Psychological factors and the sexuality of pregnant and postpartum women

DeJudicibus, Margaret A; McCabe, Marita

doi:10.1080/00224490209552128

Cited by 204 publications

(203 citation statements)

References 35 publications

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“…Since dyspareunia and sexual dysfunction are strongly associated with personal experiences and relationship factors [2], the question of bother in this study covers just part of this complexity. Few studies address level of bother and the ones which do show conflicting results regarding impact on sexual life in the postpartum months [4,10].…”

Section: Discussionmentioning

confidence: 99%

“…Dyspareunia occurring during pregnancy and childbirth may be a result of morphological and hormonal changes of the pelvic floor [8,3,6], and has shown to correlate with delivery mode [6,9]. In women breastfeeding, a reduction in estrogen may lead to reduced vaginal lubrication as a response to sexual stimulation [10]. The relationship between the pelvic floor muscles (PFM) and dyspareunia is poorly understood, and the existing literature in pregnant and postpartum women is sparse.…”

mentioning

confidence: 99%

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Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

et al. 2014

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This file was dowloaded from the institutional repository Brage NIH -brage.bibsys.no/nih Tennfjord, M. K., Hilde, G., Staer-Jensen, J., Ellstrøm Engh, M., Bø, K. (2014).Dyspareunia and pelvic floor muscle function before and during pregnancy and during pregnancy and after childbirth. ABSTRACT Introduction and hypothesis:There is limited knowledge on dyspareunia during pregnancy and postpartum and the role of the pelvic floor muscles (PFM) in women with dyspareunia. Aims of the study were to investigate presence of dyspareunia before, during pregnancy and postpartum and to compare vaginal resting pressure (VRP), PFM strength and endurance between women with and without dyspareunia. It was hypothesized that there is no difference in PFM variables between women with and without dyspareunia. Methods: Three hundred nulliparous women participated in this prospective cohort and answered questions about dyspareunia and level of bother at gestational weeks 22 and 37, 6 and 12 months postpartum and retrospectively prior to their pregnancies using ICIQFLUTSsex. PFM variables were assessed by manometer at gestational week 22, 6 and 12 months postpartum. Comparisons between groups were analyzed using independent-samples t test.Results: Twenty-eight and 30% of the women reported dyspareunia at pre-pregnancy and at gestational week 22, respectively. At gestational week 37, 6 and 12 months postpartum, the number was 40%, 45% and 33%, respectively. No difference in PFM variables were found between women with or without dyspareunia. Level of bother was higher postpartum than before and during pregnancy. Conclusion: Symptoms of dyspareunia were common at all time points. No link could be made between PFM function and dyspareunia. Women suffering from dyspareunia postpartum reported it as bothersome. Our findings suggest that women should be asked about symptoms of dyspareunia related to pregnancy, and that future research should aim for preventative and treatment strategies.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

et al. 2014

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“…The analysis of each FSFI domain showed a decrease in sexual desire, arousal, vaginal lubrication, orgasm and sexual satisfaction from the second to the third trimester of gestation, as well as greater discomfort or pain related to the sexual activity. Several studies have reported similar results and attributed them to a series of factors such as: body changes that affect self-esteem, discomfort, fear of harming the baby and physical symptoms as nauseas, sleepiness and fatigue 16,[26][27][28][29][30][31][32][33] . Some authors stipulated a total FSFI score of 26.5 as the cut-off score between women with and without sexual dysfunction 34 .…”

Section: Sexual Functionmentioning

confidence: 76%

Força dos músculos do assoalho pélvico e função sexual em gestantes

Franceschet¹,

Sacomori²,

Cardoso³

2009

Rev. bras. fisioter.

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“…Apesar de a gestação advir da sexualidade, estudos apontam a influência da primeira sobre a última por diversos fatores, tais como a alteração na imagem corporal, a mudança de papéis sociais, a qualidade do relacionamento, as alterações hormonais, entre outros [14][15][16] .…”

Section: Introductionunclassified

Tradução e validação de questionário de função sexual na gravidez (PSFQ)

Amaral¹,

Monteiro²

2014

Rev. Bras. Ginecol. Obstet.

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ResumoOBJETIVO: Adaptar o Pregnancy and Sexual Function Questionnaire (PSFQ) para uso no Brasil, além de avaliar suas propriedades psicométricas. MÉTODOS: Foi realizado um estudo de adaptação e validação com mulheres no último trimestre de gestação, residentes em Rio Branco, Acre. O questionário foi traduzido para a língua portuguesa, revisado e avaliado por um grupo de especialistas, tendo sido realizado um pré-teste. A validação do constructo do instrumento foi avaliada por análise fatorial, a consistência interna, pelos coeficientes alfa de Cronbach e ômega de McDonald e a reprodutibilidade, pela estatística kappa por teste-reteste em uma amostra das gestantes. RESULTADOS: A análise fatorial demonstrou a presença de seis domínios: subjetividade, dor e desconforto; frequência e receptividade; desejo; satisfação; orgasmo e estímulo. A consistência interna segundo o alfa foi de 0,6, enquanto na análise do ômega foi de 0,7. Na amostra, o valor de kappa foi superior a 0,7 em todas as questões. CONCLUSÃO: A versão em português do PSFQ pode ser utilizada para avaliar a função sexual durante a gravidez. Abstract PURPOSE:To adapt the Pregnancy and Sexual Function Questionnaire (PSFQ) for use in Brazil and to evaluate its psychometric properties. METHODS: An adaptation and validation study was performed with women in the last trimester of pregnancy living in Rio Branco, Acre. The questionnaire was translated into Portuguese, reviewed and evaluated by specialists, and a pretest was carried out. Construct validity was evaluated by factor analysis; internal consistency was estimated by Cronbach's alpha coefficient and MacDonald's omega, and reproducibility was evaluated by the kappa statistics and test-retest in a sample of pregnant women. RESULTS: Factor analysis identified the following six domains: subjectivity, pain and discomfort; frequency and receptivity; desirability; satisfaction; orgasm; and stimulus. The internal consistency by Cronbach's alpha was 0.6, while MacDonald's omega was 0.7. The kappa value was higher than 0.7 in all questions. CONCLUSION: The Portuguese version of the PSFQ was considered to be adequate for evaluating sexual function during pregnancy.

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Psychological factors and the sexuality of pregnant and postpartum women

Cited by 204 publications

References 35 publications

Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

Dyspareunia and pelvic floor muscle function before and during pregnancy and after childbirth

Força dos músculos do assoalho pélvico e função sexual em gestantes

Tradução e validação de questionário de função sexual na gravidez (PSFQ)

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