Korean J Women Health Nurs.  2020 Jun;26(2):161-170. 10.4069/kjwhn.2020.06.18.1.

Influence of pregnant couples’ attitudes towards sex during pregnancy on sexual function

• Kim MJ

• KMID: 2503633
• DOI: http://doi.org/10.4069/kjwhn.2020.06.18.1

Abstract

Purpose
This study was conducted to identify the influences of the attitudes of pregnant women and their husbands towards sex during pregnancy on sexual function.
Methods
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.
Results
In this study, 74.9% of pregnant women and 38.5% of their husbands reported sexual dysfunction. 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.
Conclusion
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.

Keyword

Pregnancy; Sexual health; Attitude; 임신; 성 건강; 태도

Reference

References

1. Jamali S, Mosalanejad L. Sexual dysfnction in Iranian pregnant women. Iran J Reprod Med. 2013; 11(6):479–486.

2. Aydin M, Cayonu N, Kadihasanoglu M, Irkilata L, Atilla MK, Kendirci M. Comparison of sexual functions in pregnant and non-pregnant women. Urol J. 2015; 12(5):2339–2344.

3. Yoo O. Factors that affect marital satisfaction of spouses in marriage for 5 years or less and 6 years or more. The Journal of Pastoral Care and Counseling. J Pastor Care Couns. 2017; 29:110–132. https://doi.org/10.23905/kspcc.29.201711.004.

4. Aslan G, Aslan D, Kizilyar A, Ispahi C, Esen A. A prospective analysis of sexual functions during pregnancy. Int J Impot Res. 2005; 17(2):154–157. https://doi.org/10.1038/sj.ijir.3901288.

5. Radoš SN, Vraneš HS, Šunjić M. Limited role of body satisfaction and body image self-consciousness in sexual frequency and satisfaction in pregnant women. J Sex Res. 2014; 51(5):532–541. https://doi.org/10.1080/00224499.2012.744954.

6. Lemer JL, Blodgett Salafia EH, Benson KE. The relationship between college women’s sexual attitudes and sexual activity: The mediating role of body image. Int J Sex Health. 2013; 25(2):104–114. https://doi.org/10.1080/19317611.2012.722593.

7. Sierra JC, Vallejo-Medina P, Santos-Iglesias P, Moyano N, Granados MR, del Mar Sánchez-Fuentes M. [Sexual functioning in the elderly: Influence of age and psychosexual factors]. Rev Int Androl. 2014; 12(2):64–70. Spanish. https://doi.org/10.1016/j.androl.2013.10.002.

8. Kim HE, Yeo JH. Impact of sexual attitude and marital intimacy on sexual satisfaction in pregnant couples: an application of the actor-partner interdependence model. Korean J Women Health Nurs. 2017; 23(3):201–209. http://doi.org/10.4069/kjwhn.2017.23.3.201.

9. Kaestle CE, Evans LM. Implications of no recent sexual activity, casual sex, or exclusive sex for college women's sexual well-being depend on sexual attitudes. J Am Coll Health. 2018; 66(1):32–40. https://doi.org/10.1080/07448481.2017.1369090.

10. Jawed-Wessel S, Herbenick D, Schick V, Fortenberry JD, Cattelona G, Reece M. Development and validation of the maternal and partner sex during pregnancy scales. J Sex Marital Ther. 2016; 42(8):681–701. https://doi.org/10.1080/0092623X.2015.1113587.

11. Oh EJ, Kim MJ. Factors affecting the sexual function of pregnant women. Korean J Women Health Nurs. 2019; 25(1):73–85. https://doi.org/10.4069/kjwhn.2019.25.1.73.

12. Corbacioglu Esmer A, Akca A, Akbayir O, Goksedef BP, Bakir VL. Female sexual function and associated factors during pregnancy. J Obstet Gynaecol Res. 2013; 39(6):1165–1172. https://doi.org/10.1111/jog.12048.

13. Pauleta JR, Pereira NM, Graça LM. Sexuality during pregnancy. J Sex Med. 2010; 7(1 Pt 1):136–142. https://doi.org/10.1111/j.1743-6109.2009.01538.x.

14. Torkestani F, Hadavand SH, Khodashenase Z, Besharat S, Davati A, Karimi Z, et al. Frequency and perception of sexual activity during pregnancy in iranian couples. Int J Fertil Steril. 2012; 6(2):107–110.

15. Kim MJ, Kim MS, Kim YH, Lee YM, Oh EJ. A validation study of the maternal and partner sex during pregnancy scale in Korean couples. Paper presented at: 21st East Asian Forum of Nursing Scholars & 11th International Nursing Conferences; 2018 Jan 11-12; Seoul, Korea. Seoul: Korean Society of Nursing Science, 2018. p. 56.

16. Lee Y, Lim MC, Joo J, Park K, Lee S, Seo S, et al. Development and validation of the Korean version of the Female Sexual Function Index-6 (FSFI-6K). Yonsei Med J. 2014; 55(5):1442–1446. https://doi.org/10.3349/ymj.2014.55.5.1442.

17. Ahn TY, Lee DS, Kang WC, Hong JH, Kim YS. Validation of an abridged Korean version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Korean J Urol. 2001; 42(5):535–540.

18. Jawed-Wessel S, Santo J, Irwin J. Sexual activity and attitudes as predictors of sexual satisfaction during pregnancy: a multi-level model describing the sexuality of couples in the first 12 weeks. Arch Sex Behav. 2019; 48(3):843–854. https://doi.org/10.1007/s10508-018-1317-1 .

19. Abouzari-Gazafroodi K, Najafi F, Kazemnejad E, Rahnama P, Montazeri A. Demographic and obstetric factors affecting women's sexual functioning during pregnancy. Reprod Health. 2015; 12:72. https://doi.org/10.1186/s12978-015-0065-0.

20. Heidari M, Aminshokravi F, Zayeri F, Azin SA. Effect of sexual education on sexual function of Iranian couples during pregnancy: a quasi experimental study. J Reprod Infertil. 2018; 19(1):39–48.

21. Kim HY, Lee ES. Sexual dysfunction and related factors in married Korean women. J Korean Acad Psychiatr Ment Health Nurs. 2010; 19(3):329–338. https://doi.org/10.12934/jkpmhn.2010.19.3.329.

22. Gałązka I, Drosdzol-Cop A, Naworska B, Czajkowska M, Skrzypulec-Plinta V. Changes in the sexual function during pregnancy. J Sex Med. 2015; 12(2):445–454. https://doi.org/10.1111/jsm.12747.

23. Ozgoli G, Sheikhan Z, Zahiroddin A, Khodakarami N, Nasiri M. The relationship of marital quality and sexual satisfaction with marital status in Iranian women: a Path model. Int J Appl Behav Sci. 2019; 5(1):31–40.

24. Lee YP, Kim SJ, Jeong GH. Pregnant women's attitude and satisfaction for sexuality. J Korean Acad Nurs. 2000; 30(5):1292–1302. https://doi.org/10.4040/jkan.2000.30.5.1292.