A pilot study was carried out investigatingwomen's sexual health in the postnatal period. Postalquestionnaires were sent to a cohort of 158 primiparouswomen approximately 7 months after delivery. Women who had resumed sexual intercourse were askeda detailed set of questions about problems experienced,sexual practices, frequency of intercourse, satisfactionwith sex life, and consultation for postnatal sexual problems. All women were asked about theinformation they received on postnatalhealth prior tothe birth and any information or help and advice theyreceived from health professionals on the subject after the birth. Ninety-eight women (62%)responded. Women experienced significant levels ofmorbidity in the postnatal period; 3 months afterdelivery 58% experienced dyspareunia, 39% experiencedvaginal dryness, and 44% suffered loss of sexualdesire. These figures had reduced to 26, 22, and 35%,respectively, by the time of answering the questionnaire(approximately 8 to 9 months after delivery). Compared to before pregnancy, there was a decrease infrequency and satisfaction with sexual intercourse,although sexual practices changed little. Of the 67women who reported a postnatal sexual problem, only 19% discussed this with a health professional.Conversations with health professionals in routinepostnatal health contacts were mainly aboutcontraception, and only rarely discussed problems withintercourse.
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Abraham, S., Child, A., Ferry, J., Vizzard, J., and Mira, M. (1990). Recovery after childbirth: A preliminary prospective study. Med. J. Australia 152: 9–11.
Alder, E. M., and Bancroft, J. (1983). Sexual behaviour of lactating women: A preliminary communication. J. Reprod. Infant Psychol. 1: 47–52.
Alder, E.M., Cook, A., Davidson, D., West, C., and Bancroft, J. (1986). Hormones, mood and sexuality in lactating women. B. J. Psychiat. 148: 74–79.
Bailey, V. R. (1989). Sexuality—Before and after birth. Midwives Chron. Nursing Notes January: 24–26.
Barrett, G. (1995). The National Childbirth Trust 'sex after childbirth' survey: A sociological analysis Unpublished MSc dissertation, University of London.
Barrett, G., and Victor, C. R. (1994). Postnatal sexual health. Br. Med. J. 309: 1584–1585.
Barrett, G., and Victor, C. R. (1996a). Postnatal sexual health. Br. J. Gen. Prac. 302: 47–48.
Barrett, G., and Victor, C. R. (1996b). Incidence of postnatal dyspareunia. Br. J. Sex. Med. 23: 6–8.
Bek, K.M., and Laurberg, S. (1992). Risks of anal incontinence from subsequent vaginal delivery after a complete obstetric anal sphincter tear. Br. J. Obstet. Gynaecol. 99: 724–726.
Bex, P. J., and Hofmeyr, G. J. (1987). Perineal management during childbirth and subsequent dyspareunia. Clin. Exp. Obstet. Gynecol. 14: 97–100.
Bick, D. E., and MacArthur, C. (1994). Identifying morbidity in postpartum women. Modern Midwife 4(12): 10–13.
Bick, D. E., and MacArthur, C. (1995). The extend, severity and effect of health problems after childbirth. Br. J. Midwifery 3: 27–31.
Bustan, M. A., Tomi, N. F., Faiwalla, M. F., and Manav, V. (1995). Maternal sexuality during pregnancy and after childbirth in Muslim Kuwaiti women. Arch. Sex. Behav. 24: 207–215.
Cox, J. L. (1986). Postnatal Depression, Churchill Livingstone, Edinburgh.
Cox, J. L., Holden, J. M., and Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. Br. J. Psychiat. 150: 782–786.
Deindl, F. M., Vodusek, D. B., Hesse, U., and Schussler, B. (1994). Pelvic floor activity patterns: Comparison of nulliparous continent and parous urinary stress incontinent women. A kinesiological EMG study. Br. J. Urol. 73: 413–417.
Dimpfl, T., Hesse, U., and Schussler, B. (1992). Incidence and cause of postpartum urinary stress incontinence. Eur. J. Obstet. Gynecol. Reprod. Biol. 43: 29–33.
Elliott, S. A., and Watson, J. P. (1985). Sex during pregnancy and the first postnatal Year. J. Psychosom. Res. 29: 541–548.
Ellis, D. J., and Hewat, R. J. (1985). Mother' s postpartum perceptions of spousal relationships. J. Obstet. Gynaecol. Neonatal Nursing March/April, pp. 140–146.
Feggetter, G., Cooper, P., and Gath, D. (1981). Non-psychotic psychiatric disorders in women one Year after childbirth. J. Psychosom. Res. 25: 369–372.
Foldsprang, A., Mommsen, S., Lam, G.W., and Elving, L. (1992). Parity as a correlate of adult female urinary incontinence prevalence. J. Epidemiol. Commun. Health 46: 595–600.
