scholarly journals The impact of sexual activity during the third trimester of pregnancy on labor outcome in nulliparous women

2020 ◽  
Vol 9 (4) ◽  
pp. 1442
Author(s):  
Janice H. Simo ◽  
Pascal Foumane ◽  
Ngo Um E. Meka ◽  
Julius S. Dohbit ◽  
Felix Essiben ◽  
...  
Keyword(s):  
Sexual Activity ◽  
Sexual Intercourse ◽  
Exposed Group ◽  
Third Trimester ◽  
Unprotected Sexual Intercourse ◽  
The Third ◽  
Nulliparous Women ◽  
Labor Ward ◽  
The Impact ◽  
Primiparous Women

Background: In the environment, there’s not enough studies on the effects of sexual activity during pregnancy on labor outcome, especially for nulliparous women. The aim was to assess the effects of sexual activity during the third term of pregnancy on the outcome of labor in nulliparous women.Methods: A prospective cohort study on labor was carried out for 11 months at the labor ward of the Yaoundé gynaeco-obstetric and pediatric Hospital. In this study compared women were exposed to at least one unprotected sexual intercourse with vaginal ejaculation per week during the third trimester of pregnancy (exposed group), to those who had less than one unprotected sexual intercourse per week (non-exposed group).Results: Of the 1123 primiparous women who gave birth within the study period, 426 consented to enroll in the study. Amongst these women, 186 women in the exposed group compared to 240 women in the non-exposed group. Intercourse during pregnancy predisposed on arrival into the labor ward to a Bishop’s score ≥7 (RR = 1.94; CI = 1.63-2.3) and within the course of labor to a spontaneous per vaginal delivery (RR = 1.18; CI = 1.06-1.31) and an active phase duration <6 hours (RR = 1.52; CI = 1.36-1.7). Furthermore, sexual intercourse during pregnancy protected against labor induction (RR = 0.21; CI = 0.12-0.36), dystocia (RR = 0.36; CI =  0.27-0.49), cesarean section (RR = 0.29; CI = 0.15-0.55), episiotomy (RR = 0.56; CI = 0.36-0.87) and an Apgar  score <7 at the first minute of birth (RR = 0.31; CI = 0.14-0.7).Conclusions: Sexual activity during pregnancy improves the prognosis of labor in primiparous women. In the absence of contraindications, consented unprotected heterosexual vaginal intercourse should be promoted in nulliparous women.

scholarly journals Sexual function in primiparous women: a prospective study

2022 ◽  
Author(s):  
Hedda Dahlgren ◽  
Markus H. Jansson ◽  
Karin Franzén ◽  
Ayako Hiyoshi ◽  
Kerstin Nilsson
Keyword(s):  
Risk Factors ◽  
Prospective Study ◽  
Sexual Function ◽  
Sexual Activity ◽  
Early Pregnancy ◽  
Significant Risk ◽  
Nulliparous Women ◽  
And Function ◽  
The Impact ◽  
Primiparous Women

Abstract Introduction and hypothesis The aim of this prospective study was to examine the impact of sociodemographic, pregnancy and obstetric characteristics on sexual function 12 months postpartum in primiparous women. We hypothesized that sexual function would decrease after childbirth. Methods Between 1 October 2014 and 1 October 2017, all nulliparous women in early pregnancy registering for maternity health care in Region Örebro County, Sweden, were invited to participate in this prospective study. A total of 958 women were included. Sexual activity and function were measured at early pregnancy, 8 weeks postpartum and 12 months postpartum using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). The associations between sociodemographic, pregnancy and obstetric characteristics and sexual activity and function from early pregnancy to 12 months postpartum were examined using linear and logistic models based on generalized estimating equations. Results We found that the prevalence of sexually active women decreased from 98.0% in early pregnancy to 66.7% at 8 weeks postpartum, but increased to 90.0% at 12 months postpartum. Age ≥ 35 years, second-degree perineal tear and current breastfeeding were statistically significant risk factors for sexual inactivity at 12 months postpartum. Poor self-reported health in early pregnancy was statistically significantly associated with decreased sexual function at 12 months postpartum. Conclusions A majority of women resumed sexual activity at 8 weeks postpartum and most women at 12 months postpartum; the decrease in sexual function at 12 months postpartum was small and few risk factors were observed.

