Quantitative and qualitative assessment of maternal sexuality during pregnancy

Objective To investigate the quantitative and qualitative measures of the complex relationship between sexuality and the pregnant state. Methods An anonymous questionnaire [comprising the Female Sexual Function Index questionnaire, the Evaluation and Nurturing Relationship Issues, Communication and Happiness (ENRICH) Marital Satisfaction Scale, scale of attitudes toward sexuality, the World Health Organization (WHO) Well-Being Index and the scale of body image] was given to 243 women during antenatal classes. Results We evaluated 200 primiparous women, with an average age of 30.5 years (range 21-44), at an average gestational age of 31.6 weeks (range 19-38). We found that sexual intercourse during pregnancy is less frequent and less satisfying compared to the pre-pregnancy period. Sexuality or certain aspects of sexuality (arousal and satisfaction with sexuality) are associated with the fear of hurting the fetus, satisfaction with intimate partner relationship, general attitude toward sexuality, physical self-image and general well-being. Women who are more satisfied with their intimate partner relationship are also more satisfied with their sexuality. Conclusion Sexuality and sexual well-being during pregnancy are associated with the fear of hurting the fetus, satisfaction with intimate partner relationship, attitude toward sexuality, physical self-image and general well-being.