What information should the nurse include when teaching the postpartal patient and partner about resumption of sexual activity? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Couples should be encouraged to abstain from intercourse until the episiotomy is healed and the lochial flow has stopped.
2. Postpartum women often experience vaginal dryness, and should be encouraged to use some kind of lubrication initially during intercourse.
3. Breastfeeding the newborn after intercourse can reduce the chance of milk spouting from the nipples.
4. Maternal changes in libido are usually indicative of psychological depression.
5. Maternal fatigue is often a significant factor limiting the resumption of sexual intercourse.
1,2,5
Rationale 1: Currently, the couple is advised to abstain from intercourse until the episiotomy is healed and the lochia has stopped.
Rationale 2: Vaginal dryness is due to hormonal changes, and might require some form of lubrication.
Rationale 3: Breastfeeding the baby before intercourse can reduce the chance of milk release.
Rationale 4: These changes are expected due to hormonal changes, can persist for several months, and do not necessarily indicate depression.
Rationale 5: Interest and desire vary, but couples generally resume sexual activity within 3 months.
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