Does Severe Maternal Morbidity Affect Female Sexual Activity and Function? Evidence from a Brazilian Cohort Study

to assess Female Sexual Function Index (FSFI) scores and delay to resume sexual activity associated with a previous severe maternal morbidity. This was a multidimensional retrospective cohort study. Women who gave birth at a Brazilian tertiary maternity between 2008 and 2012 were included, with data...

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Published in:	PloS one 2015-12, Vol.10 (12), p.e0143581-e0143581
Main Authors:	Andreucci, Carla B, Cecatti, José G, Pacagnella, Rodolfo C, Silveira, Carla, Parpinelli, Mary A, Ferreira, Elton C, Angelini, Carina R, Santos, Juliana P, Zanardi, Dulce M, Bussadori, Jamile C, Cecchino, Gustavo N, Souza, Renato T, Sousa, Maria H, Costa, Maria L
Format:	Article
Language:	eng
Subjects:	Adult Analysis Bivariate analysis Brazil - epidemiology Breastfeeding & lactation Case-Control Studies Cesarean section Cesarean Section - methods Childbirth & labor Children Cohort analysis Complications Delivery, Obstetric - methods Epidemiology Exposure Female Gynecology Health aspects Health care Health risk assessment Humans Information systems Maternal mortality Morbidity Mothers Obstetrics Patient outcomes Population (statistical) Postpartum Postpartum Period Pregnancy Pregnancy complications Pregnancy Complications - epidemiology Quality of life Regression analysis Reproduction Retrospective Studies Risk factors Severity of Illness Index Sexual Behavior - physiology Statistical analysis Statistical tests Studies Surveys and Questionnaires Womens health
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Summary:	to assess Female Sexual Function Index (FSFI) scores and delay to resume sexual activity associated with a previous severe maternal morbidity. This was a multidimensional retrospective cohort study. Women who gave birth at a Brazilian tertiary maternity between 2008 and 2012 were included, with data extraction from the hospital information system. Those with potentially life-threatening conditions and maternal near miss episodes (severe maternal morbidity) were considered the exposed group. The control group was a random sample of women who had had uncomplicated pregnancy. Female sexual function was evaluated through FSFI questionnaire, and general and reproductive aspects were addressed through specific questions. Statistical analyses were performed using Mann-Whitney and Pearson´s Chi-square for bivariate analyses. Logistic regression was used to identify variables independently associated with lower FSFI scores. 638 women were included (315 at exposed and 323 at not exposed groups). The majority of women were under 30 years-old in the control group and between 30 and 46 years-old in the exposed group (p = 0.003). Women who experienced severe maternal morbidity (SMM) had statistically significant differences regarding cesarean section (82.4% versus 47.1% among deliveries without complications, p
ISSN:	1932-6203 1932-6203