Obstetrics and Gynaecology Department, Somali-Mogadishu Turkey Recep Tayyip Erdoğan Research and Training Hospital, Mogadishu, Somalia.
BMC Pregnancy Childbirth. 2024 Aug 23;24(1):553. doi: 10.1186/s12884-024-06752-0.
Pregnancy is associated with physical, psychological, hormonal, and social alterations that may lead to detrimental effects on sexual function and psychological well-being. This study sought to examine sexual function and psychosocial well-being of pregnant women in Somalia in comparison with their non-pregnant counterparts.
We enrolled 487 consecutive women in monogamous marriages. Data included maternal age, gravida, parity, gestational week, education status of wives and husbands, and residence area. The participants completed the Female Sexual Function Index (FSFI) and the Brief Symptom Inventory-18 (BSI-18).
Of 487 women, 241 were pregnant, and 246 were non-pregnant. The overall incidence of sexual dysfunction was 57.7%, being 64.0% for pregnant and 51.6% for non-pregnant women (p = 0.010). Pregnant women exhibited significantly lower FSFI scores on desire, arousal, lubrication, and orgasm, and significantly higher total BSI, anxiety, depression and somatization scores. The frequencies of sexual dysfunction were 57.9%, 45.9%, and 78.9% during the first, second, and third trimesters, respectively (p = 0.0001). As compared with the first and second trimesters, and non-pregnancy, the third trimester of pregnancy was associated with a significantly lower total FSFI score and significantly decreased levels of desire, arousal, lubrication, and orgasm, as well as a significantly higher total BSI score and a significantly increased level of anxiety. In regression analysis, pregnancy was inversely associated with sexual function parameters of desire, arousal, lubrication, and orgasm, and with BSI parameters of depression, anxiety and somatization.
Our findings suggest that pregnant women experience considerable sexual and psychosocial deterioration as compared with their non-pregnant counterparts.
怀孕会导致身体、心理、激素和社会方面的变化，可能对性功能和心理健康产生不利影响。本研究旨在比较索马里孕妇和非孕妇的性功能和心理社会健康状况。
我们招募了 487 名处于一夫一妻制婚姻中的连续孕妇。数据包括产妇年龄、孕次、产次、孕周、妻子和丈夫的教育程度以及居住地区。参与者完成了女性性功能指数（FSFI）和简明症状量表-18（BSI-18）。
在 487 名女性中，241 名怀孕，246 名未怀孕。性功能障碍的总发生率为 57.7%，其中孕妇为 64.0%，非孕妇为 51.6%（p=0.010）。孕妇的 FSFI 得分在欲望、唤起、润滑和高潮方面明显较低，BSI 总分、焦虑、抑郁和躯体化得分明显较高。第一、二、三孕期的性功能障碍发生率分别为 57.9%、45.9%和 78.9%（p=0.0001）。与第一和第二孕期相比，第三孕期与总 FSFI 评分明显降低、欲望、唤起、润滑和高潮明显减少、BSI 总分明显升高、焦虑明显增加有关。回归分析表明，怀孕与欲望、唤起、润滑和高潮等性功能参数以及抑郁、焦虑和躯体化等 BSI 参数呈负相关。
与非孕妇相比，孕妇的性功能和心理社会健康状况明显恶化。
