Abstract
The sexual satisfaction of couples during pregnancy is an under-researched area of study. Several limitations exist within the current literature, including a lack of inquiry into attitudes about sex during pregnancy, analysis of the relationship between sexual satisfaction and sexual behaviors, and analysis of dyadic interactions within the couple. The purpose of the current study was to examine the relationships between attitudes toward having sex during pregnancy, various sexual behaviors, and sexual satisfaction among expectant couples via multilevel structural equation modeling. Recruitment focused on mixed-gender monogamous couples where the pregnant individual was between 8 and 12 weeks of gestation, and both partners were soon-to-be first time parents. Touching, hugging, or holding, kissing, vaginal and oral sex, and rubbing each other’s genitals were all common behaviors among the 116 couples in the current investigation. Anal sex and sex toy use were less common, but far from absent. According to our model, attitudes toward having sex during pregnancy significantly predicted sexual satisfaction by operating through specific sexual behaviors: kissing, vaginal fingering, and vaginal intercourse, while use of a toy alone and use of a toy with partner were independent predictors of sexual satisfaction. Gender had a direct relationship with satisfaction (men were more satisfied), as well as indirect relationship with satisfaction through an interaction with vaginal fingering and use of a sex toy alone. While multiple past month sexual behaviors were likely to increase satisfaction among pregnant and non-expectant couples alike, this improvement might depend on which behaviors are included and the gender of the individual.
Similar content being viewed by others
References
Adinma, J. I. B. (1995). Sexuality in Nigerian pregnant women: Perceptions and practice. Australian and New Zealand Journal of Obstetrics and Gynaecology, 35, 290–293.
Armstrong, E. A., England, P., & Fogarty, A. C. (2012). Accounting for women’s orgasm and sexual enjoyment in college hookups and relationships. American Sociological Review, 77, 435–462.
Backstrom, L., Armstrong, E. A., & Puentes, J. (2012). Women’s negotiation of cunnilingus in college hookups and relationships. Journal of Sex Research, 49, 1–12. https://doi.org/10.1080/002244992011.585523.
Barclay, L. M., McDonald, P., & O’Loughlin, J. A. (1994). Sexuality and pregnancy: An interview study. Australian and New Zealand Journal of Obstetrics and Gynaecology, 34, 1–7. https://doi.org/10.1111/j.1479-828X.1994.tb01029.x.
Bartellas, E., Crane, J. M., Daley, M., Bennett, K. A., & Hutchens, D. (2000). Sexuality and sexual activity in pregnancy. BJOG: An International Journal of Obstetrics and Gynaecology, 107, 964–968.
Beveridge, J. K., Vannier, S. A., & Rosen, N. O. (2017). Fear-based reasons for not engaging in sexual activity during pregnancy: Associations with sexual and relationship well-being. Journal of Psychosomatic Obstetrics and Gynecology, 41, 1–11.
Byers, E. S. (2005). Relationship satisfaction and sexual satisfaction: A longitudinal study of individuals in long-term relationships. Journal of Sex Research, 42, 113. https://doi.org/10.1080/00224490509552264.
Daniluk, J. C. (1998). Women’s sexuality across the lifespan: Challenging myths, creating meanings. New York, NY: Guilford Press.
de Judicibus, M. A., & McCabe, M. P. (2002). Psychological factors and the sexuality of pregnant and postpartum women. Journal of Sex Research, 39, 94–103. https://doi.org/10.1080/00224490209552128.
Dempsey, J. M., & Reichert, T. (2000). Portrayal of married sex in the movies. Sexuality and Culture, 4, 21–36.
Ekwo, E. E., Gosselink, C. A., Woolson, R., Moawad, A., & Long, C. R. (1993). Coitus late in pregnancy: Risk of preterm rupture of amniotic sac membranes. American Journal of Obstetrics and Gynecology, 68, 22–31.
Fallis, E. E., Rehman, U. S., Woody, E. Z., & Purdon, C. (2016). The longitudinal association of relationship satisfaction and sexual satisfaction in long-term relationships. Journal of Family Psychology, 30, 822–831.
Fok, W. Y., Chan, L. Y., & Yuen, P. M. (2005). Sexual behavior and activity in Chinese pregnant women. Acta Obstetricia et Gynecologica Scandinavica, 84, 934–938. https://doi.org/10.1111/j.0001-6349.2005.00743.x.