Frohlich, E. P., Herz, C., Van der Merwe, F. J., Van Tonder, D. M., Booysen, J. P. M., and Becker, P. J. (1990). Sexuality during pregnancy and early puerperium and its perception by pregnant and puerperal woman. J. Psychosom. Obstet. Gynaecol. 11: 73–80.
Glazener, C.M. A. (1997). Sexual function after childbirth: Women' s experiences, persistent morbidity and lack of professional recognition. Br. J. Obstet. Gynaecol. 104: 330–333.
Glazener, C. M. A., Abdalla, M., Stroud, P., Naji, S., Templeton, A., and Russell, I. T. (1995). Postnatal maternal morbidity: Extent, causes, prevention and treatment. Br. J. Obstet. Gynaecol. 102: 282–287.
Hanmer, J. (1991). Lover/mother. New Generation December, pp. 34–35.
Hulme, H. (1993). Grin and bear it? Nursing Times 89: 66.
Johnson, A. M., Wadsworth, J., Wellings, K., and Field, J. (1994). Sexual Attitudes and Lifestyles, Blackwell, London.
Kamm, M. (1994). Obstetric damage and faecal incontinence. Lancet 344: 730–733.
Klein, M. C., Gauthier, R. J., Robbins, J. M., Kaczorowski, J., Jorgensen, S. H., Franco, E. D., et al. (1994). Relationship of episiotomy to perineal trauma and morbidity, sexual dysfunction, and pelvic floor relaxation. Am. J. Obstet. Gynecol. 171: 591–598.
Kumar, R., Brant, H. A., and Robson, K.M. (1981). Childbearing and maternal sexuality: A prospective survey of 119 primiparae. J. Psychosom. Res. 25: 373–383.
MacArthur, C., Lewis, M., and Knox, E. G. (1991). Health After Childbirth, HMSO, London. England.
MacArthur, C., Bick, D. E., and Keighley, M. R. B. (1997). Faecal incontinence after childbirth Br. J. Obstet. Gynaecol. 104: 46–50.
Masters, W. H., and Johnson, V. E. (1966). Human Sexual Response, Churchill, London.
Moss, P., Bolland, G., Foxman, R., and Owen, C. (1986). Marital relations during the transition to parenthood. J. Reprod. Infant Psychol. 4: 57–67.
Reading, A. E., Sledmere, C. M., Cox, D. N., and Campbell, S. (1982). How women view postepisiotomy pain Br. Med. J. 284: 243–246.
Riley, A. J. (1989). Sex after childbirth. Br. J. Sex. Med. May: 185–187.
Scott-Heyes, G. (1983). Marital adaptation during pregnancy and after childbirth. J. Reprod. Infant Psychol. 1: 18–28.
Stratton, J. F., Gordon, H., and Logue, M. (1995). Rates of episiotomy: Conclusions and validity of data cannot be judged. Br. Med. J. 310: 668.
Sultan, A. H., and Kamm, M. A. (1997). Faecal incontinence after childbirth Br. J. Obstet. Gynaecol. 104: 979–982.
Sultan, A. H., Kamm, M. A., Hudson, C. N., Chir, M., Thomas, J. M., and Bartram, C. I. (1993). Analsphincter disruption during vaginal delivery. New Eng. J. Med. 329: 1905–1911.
Tobert, A. (1990). Sexual problems in pregnancy and the postnatal period Midwife, Health Visitor Commun. Nurse 26: 177–179.
Toglia, M. R., and DeLancey, J. O. L. (1994). Anal incontinence and obstetrician-gynae cologist Obstetrics and Gynecology 84: 731–740.
Turner, M., and Casey, C. (1995). Rates of episiotomy: Data on parity are not given. Br. Med. J. 310: 668.
Turner, M., and Finn, M. (1993). Obstetric outcome should be analysed by parity. Br. Med. J. 306: 718–719.
Van Wert, W. F. (1991). Sex after children. Mothering 60: 115–117.
Watson, J. P., Elliott, S. A., Rugg, A. J., and Brough, D. I. (1984). Psychiatric disorder in pregnancy and the first postnatal Year. Br. J. Psychiat. 144: 453–462.
Wilson, P. D., Herbison, R. M., and Herbison, G. P. (1996). Obstetric practice and the prevalence of urinary incontinence three months after delivery. Br. J. Obstet. Gynaecol. 103: 154–161.
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Barrett, G., Pendry, E., Peacock, J. et al. Women's Sexuality After Childbirth: A Pilot Study. Arch Sex Behav 28, 179–191 (1999). https://doi.org/10.1023/A:1018771906780