|
|
|
| Factors affecting sexual function among pregnant women |
| CAI Yuandan1, YANG Ruolan1, LIU Ying1, SONG Zhijiao2, WANG Ling1,2
|
1. School of Public Health, Shanxi Medical University, Taiyuan, Shanxi 030001, China;
2. Shanxi Children's Hospital (Shanxi Maternal and Child Health Hospital), Taiyuan, Shanxi 030013, China |
|
|
|
|
Abstract Objective To investigate the current status of sexual function and its influencing factors among pregnant women, so as to provide the reference for improving sexual health among pregnant women. Methods From January to July 2025, pregnant women attending regular prenatal check-ups at Shanxi Children's Hospital (Shanxi Maternal and Child Health Hospital), were selected as study participants using a convenience sampling method. Information on sociodemographic, pregnancy-related conditions, and sexual activity during pregnancy was collected through questionnaire surveys. Sexual function status over the past four weeks was assessed using the Chinese version of the Female Sexual Function Index. A multiple linear regression model was employed to analyze the influencing factors for sexual function among pregnant women. Results A total of 424 pregnant women were surveyed, with the majority aged 30-<35 years (211 cases, 49.76%). Among them, 72 were in the first trimester (16.98%), 200 in the second trimester (47.17%), and 152 in the third trimester (35.85%). The overall sexual function score among pregnant women was (17.85±6.46) points. Scores for the six domains, desire, arousal, lubrication, orgasm, satisfaction, and pain were (3.23±0.78) (2.21±1.20) (2.76±1.63) (2.95±1.68) (4.14±1.08) (2.56±1.96) points, respectively. Multiple linear regression analysis revealed that cohabitation with a companion (β'=0.124), stage of pregnancy (third trimester, β'=-0.360), and changes in sexual practices or positions during pregnancy (β'=0.164) were statistically associated with sexual function scores among pregnant women (all P<0.05). Conclusions Sexual function declines among pregnant women, with mean scores across all domains falling below the critical threshold. Cohabitation with a companion and appropriate adjustments in sexual practices or positions according to the stage of pregnancy may improve sexual function among pregnant women.
|
|
Received: 15 September 2025
Revised: 26 November 2025
Published: 25 December 2025
|
|
|
|
|
|
[1] FERNÁNDEZ-CARRASCO F J,BATUGG-CHAVES C,RUGER-NAVARRETE A,et al.Influence of pregnancy on sexual desire in pregnant women and their partners:systematic review[J/OL].Public Health Rev,2023,44[2025-11-26] .https://doi.org/10.3389/phrs.2023.1606308.
[2] 颜婕. 柳州地区孕期及产后女性性功能障碍发病情况及其干预治疗研究[D].桂林:桂林医学院,2024.
YAN J.An investigation into the incidence and therapeutic interventions for sexual dysfunction in prenatal and postnatal women in the Liuzhou Area[D].Guilin:Guilin Medical University,2024.(in Chinese)
[3] 邹芳亮. 妊娠期女性性行为及性功能状况的研究[D].广州:南方医科大学,2015.
ZOU F L.A study on sexual activity and sexual function in women during pegnancy[D].Guangzhou:Southern Medical University,2015.(in Chinese)
[4] SERATI M,SALVATORE S,SIESTO G,et al.Female sexual function during pregnancy and after childbirth[J].J Sex Med,2010,7(8):2782-2790.
[5] GAO L,XIE B,ZHU H M,et al.Association between pelvic floor muscle strength and sexual function based on PISQ-12-an analysis of data from a multicenter cross-sectional study on 735 nulliparae during pregnancy[J/OL].Front Med(Lausanne),2023[2025-11-26] .https://doi.org/10.3389/fmed.2023.1093830.
[6] 朱彩云,金凤娟,胡闽闽,等.我国孕妇妊娠期压力研究现状[J].中华全科医学,2020,18(8):1353-1357.
ZHU C Y,JIN F J,HU M M,et al.Research status on pregnancy-related stress among women in China[J].Chin J Gen Pract,2020,18(8):1353-1357.(in Chinese)
[7] 严雯婕,吴秋琳,陈熠媛,等.妊娠期情绪障碍研究进展[J].临床军医杂志,2020,48(3):352-354,358.
YAN W J,WU Q L,CHEN Y Y,et al.Research progress on mood disorders during pregnancy[J].Clin J Med Off,2020,48(3):352-354,358.(in Chinese)
[8] TAŞTEKIN OUYABA A,INFAL KESIM S.The prevalence of sexual dysfunctions in pregnant women and the correlated factors:a systematic review and meta-analysis[J].J Sex Med,2023,20(4):475-487.
[9] DAVARI-TANHA F,A'LAM Z R,SHIRAZI M,et al.Comparison of sexual function in pregnant women with different gestational age[J].Maedica,2020,15(3):335-338.
[10] 楼青青,张琴薇,姚慧岚,等.女性性功能量表的汉化及其信效度评价[J].中国实用护理杂志,2013,29(10):23-26.
LOU Q Q,ZHANG Q W,YAO H L,et al.Translation of Female Sexual Function Index(FSFI)into Chinese and its reliability and validity evaluation[J].Chin J Pract Nurs,2013,29(10):23-26.(in Chinese)
[11] 邹芳亮,张军,肖超群,等.中文版女性性功能量表在孕妇人群中应用的信效度评价[J].中国全科医学,2015,18(15):1854-1856.
ZOU F L,ZHANG J,XIAO C Q,et al.Reliability and validity of the Chinese version of Female Sexual Function Index for pregnant women[J].Chin Gen Pract,2015,18(15):1854-1856.(in Chinese)
[12] 娄文佳. 女性性功能障碍调查及影响因素初探[D].北京:北京协和医学院,2011.
LOU W J.Study on the investigation of female sexual dysfunction and its influencing factors[D].Beijing:Peking Union Medical College,2011.
[13] SCHNEIDER E,HOPF D,AGUILAR-RAAB C,et al.Affectionate touch and diurnal oxytocin levels:an ecological momentary assessment study[J/OL].Elife,2023,12[2025-11-26] .https://doi.org/10.7554/eLife.81241.
[14] NINIVAGGIO C,ROGERS R G,LEEMAN L,et al.Sexual function changes during pregnancy[J].Int Urogynecol J,2017,28(6):923-929.
[15] KHALESI Z B,BOKAIE M,ATTARI S M.Effect of pregnancy on sexual function of couples[J].Afr Health Sci,2018,18(2):227-234.
[16] LINDE K,LEHNIG F,NAGL M,et al.Course and prediction of body image dissatisfaction during pregnancy:a prospective study[J/OL].BMC Pregnancy Childbirth,2022,22(1)[2025-11-26] .https://doi.org/10.1186/s12884-022-05050-x.
[17] 吴惠琰,钱林,李娜娜.产妇盆底功能状况及影响因素分析[J].预防医学,2019,31(6):625-627.
WU H Y,QIAN L,LI N N.Status and determinants of pelvic floor function among postpartum women[J]. China Prev Med J,2019,31(6):625-627.(in Chinese)
[18] LEE J T,LIN C L,WAN G H,et al.Sexual positions and sexual satisfaction of pregnant women[J].J Sex Marital Ther,2010,36(5):408-420. |
|
|
|
