide comprehensive and coordinated postnatal care while better understanding the life context surrounding postpartum women and their families in a longitudinal patient‐provider relationship []. In Japan, postnatal care is primarily provided by perinatal care teams, including midwives, public health nurses, and obstetricians, particularly at the four‐week routine postpartum checkup. However, ensuring seamless, comprehensive support across all postnatal domains beyond this time remains challenging. PCPs trained in providing continuity of care across various health issues and family‐oriented primary care are well‐suited to be involved in comprehensive postnatal care. Although Japanese PCPs encounter postpartum women in their daily practice [], no data on their engagement in postnatal care exist. Globally, research on the extent to which PCPs provide each domain of postnatal care is very scarce. Gunn et al. revealed that 92% of general practitioners in Australia were involved in the postpartum check‐up at six weeks [], but their study focused on postnatal care as a whole, without considering individual domains (e.g., physical recovery, mental health, infant care, family planning, and support for return to work). On the other hand, Krishnamurti et al. [] investigated PCPs' practices across individual domains in the United States. They focused on discrepancies between the PCPs' perceived priority and their practice; however, no data on the actual frequency of practice in each domain were provided. Both studies limited their scope to the six‐week postpartum visit.