Daniluc Razvan-Ionut, Craina Marius, Thakur Barkha Rani, Prodan Mihaela, Bratu Melania Lavinia, Daescu Ana-Maria Cristina, Puenea George, Niculescu Bogdan, Negrean Rodica Anamaria
Doctoral School, "Victor Babes" University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania.
Department of Obstetrics and Gynecology, "Victor Babes" University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania.
Diseases. 2024 May 22;12(6):109. doi: 10.3390/diseases12060109.
This comparative cross-sectional study conducted at the "Pius Brinzeu" healthcare center in Timisoara explored the differential impacts of pregnancy planning status on sexual function, body image, and relationship satisfaction among pregnant women. Employing the Female Sexual Function Index (FSFI), Body Esteem Scale for Adolescents and Adults (BESAQ), and the Beck Depression Inventory (BDI-II), the study analyzed responses from 107 participants divided into groups of planned ( = 59, mean age 28.5 ± 5.2) and unplanned ( = 48, mean age 27.3 ± 4.8) pregnancies. In the first trimester, unplanned pregnancies reported higher median scores in desire (4.7 vs. 3.6, = 0.005), arousal (4.5 vs. 3.8, = 0.001), and lubrication (4.6 vs. 3.7, = 0.015) compared to planned pregnancies. Satisfaction scores also favored unplanned pregnancies in the first trimester (4.8 vs. 3.9, = 0.009). Similar trends were observed in subsequent trimesters, with unplanned pregnancies consistently reporting higher FSFI scores, indicating a robust sexual function. Risk factors significantly associated with sexual dysfunction were a higher BMI in the first trimester (beta coefficient: -0.124, = 0.019), unmarried civil status (beta coefficient: -0.323, = 0.045), history of previous abortion (beta coefficient: -0.451, = 0.012), irregular menstrual cycles (beta coefficient: -0.384, = 0.026), and rural living area (beta coefficient: -0.278, = 0.034). Notably, unplanned pregnancy itself was not a significant risk factor for sexual dysfunction (beta coefficient: -0.054, = 0.095). Regarding relationship dynamics, planned pregnancies exhibited significantly higher satisfaction with partner support (4.1 ± 0.9 vs. 3.7 ± 1.1, = 0.041) and communication within the couple (4.0 ± 1.0 vs. 3.5 ± 1.2, = 0.020), whereas unplanned pregnancies reported higher satisfaction with emotional closeness (4.3 ± 0.7 vs. 3.8 ± 1.0, = 0.004). Concerns about managing professional activities and household chores were significantly more prevalent in the unplanned pregnancy group (62.50% vs. 33.90%, = 0.014). Unplanned pregnancies demonstrated better initial sexual function but faced greater challenges in relationship satisfaction and managing pregnancy demands. Identifying and addressing the risk factors associated with sexual dysfunction can provide targeted interventions to improve the well-being of pregnant women, regardless of pregnancy planning status.
这项在蒂米什瓦拉的“皮乌斯·布林泽乌”医疗中心开展的比较性横断面研究，探讨了妊娠计划状态对孕妇性功能、身体形象及关系满意度的不同影响。该研究采用女性性功能指数（FSFI）、青少年及成人体自尊量表（BESAQ）和贝克抑郁量表（BDI-II），分析了107名参与者的回复，这些参与者被分为计划内妊娠组（n = 59，平均年龄28.5±5.2岁）和意外妊娠组（n = 48，平均年龄27.3±4.8岁）。在孕早期，与计划内妊娠相比，意外妊娠组在性欲（4.7对3.6，p = 0.005）、性唤起（4.5对3.8，p = 0.001）和润滑（4.6对3.7，p = 0.01）方面的中位数得分更高。孕早期的满意度得分也更倾向于意外妊娠组（4.8对3.9，p = 0.009）。在随后的孕期也观察到了类似趋势，意外妊娠组的FSFI得分始终更高，表明其性功能较强。与性功能障碍显著相关的风险因素包括孕早期较高的体重指数（β系数：-0.124，p = 0.019）、未婚状况（β系数：-0.323，p = 0.045）、既往流产史（β系数：-0.451，p = 0.012）、月经周期不规律（β系数：-0.384，p = 0.026）以及农村居住地区（β系数：-0.278，p = 0.034）。值得注意的是，意外妊娠本身并非性功能障碍的显著风险因素（β系数：-0.054，p = 0.095）。关于关系动态，计划内妊娠组对伴侣支持的满意度显著更高（4.1±0.9对3.7±1.1，p = 0.041），夫妻间沟通的满意度也更高（4.0±1.0对3.5±1.2，p = 0.020），而意外妊娠组对情感亲密程度的满意度更高（4.3±0.7对3.8±1.0，p = 0.004）。意外妊娠组对管理职业活动和家务的担忧明显更为普遍（62.50%对33.90%，p = 0.014）。意外妊娠组初始性功能较好，但在关系满意度和应对妊娠需求方面面临更大挑战。识别并解决与性功能障碍相关的风险因素，可为改善孕妇的幸福感提供有针对性的干预措施，无论其妊娠计划状态如何。
