Factors associated with the resumption of sexual intercourse before the scheduled six-week postpartum visit

Nkwabong, Elie; Ilue, Elisabeth E.; Njamen, Théophile Nana

doi:10.1177/0049475519855294

Cited by 6 publications

(8 citation statements)

References 17 publications

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“…Wanting another child within six months postdelivery seems too early although not surprising; as a prior study conducted in Uganda in 2014 (about the same time when these data were collected) registered high fertility desires and pregnancy intentions among women living with HIV [30]. Similar studies in Cameroon and Ethiopia which evaluated factors associated with sexual intercourse resumption before the 6-week postpartum visit [10,50] also found among other factors that, having one child, was signi cantly associated with sexual intercourse resumption [51]. In Ethiopia, a cross-sectional study among postnatal women similarly found among other factors, that desire for another child coupled with pressure from the husband to initiate sexual intercourse, were signi cantly associated with early sex resumption [50].…”

Section: Discussionmentioning

confidence: 82%

“…The women had 3 options to choose from: 1) within 6 weeks; 2) after 6 weeks; 3) I don't remember. Those who chose the third option were assumed to have resumed sexual intercourse within 6 weeks based on ndings from a prior study where 68% of postnatal women who resumed sexual intercourse within 6 weeks did not attend their scheduled six-week postnatal clinic visit [10,45].…”

Section: Study Measuresmentioning

confidence: 99%

“…Some of the factors found to affect the quality of life of postpartum women include depression, lactation problems, urinary complications and di culties engaging in sexual intercourse after child birth [7]. Although several studies have in the recent past explored issues around sexuality during the postnatal period, the majority focussed on women in the general population as opposed to those living with HIV [8][9][10][11]. Women living with HIV require special attention as they experience unique challenges with their health-related quality of life which are exacerbated by a compromised immunity [12].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Resumption of Sexual Intercourse Among Postnatal Women Enrolled on Lifelong Antiretroviral Therapy in Uganda.

Naigino

Makumbi

Mukose

et al. 2021

Preprint

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BackgroundThe postnatal period is critical to the delivery of interventions aimed at improving maternal health outcomes. This study established the timing of sexual intercourse resumption after childbirth and associated factors among women living with HIV in Uganda.MethodsData were drawn from a larger prospective cohort of 507 HIV+ women who were recruited during pregnancy and followed-up for 18 months between August 2013 and May 2015. Analyses for this study were restricted to 385 women who had complete data on pregnancy outcomes. These women were followed-up for six months after childbirth and interviewed at 5 different time intervals (denoted as days since delivery) starting with 1-45 (acute), 46-90 (sub-acute) and 91-120, 121-150, 151-183 (delayed postpartum). At the initial visit, data were collected on women’s socio-demographic characteristics and the outcome of their latest pregnancy. At subsequent visits, women were asked about currently having a sexual partner, desire for another child, contraceptive use and resumption of sexual intercourse. The primary outcome was the time to resumption of sexual intercourse within six months after childbirth. Survival analysis was used to estimate the time to sexual intercourse resumption based upon the visit at which sexual intercourse was first reported. Factors associated with time to sexual intercourse resumption were established using Cox proportional hazards regression analyses. We obtained adjusted hazard ratios with their 95% confidence intervals. All data analyses were performed using STATA version 14.0. ResultsThe cumulative probability of sexual intercourse resumption increased up to 88.2% by the sixth month postpartum. The instantenous probability of sexual intercourse resumption was highest in the delayed postpartum period [68.6% (50.6, 89.3)]. The risk of sexual intercourse resumption was lower when a woman reported having a live-term baby [adj.HR=0.52 (0.31, 0.85)] and an advanced education [adj.HR=0.63 (0.40, 0.98)]. However, currently having a sexual partner [adj.HR=5.97 (3.10, 11.47)]; desire for another child [adj.HR=1.36 (1.08, 1.73)] and contraceptive use [adj.HR=2.21 (1.65, 2.95)] were associated with an increased risk of sexual intercourse resumption.ConclusionThe majority of women reported resuming sexual intercourse by the sixth month postpartum. Interventions aimed at improving contraceptive uptake should target the delayed postpartum period.

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Section: Discussionmentioning

confidence: 82%

Section: Study Measuresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Resumption of Sexual Intercourse Among Postnatal Women Enrolled on Lifelong Antiretroviral Therapy in Uganda.

Naigino

Makumbi

Mukose

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…However, according to the World Health WHO and other studies, more than half (50%), of women resume sexual activity within 6 weeks of childbirth ( 9 – 11 ). For instance, in Turkey 79.1% and China 68.7% of postpartum women engage sexual activity within the first 6 weeks of childbirth ( 12 , 13 ).…”

Section: Introductionmentioning

confidence: 99%

Return of Sexual Activity Within Six Weeks of Childbirth Among Married Women Attending Postpartum Clinic of a Teaching Hospital in Ethiopia

Dirirsa¹,

Salo²,

Eticha³

et al. 2022

Front. Med.

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Introduction:Postpartum sexual health gets very little attention compared to pregnancy and childbirth, even though most maternal deaths and disabilities occur during this time. Therefore, the study aimed to assess return of sexual activity within 6 weeks of childbirth among married women attending postpartum clinic of a teaching hospital in Ethiopia, 2021.MethodsThe hospital-based cross-sectional study design was implemented from September to October 2021. Eligible postpartum women were sampled by systematic random sampling technique. The data was entered into EPI-info and exported to SPSS version 24 for further analysis. All variables with a p-value < 0.05 in multivariable analyses were taken as associated factors with the return to sexual activity before 6 weeks of childbirth.ResultsA total of 421 postpartum women participated in the study. The prevalence of women who return to sexual activity 6 weeks after childbirth was 31.6%. The study revealed that monogamy (Adjusted Odds Ratio (AOR) = 4.4, 95% Confidence Interval (CI) (2.1, 9.4)), parity (AOR= 0.11, 95% CI (0.02–0.81)) and (AOR = 0.1, 95% CI (0.015–0.72)), postnatal care (AOR= 1.8, 95% CI (1.01–3)) and infants feeding status (AOR=2.3, 95% CI (1.3–4)) were significantly associated with return of sexual activity before 6 weeks of childbirth.ConclusionThe findings of this study suggested that, nearly one-third of postpartum women engaged to sexual activity within 6 weeks of childbirth. Return of sexual activity within 6 weeks of childbirth associated with monogamy type of marriage, parity, postnatal care, and child feeding status. Strengthening postpartum counseling regarding the appropriate time to resume sexual activity is crucial. Regular postpartum visits following deliveries should also be encouraged by health care providers.

show abstract

Section: Introductionmentioning

confidence: 99%

Resumption of Sexual Intercourse Among Postnatal Women Enrolled on Lifelong Antiretroviral Therapy in Uganda

et al. 2021

View full text Add to dashboard Cite

Factors associated with the resumption of sexual intercourse before the scheduled six-week postpartum visit

Cited by 6 publications

References 17 publications

Resumption of Sexual Intercourse Among Postnatal Women Enrolled on Lifelong Antiretroviral Therapy in Uganda.

Resumption of Sexual Intercourse Among Postnatal Women Enrolled on Lifelong Antiretroviral Therapy in Uganda.

Return of Sexual Activity Within Six Weeks of Childbirth Among Married Women Attending Postpartum Clinic of a Teaching Hospital in Ethiopia

Resumption of Sexual Intercourse Among Postnatal Women Enrolled on Lifelong Antiretroviral Therapy in Uganda

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