The Effect of Educational Classes During Pregnancy on the Level of Sexual Satisfaction After Delivery in Nulliparous Women

Overview

Journal J Educ Health Promot

Specialty Medical Education

Date 2020 Nov 23

PMID 33224997

Citations 4

Authors

Farzaneh Rahimi

Shadi Goli

Fariba Eslami

Affiliations

Soon will be listed here.

Abstract

Background: In the postpartum period, changes in sexual desire and marital satisfaction can be seen. Learning and giving enough information on changes in pregnancy and postpartum can help to increase marital satisfaction. The purpose of this study was to determine the effect of prenatal training on the level of postpartum marital satisfaction in nulliparous women.

Methods: This study is a semi-experimental two-group study in which 150 nulliparous women were divided into two groups: control and intervention groups. The samples into intervention group received routine prenatal care and eight sessions of prenatal education with a training package (educational pamphlet on sexual health and sexual issues and an educational CD on pregnancy and pelvic exercises), and the control group received only routine prenatal care along with a pregnancy education pamphlet. Marital satisfaction was measured before intervention during pregnancy and 3 months after delivery (after intervention) using the ENRICH Marital Satisfaction Scale. Data were analyzed using -test, paired -test, Mann-Whitney, and Chi-square test.

Results: There was no significant difference in demographic and obstetric variables and pregnancy status between the two intervention and control groups ( > 0.05). There was no significant difference in marital satisfaction during pregnancy between the two groups (before intervention) ( > 0.05). However, there was a significant difference in the level of postpartum marital satisfaction in the intervention group ( < 0/05). So that, the average marital satisfaction is increased from 52.2 to 64.6.

Conclusion: The results of this study show that eight sessions of prenatal education class with a training package (educational pamphlet on sexual health and sexuality and training CD of prenatal and pelvic floor exercise) can improve postpartum marital satisfaction in women.

Citing Articles

Quality of Life and Sexual Satisfaction in the Early Period of Motherhood-A Cross-Sectional Preliminary Study.

Florkiewicz-Danel M, Zareba K, Ciebiera M, Jakiel G J Clin Med. 2023; 12(24).

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Comparison of the effect of face-to-face training and telemedicine on self-care in adolescent pregnant women: A quasi-experimental study.

Khayat S, Palizvan M, Navidian A, Fanaei H, Sheikhi Z J Educ Health Promot. 2022; 11:326.

PMID: 36568013 PMC: 9768710. DOI: 10.4103/jehp.jehp_1729_21.

Development of sexual health promotion package in pregnancy: The Delphi method.

Alizadeh S, Ozgoli G, Riazi H, Alavi Majd H J Educ Health Promot. 2022; 11:31.

PMID: 35281373 PMC: 8893089. DOI: 10.4103/jehp.jehp_298_21.

Comparing the effect of face-to-face education and using educational films on couples' sexual dysfunction during pregnancy.

Mohammadi M, Khani M J Educ Health Promot. 2021; 10:335.

PMID: 34761021 PMC: 8552277. DOI: 10.4103/jehp.jehp_1535_20.

References

Saisto T, Toivanen R, Salmela-Aro K, Halmesmaki E . Therapeutic group psychoeducation and relaxation in treating fear of childbirth. Acta Obstet Gynecol Scand. 2006; 85(11):1315-9. DOI: 10.1080/00016340600756920. View

Alimohammadi L, Mirghafourvand M, Zarei F, Pirzeh R . The effectiveness of group counseling based on Bandura's self-efficacy theory on sexual function and sexual satisfaction in Iranian newlywed women: A randomized controlled trial. Appl Nurs Res. 2018; 42:62-69. DOI: 10.1016/j.apnr.2018.06.011. View

Rowland M, Foxcroft L, Hopman W, Patel R . Breastfeeding and sexuality immediately post partum. Can Fam Physician. 2006; 51:1366-7. PMC: 1479788. View

Lawrence E, Rothman A, Cobb R, Rothman M, Bradbury T . Marital satisfaction across the transition to parenthood. J Fam Psychol. 2008; 22(1):41-50. PMC: 2367106. DOI: 10.1037/0893-3200.22.1.41. View

Schulz M, Cowan C, Cowan P . Promoting healthy beginnings: a randomized controlled trial of a preventive intervention to preserve marital quality during the transition to parenthood. J Consult Clin Psychol. 2006; 74(1):20-31. DOI: 10.1037/0022-006X.74.1.20. View

