Understanding women’s postpartum sexual experiences

DeMaria, Andrea L.; Delay, Cara; Sundstrom, Beth; Wakefield, Audrey L.; Avina, Angel; Meier, Simon

doi:10.1080/13691058.2018.1543802

Cited by 18 publications

(21 citation statements)

References 38 publications

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“…Having a live-term baby was found to be associated with a reduced risk of sexual intercourse resumption. This is consistent with ndings from a prior study in South Carolina (USA) which found a lower risk of sexual intercourse resumption when a mother had a live-term baby [47]. A population based study in Australia that examined the prevalence and persistence of women's health problems experienced within 8 to 24 weeks postpartum, cited among other health problems, exhaustion/extreme tiredness, backache and lack of sleep due to the baby crying [48].…”

Section: Discussionsupporting

confidence: 89%

“…Data was not collected on the mode of delivery yet this variable has been previously found to be signi cantly associated with duration of postpartum abstinence [8] and timing of resumption of vaginal sex [8,11]. To the contrary, ndings from some prior studies showed that mode of delivery did not reach statistical signi cance in affecting the time to sexual intercourse resumption [47,[51][52][53][54]. The lack of data on mode of delivery may not have probably changed the direction of our study ndings based on evidence from a systematic review of literature searched from PubMed, CINAHL and Cochrane databases for the period January 1990 and September 2003, which indicates inconsistencies in reported associations between mode of delivery and sexual intercourse resumption [55].…”

Section: Study Limitationsmentioning

confidence: 99%

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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: Discussionsupporting

confidence: 89%

Section: Study Limitationsmentioning

confidence: 99%

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

Section: N = 385supporting

confidence: 89%

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

et al. 2021

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“…13 studies- [26], [29], [34], [35], [37], [38], [40], [42], [44], [47], [49], [53], [ 16 studies- [26], [28], [33], [34] [36], [37], [40], [41], [45], [47], [48], [49], [52], [56], [57], [58] High "I was alone with my baby, in such a chaotic situation. I found myself wasting a lot of time.…”

Section: Studies-[30]mentioning

confidence: 99%

“…6 studies- [25], [29], [40], [50], [52], [56] Low 'Now I look at my stomach and think 'well, now she's not in there it's not so good' . .…”

Section: Re-forming the Birthing Bodymentioning

confidence: 99%

What matters to women in the postnatal period: A meta-synthesis of qualitative studies

Finlayson¹,

Crossland²,

Bonet³

et al. 2020

PLoS ONE

157

136

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Introduction The postnatal period is an underserved aspect of maternity care. Guidelines for postnatal care are not usually informed by what matters to the women who use it. This qualitative systematic review was undertaken to identify what matters to women in the postnatal period, to inform the scope of a new World Health Organization (WHO) postnatal guideline. Methods We searched MEDLINE, CINAHL, PsycINFO, POPLINE, Global Index Medicus, EMBASE, LILACS, AJOL, and reference lists of eligible studies published January 2000-July 2019, reporting qualitative data on women's beliefs, expectations, and values relating to the postnatal period. Data collection and analysis Author findings were extracted, coded and synthesised using techniques derived from thematic synthesis. Confidence in the quality, coherence, relevance and adequacy of data underpinning the resulting findings was assessed using GRADE-CERQual. Results We included 36 studies from 15 countries, representing the views of more than 800 women. Confidence in most results was moderate to high. What mattered to women was a positive postnatal experience where they were able to adapt to their new self-identity and develop a sense of confidence and competence as a mother; adjust to changes in their intimate and family relationships, including their relationship to their baby; navigate ordinary physical and emotional challenges; and experience the dynamic achievement of personal growth as they adjust to the 'new normal' of motherhood and parenting in their own cultural context.

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Understanding women’s postpartum sexual experiences

Cited by 18 publications

References 38 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.

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

What matters to women in the postnatal period: A meta-synthesis of qualitative studies

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