Women’s sexual health six months after a severe maternal morbidity event

Abstract

<jats:p> Objective: to investigate female sexual function in women six months postpartum and to compare sexual function among women who had and who did not have severe maternal morbidity (SMM). Method: a cross-sectional study conducted with 110 women in the postpartum period, with and without SMM. Two instruments were used, one for the characterization of sociodemographic and obstetric variables and the Female Sexual Function Index (FSFI) for sexual function. Univariate, bivariate and regression model analyses were performed. Results: FSFI scores showed 44.5% of female sexual dysfunction, of which 48.7% were among women who had SMM and 42.0% among those who had not. There were significant differences between age (P=0.013) and duration of pregnancy (P&lt;0.001) between women with or without SMM. Among the cases of SMM, hypertensive disorders were the most frequent (83%). An association was obtained between some domains of the FSFI and the following variables: orgasm and self-reported skin color, satisfaction and length of relationship, and pain and SMM. Conclusion: white women have greater difficulty in reaching orgasm when compared to non-white women and women with more than 120 months of relationship feel more dissatisfied with sexual health than women with less time in a relationship. Women who have had some type of SMM have more dyspareunia when compared to women who have not had SMM.</jats:p>

Does Near Miss Compromise Sexual Function in Reproductive-Aged Women? A Comparative Cross-Sectional Study in Ahvaz, Iran

“…For instance, a crosssectional study by Alves et al on 110 women, both with and without SMM, reported that 44.5% of participants experienced sexual dysfunction, including 48.7% of those who had SMM (12). The higher rate of sexual dysfunction in our study, compared to Alves et al's findings (12), may be attributed to the generally lower Additionally, the present study indicated that scores for all sexual function domains, except for pain, were lower in women with MNM compared to those without. Although the MNM group reported higher pain levels, the difference was not statistically significant.…”

“…A study by Norhayati and Azman Yacob found that women who experienced severe maternal morbidity (SMM) were significantly older and underwent more cesarean sections, but did not exhibit more sexual dysfunction than healthy women (11). In a cross-sectional study of 110 women with SMM, Alves et al reported that women with SMM experienced more dyspareunia than those without SMM (12). The rate of cesarean sections in Iran is significantly higher than in other countries, with most MNM cases occurring during the second cesarean section (13,14).…”

The Effect of Cognitive-Behavioral Therapy on the Sexual Function of Women with Maternal Near Miss: A Randomized Controlled Trial

“…Andreucci et al found that women with severe complications during childbirth experience more dyspareunia and restart their sexual relationships after a longer delay compared to women without MNM (8). In their study of 110 women in the postpartum period, Alves et al found that women suffering from severe maternal complications were more likely to have dyspareunia compared with women who did not have these complications (9).…”