Abstract
This study aimed to estimate the prevalence of sexual dysfunction prior to and during the first pregnancy. This was a cross-sectional study using postpartum interviews with 778 primigravidae who were married or in stable unions and had given birth at the two maternity hospitals in Rio Branco, Acre State, Brazil, from February 1st to July 31st, 2010. Median age was 20 years, 45% were adolescents, 19% had completed elementary school, 30% had paid jobs, and 86.5% had used public healthcare services (SUS) for childbirth. Prevalence of sexual dysfunction was 23.9% prior to pregnancy and 67.7% during pregnancy. Decreased libido was present in 20.2% prior to pregnancy and 51% during pregnancy. Decreased vaginal lubrication occurred in 29.1% during pregnancy. Dyspareunia was present in 1.2% prior to pregnancy and 14.4% during pregnancy. Some 3.3% reported sexual dissatisfaction prior to pregnancy, as compared to 10.8% during pregnancy. Women with more schooling showed higher prevalence of sexual dysfunction during (as compared to before) their first pregnancy.
Highlights
O objetivo deste estudo foi estimar a prevalência das disfunções sexuais antes e durante a gravidez por meio de um estudo transversal, realizado com 778 primigestas, com companheiro, que pariram nas duas maternidades de Rio Branco, Acre, Brasil, entre 1o de fevereiro e 31 de julho de 2010, utilizando entrevista no pós-parto
This study aimed to estimate the prevalence of sexual dysfunction prior to and during the first pregnancy
Dyspareunia was present in 1.2% prior to pregnancy and 14.4% during pregnancy
Summary
A pesquisa caracterizou-se como estudo de corte transversal, realizado a partir de um estudo matriz denominado Saúde Reprodutiva de Primigestas: Análise de Fatores Relacionados ao Tipo de Parto, realizado em Rio Branco. As variáveis utilizadas neste estudo foram: Sociodemográficas: idade, cor da pele, situação conjugal, escolaridade, ocupação, renda familiar (em salários-mínimos), tipo de serviço (atendimento pelo SUS e plano de saúde/particular) e maternidade; Disfunção sexual: a disfunção sexual (binária com valor sim e não) foi considerada como variável resposta (variável dependente), a qual pode ser apresentada em qualquer trimestre da gestação ou mesmo ao longo do período gestacional. Quando analisada por trimestre gestacional, observou-se um acréscimo da disfunção sexual conforme o aumento da idade gestacional em que a prevalência da ocorrência de qualquer um dos problemas na função sexual (falta de desejo, diminuição da lubrificação, insatisfação e presença de dor durante as relações sexuais) passa de 54,1% no primeiro trimestre para 66,3% no terceiro trimestre da gestação (Tabela 3). Distribuição das variáveis socioeconômicas e planejamento da gravidez das primigestas atendidas nas maternidades de Rio Branco, Acre, Brasil, 2010
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