The impact of maternal obesity on fetal adiposity in the third trimester

2010 ◽  
Vol 95 (Supplement 1) ◽  
pp. Fa25-Fa25
Author(s):  
N. Farah ◽  
M. Kennelly ◽  
V. Donnelly ◽  
B. Stuart ◽  
M. Turner
Keyword(s):  
Maternal Obesity ◽  
Third Trimester ◽  
The Third ◽  
The Impact

scholarly journals Can Sex Improve Nasal Function?—An Exploration of the Link Between Sex and Nasal Function

2021 ◽  
pp. 014556132098144
Author(s):  
Olcay Cem Bulut ◽  
Dare Oladokun ◽  
Burkard M. Lippert ◽  
Ralph Hohenberger
Keyword(s):  
Sexual Activity ◽  
Sexual Intercourse ◽  
Nasal Obstruction ◽  
Nasal Breathing ◽  
Post Intervention ◽  
Nasal Decongestant ◽  
Symptom Evaluation ◽  
Nasal Function ◽  
Nasal Flow ◽  
The Impact

Objectives: This study was conducted to examine the impact of sexual activity on nasal breathing and compare such effect to that of a nasal decongestant. Methods: We evaluated nasal breathing at 5 different times: (1) before sexual activity (baseline), (2) immediately after sexual activity, (3) 30 minutes, (4) 1 hour (5), and 3 hours after sexual climax. Same measurements were taken on the second day following application of nasal decongestant spray. For evaluation of nasal breathing, we used a visual analogue scale (VAS). Additionally, we used a portable rhinometric device to measure resistance and nasal flow. Results: Nasal breathing improved significantly after sexual intercourse with climax to the same degree as after application of nasal decongestant for up to 60 minutes, as measured subjectively with the VAS (sex −3.6, P < .001; spray −3.2, P < .001). This was confirmed in the objective rhinometric data as mean nasal flow (mL/s) increased while resistance decreased immediately (flow sex +214, P < .001; flow spray +235, P < .001), 30 (flow sex +249, P < .001; flow spray +287, P < .001), and 60 minutes (flow sex +180, P < .001; flow spray +287, P < .001) post-intervention. Nasal breathing was back to the baseline level after 3 hours following sexual intercourse, while it continued to be improved for longer after application of nasal decongestant. Only participants having nasal obstruction (Nasal Obstruction Symptom Evaluation score >30) showed nasal function improvement after sex. Conclusions: Sexual intercourse with climax can improve nasal breathing to the same degree as application of nasal decongestant for up to 60 minutes in patients having nasal obstruction.

scholarly journals Perineal Distensibility Using Epi-no in Twin Pregnancies: Comparative Study with Singleton Pregnancies

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Juliana Sayuri Kubotani ◽  
Antonio Fernandes Moron ◽  
Edward Araujo Júnior ◽  
Miriam Raquel Diniz Zanetti ◽  
Vanessa Cardoso Marques Soares ◽  
...  
Keyword(s):  
Case Control Study ◽  
Abdominal Circumference ◽  
Third Trimester ◽  
Anthropometric Data ◽  
Cross Sectional ◽  
The Third ◽  
Nulliparous Women ◽  
Twin Pregnancies ◽  
Control Study ◽  
Singleton Pregnancies

The aims of this study were to compare perineal distensibility between women with twin and singleton pregnancies and to correlate these women’s perineal distensibility with anthropometric data. This prospective cross-sectional case-control study was conducted among nulliparous women, of whom 20 were pregnant with twins and 23 with a single fetus. Perineal distensibility was evaluated in the third trimester by means of Epi-no, which was introduced into the vagina and inflated up to the maximum tolerable limit. It was then withdrawn while inflated and its circumference was measured. The unpaired Student’s t-test was used to compare perineal distensibility in the two groups and Pearson’s correlation coefficient (r) was used to correlate the pregnant women’s perineal distensibility with their anthropometric data. There was no difference in perineal distensibility between the twin group (16.51 ± 2.05 cm) and singleton group (16.13 ± 1.67 cm) (P=0.50). There was a positive correlation between perineal distensibility and abdominal circumference (r=0.36; P=0.01). The greater the abdominal circumference was, the greater the perineal distensibility was, regardless of whether the pregnancy was twin or singleton.

