Resumption of sexual activity after childbirth and its related factors in Spanish women, a cross-sectional study.

Abstract

The resumption of sexual activity (RSA) after childbirth is problematic for many women; however, it is rarely addressed as a whole in consultation with a midwife.

Objective: to describe the sexual function of women in the postpartum period and its relationship with their personal characteristics. To make a proposal adapted to their needs in conjunction with a midwife.

Method: a descriptive cross-sectional study carried out within the Basque Health Service. 281 postpartum women were recruited by a midwife in hospital, in primary care or through peer information, and answered a digital questionnaire about RSA with ten questions about desire, arousal, lubrication, orgasm, satisfaction, pain and knowledge and attitude about contraception. The predictor variables were type of delivery, perineal injury, breastfeeding, self-image and partner affection. Age, parity and educational level were taken into consideration. A descriptive analysis of each variable was carried out and multiple linear regression models were built for each domain.

Results: 25.73 % of the total had resumed sexual relations, and 49.5 % of those who responded 6 weeks after giving birth had not yet done so. Satisfaction scored 3.52 (maximum 5). Genital injuries (β=-0.23, 95 %CI:-1.54, -0.07, p = 0.003), breastfeeding (β=-0.34, 95 %CI: -4.8, -1.18, p = 0.002), emotional support (β = 0.33, 95 %CI: 1.1, 4.69, p = 0.002) and self-image (β =-0.23, 95 % CI: -1.2,-0.07, p = 0.003) influenced at least three domains of sexual function.

Discussion: Postpartum care should include an expert response about physical state and an interview with the couple that addresses changes, self-image and emotional support.