Objective To determine the prevalence of sexual dysfunction and its associated factors in pregnant women. Methods A descriptive, cross-sectional study including 262 pregnant women aged 18 years or older with gestational age between 10 and 35 weeks. Women with urinary tract infections and conditions of gestational risk were excluded. The Pregnancy Sexual Response Inventory (PSRI) questionnaire was used. We performed a univariate descriptive analysis, and comparisons between the mean values of the sexual function domains were made using the Student t-test. The chi-squared test was used to determine the association between the independent and dependent variables. The prevalence ratios, with their respective 95% confidence intervals, were also estimated, and a multivariate analysis was performed. Results A total of 64.9% of women reported a decrease in the frequency of sexual activity during pregnancy. Slightly more than half of the women (50.8%) were satisfied, and arousal was reported as excellent/good by 30.5% of them. The frequency of sexual difficulties/dysfunctions increased with pregnancy, rising from 5.7% to 58.8%, and pain during sexual intercourse was reported by 45.8% of them. Having higher education degree decreased the chance of being sexually dissatisfied by 50%. The total PSRI score showed a significant decrease from the prepregnancy period (mean score = 89.8, “excellent”) to the pregnancy period (mean score = 59.2, “good”). Conclusion The mean sexual function score during pregnancy was classified as good, although most pregnant women reported at least one type of alteration in the sexual function domains, and the report of dissatisfaction was more frequent in women with lower schooling.

The aim of this study is to determine the quality of evidence obtainable from published clinical trials on motor interventions, and assess whether the quality, in terms of methods and results, is sufficient to enable the development of evidence-based recommendations for clinical practice on children with Developmental Coordination Disorder (DCD). Here, a systematic review was conducted, with the addition of randomized controlled trials and quasi-randomized studies, with no language or time restrictions. Preschool and school-aged children of both sexes, with DCD were considered for inclusion. As the primary outcome, the motor skills of the children were evaluated. Searches were conducted in the following databases: MEDLINE/PubMed, LILACS, SCOPUS, CENTRAL, CINAHL and PSYCINFO. Results revealed that 1002 studies were encountered. After screening, 21 studies were initially considered eligible. Finally, after analysing the full articles, 9 studies involving 339 children were selected, comprising 6 randomized controlled trials and three quasi-randomized studies. The quality of evidence of most of the included trials was sufficient to recommend motor interventions for clinical practice on children with DCD. Finally, more clinical trials would be needed so as to define the best intervention, since different interventions presented positive effects.

Resumo Introdução Desde que foi declarada a pandemia do novo coronavírus (SARS-CoV-2), a área da saúde foi um dos campos que sofreu significativas modificações. O teleatendimento em saúde, que consiste na utilização de recursos tecnológicos e de comunicação para prestar assistência em saúde, foi uma alternativa encontrada para continuar, de maneira segura, o cuidado com os pacientes enquanto vigoravam as medidas de quarentena e isolamento social. Objetivo Analisar a percepção de mulheres assistidas em um hospital-escola do nordeste do Brasil referente ao teleatendimento implantado durante a pandemia de COVID-19. Métodos Estudo descritivo transversal realizado no Ambulatório de Fisioterapia da Mulher do Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), em Recife/PE. Foram incluídas mulheres maiores de 18 anos, em assistência remota via teleatendimento, excluindo aquelas que não deram continuidade ao atendimento por telessaúde. Para a coleta de dados, realizada de novembro de 2020 a julho de 2021, utilizou-se um questionário próprio, que foi enviado via WhatsApp para as participantes do estudo. Resultados Foram entrevistadas 26 pacientes com idade média de 52 ± 10,1 anos. A maioria (61,5%) foi atendida no ambulatório para tratar incontinência urinária e 38,5% estavam em tratamento fisioterapêutico há pelo ao menos seis meses. A maioria (92,3%) relatou se sentir segura com a assistência remota e 70,4% perceberam melhora dos sintomas. Conclusão A maior parte das participantes percebeu melhora dos sintomas, sentindo-se confortável e segura com o teleatendimento, e aceitaria continuar com o tratamento à distância mesmo após o retorno das atividades presenciais. Para uma resposta mais efetiva, contudo, as pacientes precisam ser bem orientadas e ter algum conhecimento prévio acerca do tratamento a ser proposto pela fisioterapia.

INTRODUCTION: Sexual education by health professionals during the postpartum period is extremely important in maintaining healthy sexual activity. In this context, the study proposed to identify the prevalence of sexual dysfunction in postpartum women and health professionals' orientations on sexual function after childbirth. METHODS: A descriptive, cross-sectional study, including 100 women up to one year postpartum, aged 18 years or more and sexually active, excluding pregnant women. Two questionnaires were applied, one for sample characterization and to evaluate orientations on sexuality and the Female Sexual Function Index (FSFI). An exploratory descriptive analysis was performed using SPSS for Windows. The study was approved by Ethics Committee and all women signed a consent form. RESULTS: The mean age of the sample was 26 years (SD 6.2), 45% were brown, 62% were married/stable union, 47% had completed high school and 67% were housewives. Almost half of the women (48%) received orientations on when to return sexual intercourse in the postpartum period, however, none of them received any other orientation about postpartum sexuality. The mean number of days for returning intercourse after delivery was 55.6 (SD 24.8). The prevalence of sexual dysfunction was 55%, using a score lower than 26.55 for classification of sexual dysfunction with the FSFI questionnaire. CONCLUSION: More than half of women were classified as having sexual dysfunction and none of them received guidance on postpartum sexual function. These findings serve as an alert to the importance of encouraging health professionals to guide the aspects of sexuality to women during prenatal and postpartum periods.

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