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

Author

Listed:
  • Carla B Andreucci
  • José G Cecatti
  • Rodolfo C Pacagnella
  • Carla Silveira
  • Mary A Parpinelli
  • Elton C Ferreira
  • Carina R Angelini
  • Juliana P Santos
  • Dulce M Zanardi
  • Jamile C Bussadori
  • Gustavo N Cecchino
  • Renato T Souza
  • Maria H Sousa
  • Maria L Costa

Abstract

Objective: to assess Female Sexual Function Index (FSFI) scores and delay to resume sexual activity associated with a previous severe maternal morbidity. Method: 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. Results: 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

Suggested Citation

  • Carla B Andreucci & José G Cecatti & Rodolfo C Pacagnella & Carla Silveira & Mary A Parpinelli & Elton C Ferreira & Carina R Angelini & Juliana P Santos & Dulce M Zanardi & Jamile C Bussadori & Gustav, 2015. "Does Severe Maternal Morbidity Affect Female Sexual Activity and Function? Evidence from a Brazilian Cohort Study," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-14, December.
    • Handle: RePEc:plo:pone00:0143581
    DOI: 10.1371/journal.pone.0143581
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    1. Erik von Elm & Douglas G Altman & Matthias Egger & Stuart J Pocock & Peter C Gøtzsche & Jan P Vandenbroucke & for the STROBE Initiative, 2007. "The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies," PLOS Medicine, Public Library of Science, vol. 4(10), pages 1-5, October.
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