Ada Güleser, Hamlacı Başkaya Yasemin, İlçioğlu Kevser
Faculty of Health Sciences, Department of Midwifery, Bartin University, Bartin, Turkey.
Faculty of Health Sciences, Department of Midwifery, Sakarya University, Sakarya, Turkey.
Int J Sex Health. 2025 Jan 29;37(1):116-130. doi: 10.1080/19317611.2025.2453909. eCollection 2025.
This meta-analysis aimed to synthesize the effect of sexuality education during pregnancy on female sexual function. Although sexual dysfunction in pregnancy is a common problem, it is often overshadowed by other outcomes, such as pregnancy risks or birth complications. Therefore, understanding the impact of educational interventions on women's sexual health is crucial to improving their overall well-being during this period.
Studies were searched on the electronic databases Google Scholar, Web of Science, Journal Park, the Cochrane Library, EBSCO Medline, Pubmed, and Scopus without imposing any restrictions on the publication year. This meta-analysis used the Preferred Reporting Items for Systematic Reviews and meta-analysis statement guidelines. Findings were analyzed using fixed- or random-effects models based on 95% confidence intervals, p values, and heterogeneity testing.
This systematic review included 4 studies with 337 (training: 169 and control: 168) participants due to the limited number of studies on this topic. Interventions in the four studies using the Female Sexual Function Index showed that sexuality education provided to intervention groups had a statistically significant positive effect on the total female sexual function score compared to control groups ( < .001, range: 0.552-0.995).
This meta-analysis provides insights into the implementation of educational interventions considering their positive impact on female sexual function during pregnancy. Despite the limited number of studies (only 4 studies), the findings suggest that sex education leads to significant improvements in many aspects, such as sexual pleasure, vaginal lubrication, orgasm, sexual desire, and overall satisfaction. Furthermore, pregnancy provides an ideal opportunity to normalize and integrate this education into pregnancy care, as it is a time when women often attend antenatal checkups or childbirth classes.
本荟萃分析旨在综合孕期性教育对女性性功能的影响。尽管孕期性功能障碍是一个常见问题，但它常常被其他结果所掩盖，如妊娠风险或分娩并发症。因此，了解教育干预对女性性健康的影响对于改善她们在此期间的整体幸福感至关重要。
在谷歌学术、科学网、期刊园、考克兰图书馆、EBSCO 医学数据库、PubMed 和 Scopus 等电子数据库中进行检索，对发表年份不设任何限制。本荟萃分析采用系统评价和荟萃分析的首选报告项目声明指南。根据95%置信区间、p值和异质性检验，使用固定效应或随机效应模型对结果进行分析。
由于关于该主题的研究数量有限，本系统评价纳入了4项研究，共337名参与者（培训组：169名，对照组：168名）。四项使用女性性功能指数的研究中的干预措施表明，与对照组相比，干预组接受的性教育对女性性功能总得分有统计学上的显著积极影响（<0.001，范围：0.552 - 0.995）。
本荟萃分析深入探讨了教育干预的实施情况，考虑到其对孕期女性性功能的积极影响。尽管研究数量有限（仅4项研究），但研究结果表明性教育在许多方面都能带来显著改善，如性快感、阴道润滑、性高潮、性欲和总体满意度。此外，孕期为将这种教育正常化并纳入孕期护理提供了理想机会，因为这是女性经常参加产前检查或分娩课程的时期。
