Which factors determine the sexual function 1 year after childbirth?
Article first published online: 18 JUL 2006
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 113, Issue 8, pages 914–918, August 2006
How to Cite
Van Brummen, H., Bruinse, H., Van De Pol, G., Heintz, A. and Van Der Vaart, C. (2006), Which factors determine the sexual function 1 year after childbirth?. BJOG: An International Journal of Obstetrics & Gynaecology, 113: 914–918. doi: 10.1111/j.1471-0528.2006.01017.x
- Issue published online: 18 JUL 2006
- Article first published online: 18 JUL 2006
- Accepted 26 May 2006.
- Maudsley Marital Questionnaire (MMQ);
- sexual intercourse;
- sexual relationship
Objective To evaluate which factors determine sexual activity and satisfaction with the sexual relationship 1 year after the first delivery.
Design Prospective longitudinal cohort study.
Setting Ten midwifery practices.
Population Three hundred and seventy-seven nulliparous women were included.
Methods The Maudsley Marital Questionnaire is a standardised and validated questionnaire with 15 items relating to marital and sexual adjustment, with a nine-point (0–8) scale appended to each question. Scores on the sexual scale (MMQ-S) range from 0 to 40. Higher scores are indicative of greater dissatisfaction. Sexual intercourse was dichotomised into having sexual intercourse or not having sexual intercourse. Several obstetric and maternal factors were analysed.
Main outcome measurements Sexual intercourse at 1 year postpartum and dissatisfaction with the sexual relationship as assessed by the MMQ-S scale.
Results In multiple logistic regression analysis, the main predictive factor for no sexual intercourse 1 year postpartum was no sexual intercourse at 12 weeks of gestation (β 11.0 [4.01–30.4]). Women were five times less likely to be sexually active after a third/fourth degree anal sphincter tear as compared with women with an intact perineum (β 0.2 [0.04–0.93]). Dissatisfaction with the sexual relationship 1 year after childbirth, assessed with the MMQ-S scale, is associated with not being sexually active at 12 weeks of gestation (β– 0.208, P= 0.004) and with an older maternal age at delivery (β 0.405, P= 0.032).
Conclusion An important prognostic factor for dissatisfaction with the sexual relationship 1 year postpartum was not being sexually active in early pregnancy. Satisfaction with the sexual relationship seems not to depend on pregnancy- and parturition-associated factors.