Friedman, A., Weinberg, H., & Pines, A. M. (1998). Sexuality and motherhood: Mutually exclusive in perception of women. Sex Roles, 38, 781–800.
Gokyildiz, S., & Beji, N. K. (2005). The effects of pregnancy on sexual life. Journal of Sex and Marital Therapy, 31, 201–215. https://doi.org/10.1080/00926230590513410.
Goodlin, R. C., Keller, D. W., & Raffin, M. (1971). Orgasm during late pregnancy: Possible deleterious effects. Obstetrics and Gynecology, 38, 916–920.
Haavio-Mannila, E., & Kontula, O. (1997). Correlates of increased sexual satisfaction. Archives of Sexual Behavior, 26, 399–419. https://doi.org/10.1023/A:1024591318836.
Herbenick, D., Reece, M., Schick, V., Sanders, S. A., Dodge, B., & Fortenberry, J. D. (2010). Sexual behavior in the United States: Results from a national probability sample of men and women ages 14–94. Journal of Sexual Medicine, 7, 255–265.
Hyde, J. S., DeLamater, J. D., Plant, E. A., & Byrd, J. M. (1996). Sexuality during pregnancy and the year postpartum. Journal of Sex Research, 33, 143–151.
Jawed-Wessel, S., Herbenick, D., Schick, V. J., Fortenberry, D., Cattelona, G., & Reece, M. (2016). Development and validation of the Maternal and Partner Sex During Pregnancy scales. Journal of Sex and Marital Therapy, 42, 681–701. https://doi.org/10.1080/0092623X.2015.1113587.
Jawed-Wessel, S., & Sevick, E. (2017). The impact of pregnancy and childbirth on sexual behaviors: A systematic review. Journal of Sex Research, 54, 411–423. https://doi.org/10.1080/00224499.2016.1274715.
Johnson, C. E. (2011). Sexual health during pregnancy and the postpartum. Journal of Sexual Medicine, 8, 1267–1284. https://doi.org/10.1111/j.1743-6109.2011.02223.x.
Kenny, D. A., Kaniskan, B., & McCoach, D. B. (2014). The performance of RMSEA in models with small degrees of freedom. Sociological Methods and Research, 44, 486.
Kenny, D. A., Kashy, D. A., & Cook, W. L. (2006). Dyadic analysis. New York: Guilford Press.
Klebanoff, M. A., Nugent, R. P., & Rhoads, G. G. (1984). Coitus during pregnancy: Is it safe? Lancet, 2(8408), 914–917.
Kurki, T., & Ylikorkala, O. (1993). Coitus during pregnancy is not related to bacterial vaginosis or preterm birth. American Journal of Obstetrics and Gynecology, 169, 1130–1134.
Lewis, R., & Marston, C. (2016). Oral sex, young people, and gendered narratives of reciprocity. Journal of Sex Research, 53, 776–787. https://doi.org/10.1080/00224499.2015.1117564.
McClelland, S. I. (2010). Intimate justice: A critical analysis of sexual satisfaction. Social and Personality Psychology Compass, 4, 663–680.
Muthén, L. K., & Muthén, B. O. (2012). Mplus: User’s guide [Software manual] (7th ed.). Los Angeles: Author.
Nakić Radoš, S., Soljačić Vraneš, H., & Šunjić, M. (2015). Sexuality during pregnancy: What is important for sexual satisfaction in expectant fathers? Journal of Sex and Marital Therapy, 41, 282–293.
Pauls, R. N., Occhino, J. A., & Dryfhout, V. L. (2008). Effects of pregnancy on female sexual function and body image: A prospective study. Journal of Sexual Medicine, 5, 1915–1922. https://doi.org/10.1111/j.1743-6109.2008.00884.x.
Radoš, S. N., Vraneš, H. S., & Šunjić, M. (2014). Limited role of body satisfaction and body image self-consciousness in sexual frequency and satisfaction in pregnant women. Journal of Sex Research, 51, 532–541.
Richters, J., de Visser, R., Rissel, C., & Smith, A. (2006). Sexual practices at last heterosexual encounter and occurrence of orgasm in a national survey. Journal of Sex Research, 43, 217–226.
Røsand, G. M. B., Slinning, K., Eberhard-Gran, M., Røysamb, E., & Tambs, K. (2011). Partner relationship satisfaction and maternal emotional distress in early pregnancy. BMC Public Health, 11, 161. https://doi.org/10.1186/1471-2458-11-161.
Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., … D’Agostino, R. (2000). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex and Marital Therapy, 26, 191–208.
Saliares, E. J., Wilkerson, M., Sieving, R. E., & Brady, S. S. (2017). Sexually experienced adolescents’ thoughts about sexual pleasure. Journal of Sex Research, 54, 604–618. https://doi.org/10.1080/00224499.2016.1170101.
Sayle, A., Savitz, D., Thorp, J., Hertz-Picciotto, I., & Wilcox, A. (2001). Sexual activity during late pregnancy and risk of preterm delivery. American Journal of Obstetrics and Gynecology, 97, 283–289.
Serati, M., Salvatore, S., Siesto, G., Cattoni, E., Zanirato, M., Khullar, V., & Bolis, P. (2010). Female sexual function during pregnancy and after childbirth. Journal of Sexual Medicine, 7, 2782–2790. https://doi.org/10.1111/j.1743-6109.2010.01893.x.
Smith, A., Lyons, A., Ferris, J., Richters, J., Marian, P., Shelley, J., & Simpson, J. M. (2011). Sexual and relationship satisfaction among heterosexual men and women: The importance of desired frequency of sex. Journal of Sex and Marital Therapy, 37, 104–115. https://doi.org/10.1080/0092623X.2011.560531.
Syrjala, K., Shroeder, T., Abrams, J., Atkins, T., Brown, W., Sanders, J., & Heiman, J. (2000). Sexual function measurement and outcomes in cancer survivors and matched controls. Journal of Sex Research, 37, 213–225. https://doi.org/10.1080/00224490009552042.
Tardy, R. W. (2000). But I am a good mom: The social construction of motherhood through health-care conversations. Journal of Contemporary Ethnography, 28(433), 473.
Uwapusitanon, W., & Choobun, T. (2004). Sexuality and sexual activity in pregnancy. Journal of the Medical Association of Thailand, 87, S45–S49.
van Brummen, H. J., Bruinse, H. W., van de Pol, G., Heintz, A. P. M., & van der Vaart, C. H. (2006). Which factors determine the sexual function 1 year after childbirth? British Journal of Obstetrics and Gynaecology, 113, 914–918. https://doi.org/10.1111/j14710528.2006.01017.x.
Vannier, S. A., & O’Sullivan, L. F. (2012). Who gives and who gets: Why, when, and with whom young people engage in oral sex. Journal of Youth and Adolescence, 41, 572–582.
Vannier, S. A., & Rosen, N. O. (2017). Sexual distress and sexual problems during pregnancy: Associations with sexual and relationship satisfaction. Journal of Sexual Medicine, 14, 387–395.
von Sydow, K. (1999). Sexuality during pregnancy and after childbirth: A meta content analysis of 59 studies. Journal of Psychosomatic Research, 47, 27–49. https://doi.org/10.1016/S00223999(98)00106-8.
Waite, L. J., & Joyner, K. (2001). Emotional satisfaction and physical pleasure in sexual unions: Time horizon, sexual behavior, and sexual exclusivity. Journal of Marriage and Family, 63, 247–264. https://doi.org/10.1111/j.1741-3737.2001.00247.x.
Weisskopf, S. C. (1980). Maternal sexuality and asexual motherhood. Signs: Journal of Women in Culture and Society, 5, 766–782.
World Health Organization. (2017). Defining sexual health. Retrieved September 21, 2017, from http://www.who.int/reproductivehealth/topics/sexual_health/sh_definitions/en/.
Yeh, H. C., Lorenz, F. O., Wickrama, K. A., Conger, R. D., & Elder, G. H. (2006). Relationships among sexual satisfaction, marital quality, and marital instability in midlife. Journal of Family Psychology, 20, 339–343.
Young, M., Denny, G., Luquis, R., & Young, T. (1998). Correlates of sexual satisfaction in marriage. Canadian Journal of Human Sexuality, 7, 115–128.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Jawed-Wessel, S., Santo, J. & Irwin, J. Sexual Activity and Attitudes as Predictors of Sexual Satisfaction During Pregnancy: A Multi-Level Model Describing the Sexuality of Couples in the First 12 Weeks. Arch Sex Behav 48, 843–854 (2019). https://doi.org/10.1007/s10508-018-1317-1
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10508-018-1317-1