The Dynamics And Quality Of The Sexual Activity During Pregnancy
ESC Congress Library. Anastasiu D. 05/28/14; 50523; A-108
Diana-Maria Anastasiu
Diana-Maria Anastasiu
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Abstract
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Objectives: Body-image medical issues have been scarcely investigated in the cultural environment of Eastern Europe, so we focused on preparing screening instruments to be easily and reliably administered. Our objectives were fourfold: (1) assess the appropriateness and reliability of a translated version of Body Exposure during Sexual Activities Questionnaire (BESAQ); (2) ascertain the belief that a change occurs in the quality and dynamics of sexual activity during pregnancy; (3) investigate potential factors associated with the quality and dynamics in pregnancy and non-pregnancy periods; (4) examine the underlying motivational framework in body exposure avoidance during sexual activities.


 


Design & Methods: A cross-sectional study was conducted, applying a translated version of 28-item BESAQ to women recruited in a university hospital, while attending perinatal care. Participants filled-in a self-administered BESAQ-based questionnaire (initial translation was performed, followed by independent back-translation and subsequent revision), with separate sections for pregnancy and non-pregnancy attitudes and additional personal data (e.g. age, medical). Statistical analysis was conducted on de-identified data, using SPSS v15. Analysis was conducted using the largest valid sample possible for each measure (although few records were complete for the entire data set, no imputation was performed). Descriptive statistics were performed followed by reliability coefficients Cronbach's Alpha, non-parametric tests for BESAQ scores, multi-variable regression, and principal components analysis (PCA).


 


Results: The sample included 297 subjects, out of whom we collected partial data: 275 medical and/or anthropometrical, 114 sexual dynamics, about 180 BESAQ scores, with 29 full records. Mean age was 28.38 (StdErr=0.322), BMI=26.3 (StdErr=0.498), 115 were pregnant, and 63 lying-in (42 having underwent a C-section). For non-pregnancy and pregnancy periods, respective Cronbach's Alpha coefficients were 0.795 and 0.775, respective median BESAQ scores 0.93 and 1.14, and respective median frequencies of sexual intercourse per week were 3 and 1 (for the latter two, Wilcoxon signed ranks test resulted in p<0.001). A regressional model for sexual dynamics proved the significant influence of BESAQ score (R-squared=0.111, p=0.001). PCA with varimax rotation was performed to investigate the underlying motivational framework in the body exposure avoidance during sexual activities, i.e. its possible multifactorial origin (Kaiser-Meyer-Olkin adequacy=0.849, Bartlett's sphericity test p<0.001).


 


Conclusions: BESAQ translated version is an appropriate and reliable tool for screening; during pregnancy there is a significant decrease in the quality and dynamics of sexual activities (significantly influenced by BESAQ scores); PCA revealed a seven independent factors mix explaining more than 50% of the latent attitudes towards body exposure.


 


 

Objectives: Body-image medical issues have been scarcely investigated in the cultural environment of Eastern Europe, so we focused on preparing screening instruments to be easily and reliably administered. Our objectives were fourfold: (1) assess the appropriateness and reliability of a translated version of Body Exposure during Sexual Activities Questionnaire (BESAQ); (2) ascertain the belief that a change occurs in the quality and dynamics of sexual activity during pregnancy; (3) investigate potential factors associated with the quality and dynamics in pregnancy and non-pregnancy periods; (4) examine the underlying motivational framework in body exposure avoidance during sexual activities.


 


Design & Methods: A cross-sectional study was conducted, applying a translated version of 28-item BESAQ to women recruited in a university hospital, while attending perinatal care. Participants filled-in a self-administered BESAQ-based questionnaire (initial translation was performed, followed by independent back-translation and subsequent revision), with separate sections for pregnancy and non-pregnancy attitudes and additional personal data (e.g. age, medical). Statistical analysis was conducted on de-identified data, using SPSS v15. Analysis was conducted using the largest valid sample possible for each measure (although few records were complete for the entire data set, no imputation was performed). Descriptive statistics were performed followed by reliability coefficients Cronbach's Alpha, non-parametric tests for BESAQ scores, multi-variable regression, and principal components analysis (PCA).


 


Results: The sample included 297 subjects, out of whom we collected partial data: 275 medical and/or anthropometrical, 114 sexual dynamics, about 180 BESAQ scores, with 29 full records. Mean age was 28.38 (StdErr=0.322), BMI=26.3 (StdErr=0.498), 115 were pregnant, and 63 lying-in (42 having underwent a C-section). For non-pregnancy and pregnancy periods, respective Cronbach's Alpha coefficients were 0.795 and 0.775, respective median BESAQ scores 0.93 and 1.14, and respective median frequencies of sexual intercourse per week were 3 and 1 (for the latter two, Wilcoxon signed ranks test resulted in p<0.001). A regressional model for sexual dynamics proved the significant influence of BESAQ score (R-squared=0.111, p=0.001). PCA with varimax rotation was performed to investigate the underlying motivational framework in the body exposure avoidance during sexual activities, i.e. its possible multifactorial origin (Kaiser-Meyer-Olkin adequacy=0.849, Bartlett's sphericity test p<0.001).


 


Conclusions: BESAQ translated version is an appropriate and reliable tool for screening; during pregnancy there is a significant decrease in the quality and dynamics of sexual activities (significantly influenced by BESAQ scores); PCA revealed a seven independent factors mix explaining more than 50% of the latent attitudes towards body exposure.


 


 

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