Determinants of coital sexual frequency and adaptations during pregnancy in a South-western Nigerian
Authors:
IMARALU John
Publication Type: Journal article
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Abstract
Background: Sexual behaviour has repeatedly been implicated in the spread of some diseases of public health importance. Coitus in pregnancy has continually generated concern among women in Sub-Saharan African cultures.
Methods: This cross-sectional survey, examined the determinants of coital sexual frequency and adaptations for coitus in pregnancy among 364 pregnant women attending antenatal clinic at the Olabisi Onabanjo University Teaching Hospital, Sagamu.
Results: Decline in coital frequency occurred in (51.3%) of respondents; with increasing maternal age (p=0.016, CI=0.013-0.017), monogamous marriage setting (p<0.001), duration of marriage (p<0.001) and awareness of HIV status (p<0.001) having significant deterrent effects. Parity (p=0.355 CI=0.345-0.364) and co-habitation with spouse (p=0.094 CI=0.088-0.099), however did not have similar effect. Although Sexual dysfunction occurred in 29.6% of respondents, the commonest reason for decline in coital frequency was uncomfortable position (51.7%). Consequently, the commonest change in position for coitus noted was a reduction in use of the man-on-top position from 83.4% of the participants before pregnancy; to 32.7% during pregnancy. Most of the participants (76.6%) recommended continued coital activity in pregnancy.
Conclusion: Coital sexual decline in pregnancy observed in Sagamu is less prevalent than reported and physical discomfort is mainly responsible for this decline. Health care providers can help couples maintain positive sexual behaviour in pregnancy against STIs and HIV.