Hicks T, Goodall S, Quattrone E, Lydon-Rochelle M . Postpartum sexual functioning and method of delivery: summary of the evidence. J Midwifery Womens Health. 2004; 49(5):430-6. DOI: 10.1016/j.jmwh.2004.04.007. View

Woolhouse H, McDonald E, Brown S . Women's experiences of sex and intimacy after childbirth: making the adjustment to motherhood. J Psychosom Obstet Gynaecol. 2012; 33(4):185-90. DOI: 10.3109/0167482X.2012.720314. View

Midmer D, Wilson L, Cummings S . A randomized, controlled trial of the influence of prenatal parenting education on postpartum anxiety and marital adjustment. Fam Med. 1995; 27(3):200-5. View

Leite A, Campos A, Dias A, Amed A, De Souza E, Camano L . Prevalence of sexual dysfunction during pregnancy. Rev Assoc Med Bras (1992). 2009; 55(5):563-8. DOI: 10.1590/s0104-42302009000500020. View

10.

Afshar M, Mohammad-Alizadeh-Charandabi S, Merghti-Khoei E, Yavarikia P . The effect of sex education on the sexual function of women in the first half of pregnancy: a randomized controlled trial. J Caring Sci. 2014; 1(4):173-81. PMC: 4161090. DOI: 10.5681/jcs.2012.025. View

11.

Strizzi J, Olabarrieta Landa L, Pappadis M, Olivera S, Valdivia Tangarife E, Fernandez Agis I . Sexual Functioning, Desire, and Satisfaction in Women with TBI and Healthy Controls. Behav Neurol. 2015; 2015:247479. PMC: 4628696. DOI: 10.1155/2015/247479. View

12.

BERTAGNI P, Siani R, Micciolo R . Marital relationships and somatic and psychological symptoms in pregnancy. Soc Sci Med. 1994; 38(4):559-64. DOI: 10.1016/0277-9536(94)90252-6. View

13.

Bahadoran P, MohammadiMahdiabadzade M, Nasiri H, GholamiDehaghi A . The effect of face-to-face or group education during pregnancy on sexual function of couples in Isfahan. Iran J Nurs Midwifery Res. 2015; 20(5):582-7. PMC: 4598905. DOI: 10.4103/1735-9066.164512. View

14.

Heidari M, Aminshokravi F, Zayeri F, Azin S . Effect of Sexual Education on Sexual Function of Iranian Couples During Pregnancy: A Quasi Experimental Study. J Reprod Infertil. 2018; 19(1):39-48. PMC: 5960051. View

15.

Jamali S, Mosalanejad L . Sexual dysfnction in Iranian pregnant women. Iran J Reprod Med. 2014; 11(6):479-86. PMC: 3941320. View

16.

Masoumi S, Kazemi F, Nejati B, Parsa P, Karami M . Effect of Sexual Counseling on Marital Satisfaction of Pregnant Women Referring to Health Centers in Malayer (Iran): An educational randomized experimental study. Electron Physician. 2017; 9(1):3598-3604. PMC: 5308500. DOI: 10.19082/3598. View

17.

Mahnaz E, Nasim B, Sonia O . Effect of a structured educational package on women's sexual function during pregnancy. Int J Gynaecol Obstet. 2019; 148(2):225-230. DOI: 10.1002/ijgo.13051. View

18.

Knauth D . Predictors of parental sense of competence for the couple during the transition to parenthood. Res Nurs Health. 2000; 23(6):496-509. DOI: 10.1002/1098-240X(200012)23:6<496::AID-NUR8>3.0.CO;2-1. View

19.

Daneshkhah F, Allahverdipour H, Jahangiri L, Andreeva T . Sexual Function, Mental Well-being and Quality of Life among Kurdish Circumcised Women in Iran. Iran J Public Health. 2017; 46(9):1265-1274. PMC: 5632329. View

20.

OMalley D, Higgins A, Begley C, Daly D, Smith V . Prevalence of and risk factors associated with sexual health issues in primiparous women at 6 and 12 months postpartum; a longitudinal prospective cohort study (the MAMMI study). BMC Pregnancy Childbirth. 2018; 18(1):196. PMC: 5984394. DOI: 10.1186/s12884-018-1838-6. View