Document Type : Original Article
Authors
Research Centre for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Abstract
BACKGROUND: Pregnancy is a special period in a woman’s life during which physical, mental,
social, and cultural changes would affect sexual desires during this period. The present study was
conducted to compare the effect of face‑to‑face education and using educational films on the sexual
dysfunction in couples.
MATERIALS AND METHODS: The present study was a semi‑experimental research. Study
population contained pregnant women and their husbands. Samples were selected randomly. Data
were gathered using demographic characteristic questionnaire and sexual dysfunction in men and
women questionnaire. Sample size was 96 couples (32 couples in the face‑to‑face group, 32 in the
educational films group, and 32 in the control group). Data were analyzed using SPSS20 software.
RESULTS: The mean total score of preintervention sexual function in face‑to‑face education group
was 46.72 ± 9.79, in educational film group 47.82 ± 13.07, and in control group 43.84 ± 12.76. In
the case of postintervention, it was, respectively, 60.62 ± 9.72, 57.37 ± 14.74, and 43.61 ± 14.21.
Face‑to‑face education led to the treatment of sexual dysfunction during pregnancy (P < 0.001). In
the educational film group (P = 0.40), sexual dysfunction during pregnancy was not treated, but there
was an improvement in sexual function (P = 0.001). In the control group, there was a significant
difference regarding the decrease in the score of sexual function and untreated sexual dysfunction
during pregnancy (P = 0.001). Furthermore, no improvement was observed in the sexual dysfunction
during pregnancy (P = 0.90).
CONCLUSIONS: According to the results, face‑to‑face and film education are effective in sexual
function during pregnancy, but face‑to‑face education in pregnancy is more effective in the treatment
of sexual dysfunction, and so this causes promoting sexual health during this period.
Keywords
Ferreira CH. Evaluation of sexual function in Brazilian pregnant
women. J Sex Marital Ther 2011;37:116‑29.
2. American Psychiatric Association . Diagnostic and Statistical
Manual of Mental Disorders (DSM‑5®). Washington, American
Psychiatric Pub; 2013.
3. Johnson CE. Sexual health during pregnancy and the
postpartum (CME). J Sex Med 2011;8:1267‑84.
4. Fuchs A, Czech I, Sikora J, Fuchs P, Lorek M, Skrzypulec‑Plinta V,
et al. Sexual functioning in pregnant women. Int J Environ Res
Public Health 2019;16:4216.
5. Anzaku SA, Ogbe EA, Ogbu GI, Edem BE, Ngwan SD. Evaluation
of changes in sexual response and factors influencing sexuality
during pregnancy among Nigerian women in Jos, Nigeria. Int J
Reprod Contracept Obstet Gynecol 2016;5:3576‑82.
6. Hasani M, Keramat A, Maasoumi R, Farjamfar M, Yunesian M,
Afshar B. The frequency of vaginal intercourse during pregnancy:
A systematic and meta‑analysis study. Int J Womens Health
Reprod Sci 2019;7:1‑9.
7. Ninivaggio C, Rogers RG, Leeman L, Migliaccio L, Teaf D,
Qualls C. Sexual function changes during pregnancy. Int
Urogynecol J 2017;28:923‑9.
8. Ebrahimian A, Heydari M, Saberi Zafarghandi M. Comparison
of female sexual dysfunctions before and during pregnancy. Iran
J Obstet Gynecol Infertil 2010:13:30‑6.
9. Corbacioglu A, Bakir VL, Akbayir O, Goksedef BP, Akca A. The
role of pregnancy awareness on female sexual function in early
gestation. J Sex Med 2012;9:1897‑903.
10. Sossah L. Sexual behavior during pregnancy: A descriptive
correlational study among pregnant women. Eur J Res Med Sci
2014;2:16‑27.
11. Bayrami R, Satarzadeh N, Ranjbar Kouchaksaraei F, Pezeshki MZ.
Male sexual behavior and its relevant factors during the partners
pregnancy. J Ardabil Univ Med Sci (Jaums) 2009;8:356-63.
12. function during pregnancy and after childbirth. J Sex Med
2010;7:2782‑90.
13. Goshtasbi A, Vahdaninia MA, Rahimi Foroushani A,
Mohammadi A. Reproductive correlates of female sexual
dysfunctions in Kohgilouyeh‑Boyerahmad province:
A population‑based study.J Payesh 2008;7:67‑73.
14. Murtagh J. Female sexual function, dysfunction, and pregnancy:
Implications for practice. J Midwifery Womens Health
2010;55:438‑46.
15. Jones C, Chan C, Farine D. Sex in pregnancy. CMAJ.
2011;183(7):815‑8.
16. Bolourian Z, Ganjloo J. Evaluating sexual dysfunction and some
related factors in women attending Sabzevar health care centers.
J Reprod Infertil 2007;8:163‑170.
17. Asadi L, Bokaie M, Khavari F, Mohammadi M, Gandomani SJ.
Evaluation of the relationship between emotional intelligence
and sexual function of reproductive age women. J Educ Health
Promot 2020;9:93.
18. Fentahun N, Assefa T, Alemseged F, Ambaw F. Parents’
perception, students’ and teachers’ attitude towards school sex
education. Ethiop J Health Sci 2012;22:99‑106.
