Psychosexual counselling training for midwives

Abstract

Many women and man report sexual problems or have been subjected to sexual abuse, or are dissatisfied with their sex life. Sexual counselling does not appear to be available as readily as desirable. Sexual problems are not yet a routine part of diagnostic work up and therapeutic planning. Nowdays the midwife is seen as a figure who can offer support and can provide sexual guidance and counsel. Psycosexual courses training for midwives have the purpose to train the midwives in discussing the psychology of interpersonal relationships and sexuality, the caratteristics of sexual dysfunction, in exploring cultural, religious and education factors which may inhibit a sexual relationship. The courses in sexual behaviour and counselling have the aims to increase the midwives knowledge of sexual behaviour and ability in sexual counselling, and in reducing anticipated anxiety or embarrassment in sexual discussion. This seminaris can facilitate access to recognition and possible sex treatment. Actually a midwife must acquire sexual knowledge, comfort and counselling skills. However one part of sexual dysfunction can be improved by sexual counselling if possible including the partner. If there are indications for sex therapy has to be clarified. The midwife can play an important role in facilitating healthful sexual changes in women and couple enhancing intimacy, reinforcing the “healthy” component of the symptom, in the sense of prompting a motivation for change. Midwives have an excellent opportunity to promote sex health, establishing a practise standard by incorporating a routine sex health assessment into each woman encounter. Of course there are sex therapists when the management of sexual problems requires more than counselling and reassurance.