Sexual crisis related to pregnancy
ESC Congress Library. Jako M. May 10, 2018; 208213; ESC325
Dr. Maria Jako
Dr. Maria Jako
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Abstract
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Objectives Sexuality and healthy sex life are both have psychological and physiological significance. This is true in case of couples who are expecting their children. Except for pregnancies when there is a real medical contraindication for regular intercourse, physical contact is of paramount importance in bonding and keeping the couple's self-confidence and quality of life high. It is well known that sexual habits change and the time for intimacy decreases dramatically after childbirth. Even a well-functioning relationship can be weakened by the lack of intimacy and mutual enjoyment, and fear and misconception may mislead the couple during and right after pregnancy. The purpose of this research is to assess women's awareness and information about the changes in sexual life during pregnancy. Our goal is to find out about the misconceptions regarding healthy sexuality during and right after pregnancy. Patients' responses are compared with the answers provided by the health care staff to improve the quality of information transfer in our institution. Materials and Methods Patients are recruited at the Department of Obstetrics and Gynecology, University of Szeged after they got detailed information and signed informed consent. The data collection is done in the form of questionnaire in the first three days postpartum. The completed questionnaires are given a numeric identifier to ensure anonimity. Participation in the study does not involve any special intervention and does not affect the health care of the patients. Questionnaires completed by specialists (physicians, nurses) are also provided numeric code and are evaluated jointly. Statistical analysis is done with GraphPad Prism 6 computer software. Results 172 Patient's questionnaires 23 Physiscian's questionnaires were evaluated. The main outcome of our study was that the number of sexual intercourses and orgasms decreases as well as manual-genital contact, oral-genital contact and masturbation. The sexual satisfaction decreased, but this change did not reach statistical significance. 78% of praticipants did not get any information about healthy sex life during pregnancy. Conclusions The main limitation of this study is that only the female point of view is analyzed regarding the relationship and sexual habits. Our phisicians and nurses can inform the patients correctly but do not mention anything if not asked. Patients with rhe risk factors (preterm birth, infections etc) are more aware of their problems and possibilities while in case of healthy pregnancies misconceptions and fear play a prominent role.
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