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García-Duarte S, Nievas-Soriano BJ, Fischer-Suárez N, Castro-Luna G, Parrón-Carreño T, Aguilera-Manrique G. Quality of Sexuality during Pregnancy, We Must Do Something-Survey Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:965. [PMID: 36673720 PMCID: PMC9859225 DOI: 10.3390/ijerph20020965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Revised: 12/21/2022] [Accepted: 01/04/2023] [Indexed: 06/17/2023]
Abstract
BACKGROUND The main aim of this study was to describe the changes in sexual desire in pregnant women during the gestation period. We also sought to analyze their sexual habits, how they perceive their partners' attitudes, and determine if they know the importance of sex education during pregnancy. METHODS A cross-sectional descriptive observational study was conducted using an existing 32-item questionnaire among pregnant women attending the Fetal Welfare Clinic of a reference hospital. Univariate and bivariate analyses were performed. RESULTS One hundred seventeen women participated. 50.4% stated that their sexual interest decreased. Aspects like the number of coitus, feeling orgasm with penetration or with masturbation, or the frequency of oral sex, were significantly reduced during pregnancy. 90.6% of the women stated that they would like to receive more sex education during pregnancy. There were no differences according to their education level, their partners' education level, or whether they believed that sexual intercourse could harm the baby. CONCLUSIONS Several advances have been achieved in the healthcare that physicians and midwives provide pregnant women. However, the quality of women's sex lives still declines during pregnancy. Healthcare providers should assume a proactive role, essential in helping future parents to enjoy their sexuality and dispel myths about sexuality, regardless of their education level.
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Affiliation(s)
- Sonia García-Duarte
- Obstetrics and Gynaecology Unit, Torrecárdenas Hospital, 04009 Almería, Spain
| | | | | | - Gracia Castro-Luna
- Nursing, Physiotherapy, and Medicine Department, University of Almería, 04120 Almería, Spain
| | - Tesifón Parrón-Carreño
- Nursing, Physiotherapy, and Medicine Department, University of Almería, 04120 Almería, Spain
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Hidalgo-Lopezosa P, Pérez-Marín S, Jiménez-Ruz A, López-Carrasco JDLC, Cubero-Luna AM, García-Fernández R, Rodríguez-Borrego MA, Liébana-Presa C, López-Soto PJ. Factors Associated with Postpartum Sexual Dysfunction in Spanish Women: A Cross-Sectional Study. J Pers Med 2022; 12:jpm12060926. [PMID: 35743712 PMCID: PMC9225642 DOI: 10.3390/jpm12060926] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 05/28/2022] [Accepted: 05/29/2022] [Indexed: 12/01/2022] Open
Abstract
(1) Background: Female sexual dysfunction (FSD) has a high prevalence globally, and perinatal factors favor FSD, especially in the postpartum period. The aim was to determine the prevalence and factors influencing FSD in the postpartum period; (2) Methods: An observational study carried out in three primary care centers in southern Spain, with women in the postpartum period who had a single low-risk birth. One hundred and seventeen women answered the Female Sexual Function questionnaire during the 4th month postpartum, between January 2020 and December 2021. Sociodemographic, obstetric, neonatal variables and level of self-esteem were analyzed. A multiple logistic regression model was carried out; (3) Results: 78.4% had high level of self-esteem. FSD prevalence was 89.7%. Factors related to FSD were having an instrumental vaginal delivery, women with university studies, and prenatal preparation. Maternal age ≥ 35, multiparity, pathological processes in the child, a medium–low level of self-esteem and newborn weight were associated with disorders in some of domains of sexual function; (4) Conclusions: FSD is highly prevalent in the postpartum period and is associated with preventable factors. A preventive approach by health professionals to these factors is essential. Health services should implement postpartum follow-up programs, which may coincide in time and place with newborn follow-up programs.
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Affiliation(s)
- Pedro Hidalgo-Lopezosa
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain; (S.P.-M.); (A.J.-R.); (J.d.l.C.L.-C.); (A.M.C.-L.); (M.A.R.-B.); (P.J.L.-S.)
- Departamento de Enfermería, Farmacología y Fisioterapia, Universidad de Córdoba, 14004 Córdoba, Spain
- Hospital Universitario Reina Sofía de Córdoba, 14004 Córdoba, Spain
- Correspondence: ; Tel.: +34-957-218-107
| | - Sandra Pérez-Marín
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain; (S.P.-M.); (A.J.-R.); (J.d.l.C.L.-C.); (A.M.C.-L.); (M.A.R.-B.); (P.J.L.-S.)
