Função sexual e qualidade de vida em gestantes de baixo risco

Abstract

ResumoOBJETIVO: Avaliar em gestantes saudáveis no segundo trimestre a associação entre função sexual e qualidade de vida, e função sexual e satisfação sexual. MÉTODOS: Estudo transversal com 51 gestantes em acompanhamento em ambulatório de pré-natal de baixo risco. A função sexual foi aferida por meio do Quociente Sexual -Versão Feminina (QS-F). A qualidade de vida e a satisfação sexual foram avaliadas pelo Instrumento Abreviado de Avaliação de Qualidade de Vida da Organização Mundial da Saúde (WHOQOL-bref). Os critérios de inclusão foram idade gestacional entre a 15ª e a 26ª semana, idade materna igual ou superior a 20 anos, mínimo de 5 anos de educação escolar, ter parceiro fixo há pelo menos 6 meses, ter tido relação sexual com penetração vaginal nos últimos 15 dias. Foram excluídas mulheres vítimas de violência sexual, com história pregressa ou atual de depressão, antecedente de aborto habitual ou complicações na gestação atual (amniorrexe prematura, trabalho de parto prematuro ou hemorragia). Para a análise dos dados foram utilizados os testes do χ 2 e exato de Fisher e p<0,05 foi considerado significante. A análise estatística foi realizada com o Statistical Package for the Social Sciences (SPSS). RESULTADOS: A maioria das gestantes (64,8%) obteve o QS-F de "regular a excelente" e 58,8% classificaram sua qualidade de vida como "boa". Assinalaram que estavam satisfeitas com a vida sexual 35,3% das gestantes, e 15,7% estavam muito satisfeitas. O estudo mostrou que existe associação entre QS-F "nulo a ruim" com qualidade de vida "ruim" (p=0,002) e que QS-F "regular a bom" e "bom a excelente" estão associados com "satisfação" e "muita satisfação" sexual (p<0,001). CONCLUSÃO: A função sexual está associada à qualidade de vida e à satisfação sexual em gestantes saudáveis, no segundo trimestre da gestação. AbstractPURPOSE: To evaluate, in healthy women in the second trimester of pregnancy, a possible association between sexual function and quality of life, and between sexual function and sexual satisfaction. METHODS: This cross-sectional study involved 51 pregnant women managed at a low-risk antenatal care clinic. Sexual function was evaluated through the Sexual Quotient -Female Version (QS-F) questionnaire. Quality of life and sexual satisfaction were evaluated though the brief version of the World Health Organization Quality of Life questionnaire (WHOQOL-bref). Inclusion criteria were pregnancy between 15-26 weeks, maternal age 20 or more years, at least five years of scholling, in a relationship with a single partner for the last 6 months, having sexual intercourse with vaginal penetration in the last 15 days. We excluded women with a history of sexual violence, previous or current depression, habitual abortion or obstetric complications in the index pregnancy (premature rupture of membranes, preterm labor or hemorrhage). The χ 2 and Fisher exact tests were used for statistical analyses and p<0.05 was considered significant. RESULTS: Most of the participants (64.8%) obtained "regular to excellent" grades on th...

Does Severe Maternal Morbidity Affect Female Sexual Activity and Function? Evidence from a Brazilian Cohort Study

“…In addition, there is high prevalence of suspected sexual dysfunction in general female population, regardless age or any chronic disorders [ 16 , 24 – 26 ]. Although several conditions were evaluated as exposure for sexual dysfunction in Brazil, specific cut-off values for the FSFI questionnaire had not yet been tested [ 24 , 27 – 30 ]. As a result, the originally established cut-off value for total FSFI scores is also applied in Brazilian studies, as was the case also for the current one.…”

Creation and Validation of the Self-esteem/Self-image Female Sexuality (SESIFS) Questionnaire

“… 23 , 24 The FSQ is a simple, validated instrument that is widely used in Brazilian studies on sexual function. 25 , 26 When compared to Rosenberg’s scale and the FSQ, the overall validity of the SESIFS questionnaire, as well as the validity of each of its two domains (self-esteem and self-image) was good. However, the sexuality domain should be reviewed and validated again in a future study.…”

Assessment of woman’s sexual function during pregnancy / Avaliação da função sexual da mulher no período gestacional

“…1 Regarding the female sexual function, investigations report that the woman experiences her sexuality in a peculiar way in each phase of her life, especially during the gestational period. [2][3] It is known that the gestational period is accompanied by several physical, hormonal and psychological factors that, together with cultural, social and religious influences, can have an impact on women's sexual activity and behavior, leading to decreased desire, interest and sexual activity. [4][5] Moreover, taboos, fears and erroneous myths about female sexuality during pregnancy, still remain rooted in society.…”