scholarly journals Psikoedukasi Dzikr Menurunkan Kadar Kortisol dan Meningkatkan Kadar IGG pada Ibu Primipara

2018 ◽  
Vol 5 (2) ◽  
pp. 82
Author(s):  
Sri Wahyuni ◽  
Anies Anies ◽  
Ariawan Soejoenoes ◽  
Suhartono Taat Putra
Keyword(s):  
Hormonal Regulation ◽  
Intervention Group ◽  
Perinatal Period ◽  
Control Group ◽  
P Value ◽  
Third Trimester ◽  
Midwifery Care ◽  
The Third ◽  
The Difference ◽  
Primiparous Women

Background: Unstable emotions that are common during the perinatal period affect hormonal regulation and affect immunity. Research of psychoeducation dhikr be important was done to reduce perceived stress so that cortisol levels can be controlled hence IgG increases.Purposes: to prove additional psychoeducation of dhikr in routine midwifery care more influential on decreasing cortisol and increasing IgG among primiparous women.Methods: This study was an experimental study. A number of 24 participants as intervention group and a number of 23 participants as control group. Cortisol and IgG levels measured using ELIZA kits in the third trimester of pregnancy, the three days and tenth days after birth. Statistical test using General Linear Model and independent t test to compare Δ score.Results: The result showed mean difference between groups on the end of interventions, cortisol 18.95, CI 95% (-13.42 – 51.33) and p value is 0.245. The difference of the IgG between groups 482.72, CI 95% (55,51 - 909,93) and p value is 0.028.Conclusions: Additional psychoeducation of dhikr in routine midwifery care has more decrease Cortisol and increase IgG levels in primiparous women. Keywords: Cortisol, Psychoeducation Dzikr, IgG, Primiparous

Spousal Relationship (E) Quality and Adjustment to Motherhood in Israel

2019 ◽  
Vol 40 (11) ◽  
pp. 1561-1578
Author(s):  
Miri Kestler-Peleg ◽  
Osnat Lavenda ◽  
Shelli Keren-Leneman ◽  
Karni Ginzburg
Keyword(s):  
Life Satisfaction ◽  
Postpartum Depression ◽  
Positive Affect ◽  
Pregnant Women ◽  
Psychological Adjustment ◽  
Postnatal Period ◽  
Third Trimester ◽  
Spousal Relationship ◽  
The Third ◽  
The Impact

Contemporary families experience the paradox of traditionalism/postmodernism especially in the postnatal period which presents many challenges to couples subsystem. One of them is the change in roles, which often leads to decreased relationships’ equality. This article tests the impact of change in perceived spousal equality after giving birth on relationships’ quality and the implications of the latter for mothers’ psychological adjustment. Participants included 349 Israeli pregnant women who completed self-reported questionnaires at the third trimester of pregnancy (T1) and 5 months postnatal (T2). The questionnaires dealt with perceived spousal equality, relationship’s quality and psychological adjustment (i.e., postpartum depression, negative and positive affect and life satisfaction). Results demonstrated that decrease in perceived equality from T1 to T2 reduced the levels of relationship’s quality, which in turn resulted in a decrease in mothers’ psychological adjustment, 5 months after giving birth. The centrality of spousal relationship for mothers’ psychological adjustment is discussed.