- Departamento de Enfermería, Farmacología y Fisioterapia, Universidad de Córdoba, 14004 Córdoba, Spain
| | - Andrea Jiménez-Ruz
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain; (S.P.-M.); (A.J.-R.); (J.d.l.C.L.-C.); (A.M.C.-L.); (M.A.R.-B.); (P.J.L.-S.)
- Departamento de Enfermería, Farmacología y Fisioterapia, Universidad de Córdoba, 14004 Córdoba, Spain
- Hospital Universitario Reina Sofía de Córdoba, 14004 Córdoba, Spain
| | - Juan de la Cruz López-Carrasco
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain; (S.P.-M.); (A.J.-R.); (J.d.l.C.L.-C.); (A.M.C.-L.); (M.A.R.-B.); (P.J.L.-S.)
- Departamento de Enfermería, Farmacología y Fisioterapia, Universidad de Córdoba, 14004 Córdoba, Spain
- Hospital Universitario Reina Sofía de Córdoba, 14004 Córdoba, Spain
| | - Ana María Cubero-Luna
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain; (S.P.-M.); (A.J.-R.); (J.d.l.C.L.-C.); (A.M.C.-L.); (M.A.R.-B.); (P.J.L.-S.)
- Departamento de Enfermería, Farmacología y Fisioterapia, Universidad de Córdoba, 14004 Córdoba, Spain
- Hospital Universitario Reina Sofía de Córdoba, 14004 Córdoba, Spain
| | - Rubén García-Fernández
- SALBIS Research Group, Departamento de Enfermería y Fisioterapia, Universidad de León, Campus de Ponferrada s/n, 24400 Ponferrada, Spain; (R.G.-F.); (C.L.-P.)
| | - María Aurora Rodríguez-Borrego
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain; (S.P.-M.); (A.J.-R.); (J.d.l.C.L.-C.); (A.M.C.-L.); (M.A.R.-B.); (P.J.L.-S.)
- Departamento de Enfermería, Farmacología y Fisioterapia, Universidad de Córdoba, 14004 Córdoba, Spain
- Hospital Universitario Reina Sofía de Córdoba, 14004 Córdoba, Spain
| | - Cristina Liébana-Presa
- SALBIS Research Group, Departamento de Enfermería y Fisioterapia, Universidad de León, Campus de Ponferrada s/n, 24400 Ponferrada, Spain; (R.G.-F.); (C.L.-P.)
| | - Pablo Jesús López-Soto
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain; (S.P.-M.); (A.J.-R.); (J.d.l.C.L.-C.); (A.M.C.-L.); (M.A.R.-B.); (P.J.L.-S.)
- Departamento de Enfermería, Farmacología y Fisioterapia, Universidad de Córdoba, 14004 Córdoba, Spain
- Hospital Universitario Reina Sofía de Córdoba, 14004 Córdoba, Spain
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Pereira EV, Belém JM, Alves MJH, Torquato JAS, Firmino PRA, Fialho AVDM, Quirino GDS. Factors associated with sexual practices and positions performed by pregnant women: a cross-sectional study. Rev Bras Enferm 2021; 75:e20210162. [PMID: 34787238 DOI: 10.1590/0034-7167-2021-0162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Accepted: 08/05/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to identify factors associated with the sexual practices and positions performed by pregnant women. METHODS a cross-sectional, quantitative study conducted with 354 pregnant women, in the interior of Ceará, Brazil, in 2016. For data collection, a form and a Pregnancy Sexuality Questionnaire were used. RESULTS there was a reduction in the sexual initiative of the woman, sexual disposition of the couple, sexual practices and most of the sexual positions, while the maintenance of preliminary sexual activities and initiative to perform them was verified. Sexual practices and positions decreased (p<0.0001): preliminary sexual activities, sexual disposition, lubrication, orgasm, pain or discomfort, sexual positions, sexual practices, and sexual satisfaction. Sexual practices and positions increased (p<0.0001) as a function of: education, number of deliveries, sexual life, desire and arousal, and sexual disposition of the pregnant woman, frequency of orgasm and of sexual practices (p<0.0001). CONCLUSIONS sexual practices and positions of pregnant women were affected by domains of sexual function, sexual, reproductive, physical, and psychological aspects.