19. Jalali Aria K, Nahidi F, Ali Akbari SA, Alavi Majd H. Parents
and teachers’ view on appropriate time and method for
female reproductive health education. J Gorgan Univ Med Sci
2010;12:84‑90.
20. Abdollahi A, Mollaie E, Roohi G. Comparing of three methods
of education on level of knowledge towards AIDS among high
school students in Gorgan city, Northern of Iran. J Payavard
Salamat 2008;2:75‑80.
21. Mirzabeigi A. Curriculum Planning and Lesson Plan in Formal
Education and Human Resource Training. 4rd ed. Tehran:
Yastaron; 1389.
22. Parsa M. Teory of Learning Psychology. 6th ed. Tehran: Maharat;
2011.
23. Mahnaz E, Nasim B, Sonia O. Effect of a structured educational
package on women’s sexual function during pregnancy. Int J
Gynaecol Obstet 2020;148:225‑30.
24. Eybpoosh S, Rahnavard Z, Yavari P, Rajabi F. Effect of an
educational intervention based on the transtheoretical model on
vitamin intake in female adolescent. Hayat 2011;16:15‑30.
25. Kamalifard M, Mohammad‑Alizade‑Charandabi S,
Ebrahimi‑MameganiM, Asghari‑JafarabadiM, Omidi F. The effect
of an educational package on nutritional knowledge, attitude, and
behavior of pregnant women. Iran J Med Educ 2012;12:686‑97.
26. Toughyani R, Ramezani MA, Izadi M, Shahidi S, Aghdak P,
Motie Z, et al. The effect of prenatal care group education on
pregnant mothers’ knowledge, attitude and practice. Iran J Med
Educ 2008;7:317‑24.
27. 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;20:582‑7.
28. Mohammadi KH, Heydari M, Faghihzadeh S. The female sexual
function index (FSFI): Validation of the Iranian version. Health
Monit J Iran Inst Health Sci Res 2008;7:269‑78.
29. Mehdizadeh TourzaniZ, Hasan ZahraeiR, Ehsanpour S, Nasiri M,
Shahidi S, Soleymani B. A study on the relationship of sexual
satisfaction and common contraceptive methods employed by
the couples. Iranian journal of nursing and midwifery research.2010;15(3):115‑9.
30. Wolpe RE, Wittkopf PG, Martins MP, Moreira GM, Rosa SB,
Sperandio FF. Reliability and validity of the female sexual function
index administered via telephone in Brazilian women. Man Ther
Posturol Rehabil J 2018;16:1‑6.
31. Miranda CC, Perez AV, Bossardi BR, Brust LC, Grossi FS,
Valério EG, et al. Sexual function in pregnant women in the public
health system. Open J Obstet Gynecol 2019;9:764‑74.
32. Fernández‑Sola C, Huancara‑Kana D, Granero‑Molina J,
Carmona‑SamperE, López‑Rodríguez MD, Hernández‑Padilla JM.
Sexuality throughout all the stages of pregnancy: Experiences of
expectant mothers. Acta Paul Enferm 2018;31:305‑12.
33. Rahimi F, Goli S, Eslami F. The effect of educational classes during
pregnancy on the level of sexual satisfaction after delivery in
nulliparous women. J Educ Health Promot 2020;9:253.
34. Liu HL, Hsu P, Chen KH. Sexual activity during pregnancy in
Taiwan: A qualitative study. Sex Med 2013;1:54‑61.
35. Alkaabi MS, Alsenaidi LK, Mirghani H. Women’s knowledge
and attitude towards pregnancy in a high‑income developing
country. J Perinat Med 2015;43:445‑8.
36. Dancet EA, D’Hooghe TM, Dreischor F, van Wely M, Laan ET,
Lambalk CB, et al. The ‘Pleasure and Pregnancy’ web‑based
interactive educational programme versus expectant management
in the treatment of unexplained subfertility: Protocol for a
randomised controlled trial. BMJ Open 2019;9:e025845.
37. Heidari M, Aminshokravi F, Zayeri F, Azin SA. Effect of sexual
education on sexual function of Iranian couples during pregnancy:
A quasi experimental study. J Reprod Infertil 2018;19:39‑48.
38. Vieira TC, Nakamura MU, da Silva I, Torloni MR, Ribeiro MC,
Scanavino MT, et al. Experience of an online course on
sexuality during pregnancy for residents. Sex Reprod Healthc
2017;12:76‑81.
39. Mohamadirizi S, Bahadoran P, Fahami F. Comparison between
the impacts of e‑learning and booklet education on nulliparous
women’s satisfaction about postpartum care. Iran J Obstet
Gynecol Infertil 2013;16:1‑8.
40. Wallis AB, Tsigas EZ, Saftlas AF, Sibai BM. Prenatal education is
an opportunity for improved outcomes in hypertensive disorders
of pregnancy: Results from an Internet‑based survey. J Matern
Fetal Neonatal Med 2013;26:1565‑7.
41. Elsayed DM, Said AR, Araby OA. Effect of sexual educational
package on knowledge and female sexual function for pregnant
women. Am J Nurs 2019;8:210.
)