Household Food Insecurity during Pregnancy as a Predictor of Anthropometric Indices Failures in Infants Aged Less than Six Months: A Retrospective Longitudinal Study

2021 ◽  
pp. 1-24
Author(s):  
Karim Karbin ◽  
Fatemeh Khorramrouz ◽  
Ehsan Mosa Farkhani ◽  
Seyyed Reza Sobhani ◽  
Negin Mosalmanzadeh ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Food Insecurity ◽  
Household Food Insecurity ◽  
Third Trimester ◽  
Anthropometric Indices ◽  
Record System ◽  
The Third ◽  
Household Food ◽  
Food Insecure Households ◽  
The Impact

Abstract Objective: To investigate the impact of household food insecurity during the third trimester of pregnancy on the growth indicators of infants aged less than six months. Design: Retrospective longitudinal study. Setting: 137 healthcare centres (15 cities) in Khorasan Razavi province, Iran. Data were extracted from the Sina Electronic Health Record System (SinaEHR®). Participants: This study was conducted on 2,481 mother and infant dyads during November 2016-March 2019. The household food insecurity access scale (HFIAS; nine-item version) was used to measure food insecurity in the third trimester of pregnancy. Women who delivered singleton infants were included in the study, and anthropometric indices of infants were measured throughout the first sixth months of life. Results: Approximately 67% of the participants were food-secure, while 33% had varying degrees of food insecurity. The children born to the mothers in the food-insecure households were respectively 2.01, 3.03, and 3.83 times more likely to be stunted at birth (95% CI: 1.17-3.46), four months (95% CI: 1.21-7.61), and six months of age (95% CI: 1.37-10.68) compared to their counterparts in the food-secure households. However, there were no significant differences in mean birthweight, birth height, and head circumference at birth between the two groups. Conclusions: Household food insecurity during pregnancy is a risk factor for stunting in infants aged less than six months. Therefore, national nutrition programs could considerably support women in food-insecure households during and before pregnancy.

scholarly journals Distensibility and Strength of the Pelvic Floor Muscles of Women in the Third Trimester of Pregnancy

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Carla Dellabarba Petricelli ◽  
Ana Paula Magalhães Resende ◽  
Julio Elito Júnior ◽  
Edward Araujo Júnior ◽  
Sandra Maria Alexandre ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Electrical Activity ◽  
Maternal Age ◽  
Surface Emg ◽  
Voluntary Contraction ◽  
Pelvic Floor Muscles ◽  
Third Trimester ◽  
The Third ◽  
Nulliparous Women ◽  
Multiparous Women

Objective.The objective of this study was to compare the role of the pelvic floor muscles between nulliparous and multiparous women in the third trimester of pregnancy, by analyzing the relationship between electrical activity (surface electromyography—EMG), vaginal palpation (modified Oxford scale), and perineal distensibility (Epi-no).Methods.This was an observational cross-sectional study on a sample of 60 healthy pregnant women with no cervical dilation, single fetus, gestational age between 35 and 40 weeks, and maternal age ranging from 15 to 40 years. The methods used were bidigital palpation (modified Oxford scale, graded 0–5), surface EMG (electrical activity during maximal voluntary contraction), and perineal distensibility (Epi-no device). The Pearson correlation coefficient (r) was used to analyze the Epi-no values and the surface EMG findings. The Kruskal-Wallis test was used to compare the median values from surface EMG and Epi-no, using the modified Oxford scale scores.Results.Among the 60 patients included in this study, 30 were nulliparous and 30 multiparous. The average maternal age and gestational age were 26.06 (±5.58) and 36.56 (±1.23), respectively. It was observed that nulliparous women had both higher perineal muscle strength (2.53 ± 0.57versus2.06 ± 0.64;P = 0.005) and higher electrical activity (45.35 ± 12.24 μV versus35.79 ± 11.66 μV;P = 0.003), while among the multiparous women, distensibility was higher (19.39 ± 1.92versus18.05 ± 2.14;P = 0.013). We observed that there was no correlation between perineal distensibility and electrical activity during maximal voluntary contraction (r = -0.193;P = 0.140). However, we found a positive relationship between vaginal palpation and surface electromyography (P = 0.008), but none between Epi-no values (P = 0.785).Conclusion.The electrical activity and muscle strength of the pelvic floor muscles of the multiparous women were damaged, in relation to the nulliparous women, while the perineal distensibility was lower in the latter group. There was a positive relationship between surface EMG and the modified Oxford scale.

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