Abstract
to identify factors associated with the sexual practices and positions performed by pregnant women. a cross-sectional, quantitative study conducted with 354 pregnant women, in the interior of Ceará, Brazil, in 2016. For data collection, a form and a Pregnancy Sexuality Questionnaire were used. there was a reduction in the sexual initiative of the woman, sexual disposition of the couple, sexual practices and most of the sexual positions, while the maintenance of preliminary sexual activities and initiative to perform them was verified. Sexual practices and positions decreased (p<0.0001): preliminary sexual activities, sexual disposition, lubrication, orgasm, pain or discomfort, sexual positions, sexual practices, and sexual satisfaction. Sexual practices and positions increased (p<0.0001) as a function of: education, number of deliveries, sexual life, desire and arousal, and sexual disposition of the pregnant woman, frequency of orgasm and of sexual practices (p<0.0001). sexual practices and positions of pregnant women were affected by domains of sexual function, sexual, reproductive, physical, and psychological aspects.
Highlights
During pregnancy, the perception and experience of the body as sexualized are configured as unique and can be challenging, which demands readjustments in the face of these changes
The sexual initiative of the partner predominated in both periods analyzed. When this data is analyzed by gestational trimester, the initiative to engage in sexual practices was predominantly from the partner, reaching 52.6% (n = 62) in the first trimester, 50.9% (n = 60) in the second; and, in the third trimester, the partner’s initiative was equal to the mutual initiative (n = 56; 47.45%)
No statistically significant relations were identified between the initiative to engage in sexual practices and gestational trimesters (p = 0.1331)
Summary
The perception and experience of the body as sexualized are configured as unique and can be challenging, which demands readjustments in the face of these changes. Difficulties in this area can impact the sexual life(1). The sexual activity performed before pregnancy, changes experienced during pregnancy in the physical, emotional, existential, and gender role areas can affect the changes in sexual practices and positions and culminate in a decrease or absence of them(1-3). The sexual practices and positions performed during pregnancy can be negatively affected by beliefs, moral and cultural values, myths and fear regarding negative repercussions on fetal health, body anatomical changes, marital relationship, intrapsychic factors and lack of experience in adapting to sex during pregnancy(3). When used comfortably(4-5) and creative ways to obtain pleasure in a way that favors the closeness of the couple, strengthens the expression of love and desire, affective bonds and complicity(1,3)
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