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Mohammadi M, Khani M. Comparing the effect of face-to-face education and using educational films on couples' sexual dysfunction during pregnancy. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2021; 10:335. [PMID: 34761021 PMCID: PMC8552277 DOI: 10.4103/jehp.jehp_1535_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Accepted: 01/07/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Pregnancy is a special period in a woman's life during which physical, mental, social, and cultural changes would affect sexual desires during this period. The present study was conducted to compare the effect of face-to-face education and using educational films on the sexual dysfunction in couples. MATERIALS AND METHODS The present study was a semi-experimental research. Study population contained pregnant women and their husbands. Samples were selected randomly. Data were gathered using demographic characteristic questionnaire and sexual dysfunction in men and women questionnaire. Sample size was 96 couples (32 couples in the face-to-face group, 32 in the educational films group, and 32 in the control group). Data were analyzed using SPSS20 software. RESULTS The mean total score of preintervention sexual function in face-to-face education group was 46.72 ± 9.79, in educational film group 47.82 ± 13.07, and in control group 43.84 ± 12.76. In the case of postintervention, it was, respectively, 60.62 ± 9.72, 57.37 ± 14.74, and 43.61 ± 14.21. Face-to-face education led to the treatment of sexual dysfunction during pregnancy (P < 0.001). In the educational film group (P = 0.40), sexual dysfunction during pregnancy was not treated, but there was an improvement in sexual function (P = 0.001). In the control group, there was a significant difference regarding the decrease in the score of sexual function and untreated sexual dysfunction during pregnancy (P = 0.001). Furthermore, no improvement was observed in the sexual dysfunction during pregnancy (P = 0.90). CONCLUSIONS According to the results, face-to-face and film education are effective in sexual function during pregnancy, but face-to-face education in pregnancy is more effective in the treatment of sexual dysfunction, and so this causes promoting sexual health during this period.
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Affiliation(s)
- Maryam Mohammadi
- Research Centre for Nursing and Midwifery Care, Faculty of Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - MohammadBagher Khani
- Research Centre for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
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Alizadeh S, Riazi H, Majd HA, Ozgoli G. The effect of sexual health education on sexual activity, sexual quality of life, and sexual violence in pregnancy: a prospective randomized controlled trial. BMC Pregnancy Childbirth 2021; 21:334. [PMID: 33902468 PMCID: PMC8077934 DOI: 10.1186/s12884-021-03803-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Accepted: 04/15/2021] [Indexed: 11/21/2022] Open
Abstract
Background Some women avoid sexual intercourse during pregnancy due to the physiological changes they undergo during this period as well as their fear of causing harm to the fetus and to themselves, which can lead to problems in sexual health. The aim of the present study was to investigate the effects of a sexual health education package on the dimensions of sexual health in pregnant women. Methods This randomized, longitudinal, clinical trial was carried out in 2018–2019 on 154 pregnant women in early to late pregnancy who presented to comprehensive health centers in Rasht, Iran, and were divided into three groups: Group A or the training group (50 participants), Group B or the self-training group (53 participants), and Group C or the control group (51 participants). The study tools included the Pregnancy Sexual Response Inventory (PSRI), the Sexual Quality of Life-Female (SQOL-F) and the Sexual Violence Questionnaire. The dimensions of sexual health were examined before beginning each intervention in each trimester of pregnancy and then at the end of pregnancy using these questionnaires. The collected data were analyzed using statistical tests, namely the Chi-square test, one-way ANOVA, Cochrane’s test, and the repeated measures ANOVA at a significance level of P < 0.05. Results There was no statistically significant difference in the mean total scores of SQOL-F and PSRI in the three groups at baseline. As for the intergroup results, there was a statistically significant difference in the mean score of SQOL-F and PSRI at the end of pregnancy. The mean scores of PSRI and SQOL-F in the training group (Group A) increased from the beginning to the end of pregnancy compared to the control and self-training groups. As for the intergroup comparisons, there was no statistically significant difference in the mean total scores of sexual violence among the pregnant women in the different groups in the third trimester of pregnancy and at the end of the third trimester. Although sexual violence was not statistically significant, the number of sexually-violated women in the training group decreased during the training period compared to the self-training and control groups. Conclusion The results obtained in the intervention group compared to the control group revealed the effectiveness of the sexual health education package in terms of improvement in the dimensions of sexual health. According to the results, in order to maintain and promote the sexual health of pregnant women, health care providers are recommended to offer sexual health training during pregnancy along with other health care services. Trial registration IRCT20190427043398N1; the trial was registered on June 2, 2019. (retrospective registration).
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Affiliation(s)
- Shiva Alizadeh
- Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Hedyeh Riazi
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hamid Alavi Majd
- Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Giti Ozgoli
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
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