Abstract
This study was conducted to identify the influences of the attitudes of pregnant women and their husbands towards sex during pregnancy on sexual function. Additional purpose was to compare the frequency of sexual dysfunction according to gender and gestational trimester and to describe the changes in sexual behavior according to the gestational trimester. In this study, 231 pregnant couples completed self-report questionnaires during their visits to women's hospitals or community health centers. The questionnaires assessed general characteristics, maternal/paternal sexual attitudes towards sex during pregnancy (Maternal Sex during Pregnancy Scale, MSP/Paternal Sex during Pregnancy Scale, PSP), and sexual function (using the Female Sexual Function Index and International Index of Erectile Function, respectively). Multiple regression analysis was done to test the research model using SPSS version 23.0. In this study, 74.9% of pregnant women and 38.5% of their husbands reported sexual dysfunction. Sexual dysfunction was prevalent in pregnant women in the first trimester and prevalent in husbands in the third trimester. MSP (β=.44, p<.001) in pregnant women and PSP (β=.39, p<.001) and being in the first trimester (β=.17, p=.012) in husbands influenced sexual function during pregnancy. In the first trimester, the scores for attitudes towards sex during pregnancy were the lowest in pregnant women, while they were the highest in their husbands. Positive attitudes about sex during pregnancy are important for sexual function in pregnant couples. Because the difference in attitudes towards sex during pregnancy between pregnant women and their husbands was greatest in the first trimester, sexual health interventions need to be provided in early pregnancy.
Highlights
착상부터 산후까지 생리적, 심리적, 신체적 영역에서 적지 않은 변화를 고려하면 임신 중 성행위의 변화는 놀랍지 않다. 임신 중 성 행위는 문화적 신념 및 금기와 관련이 있고[4], 신체 이미지 인식과 파트너와의 의사소통이 영향을 미치는 것으로 보고된다[5]. 또한 성기능부전의 발생 빈도는 임신 1기, 2기,3기에 각각 23.4%, 30.5%, 46.2%로 임신이 경과하면서 증가하는 것으로 나타나[1] 임 신 기간과 임신 중 성기능의 관련성을 추론해볼 수 있다. 따라서 임 신 기간에 따라 성행위의 변화, 성기능 부전의 발생 빈도를 파악해 볼 필요가 있다
What is already known about this topic? Pregnancy causes and aggravates sexual dysfunction in pregnant women and their husbands
The attitudes were lowest in pregnant women, while they were highest in their husbands
Summary
What is already known about this topic? Pregnancy causes and aggravates sexual dysfunction in pregnant women and their husbands. Sexual attitudes have been reported to be a factor influencing sexual function in these couples. What this paper adds Attitude towards sex during pregnancy influenced sexual function in pregnant women and their husbands. The attitudes were lowest in pregnant women, while they were highest in their husbands. Implications for practice, education, and/or policy Nurses need to help pregnant women and their husbands have positive attitudes toward sex during pregnancy, interventions are in need
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