Effects Of Sexual Heath Education Based On Centerig Pregnancy Model On The Sexual Function Of Pregnant Women

Background:The American College of Obstetricians and Gynecologists(ACOG)says that unless an obstetrician or other specialist specifically advises some pregnant women not to have sex,most healthy women can have sex throughout pregnancy.Influenced by traditional cultural background in China,although most of the women said sex during pregnancy is very necessary,but the local pregnant women for prenatal sex is still more mistake cognition and superstition,are more likely to have pregnancy so absolute abstinence and the phenomenon of sexual misconduct,the two extreme phenomenon can lead to problems the relationship on the one hand,on the other hand,even the mother’s womb.In addition,due to the lack of knowledge,pregnant women may worry about their sexual behaviors during pregnancy or suspect their husbands of extramarital affairs,so they may suffer from anxiety and depression.In the long run,such negative emotions will threaten the mental health of pregnant women and the physical health of their mother and fetus.At present,there is still a lack ofresearch on sexual health education during pregnancy in China.Obstetricians and nurses pay more attention to the health problems of pregnant women and fetuses,and pay less attention to the sexual conditions of pregnant women.Pregnant women are also difficult to take the initiative to consult medical staff about such sensitive issues.Centering pregnancy mode has received widespread attention in the United States,and even the whole world,unlike traditional health education,it is for pregnant women as the main body in the health care,pay more attention to the psychological state of a pregnant woman,and between the domestic reserve of the cultural background,the personalization and more targeted group health education mode for the formation of pregnant women in our country sexual health education program provides a new way of thinking.ObjectiveThe purpose of this study was to investigate the current situation of pregnant women’s sexual function and sexual cognition,and to explore the effect of sexual health education on pregnant women’s sexual function,sexual cognition and marital satisfaction under the Centering Pregnancy model,so as to provide theoretical and practical basis for establishing sexual health education programs for pregnant women.So as to further improve the perinatal health care mechanism for pregnant women to provide all-round support and humane care.MethodsThere were two parts in this study:The first part: the pregnant woman sexual function and the sexual life cognition present situation research1.The convenience sampling method is used to extract some hospital outpatient service in chongqing prenatal and met inclusion exclusion standard questionnaire survey was conducted among 218 pregnant women,mainly adopts general situation questionnaire,the Chinese women’s Sexual Function scale(Chinese Version of Female Sexual Function Index,CVFSFI)and self-designed sex during pregnancy cognitive questionnaire,using two independent samples T test,analysis of variance and rank and inspection of statistical methods for data analysis.To understand the status of sexual function and sexual cognition during pregnancy and its influencing factors.2.Experience between parous women have sex during pregnancy,in order to fully reflect the subjective feeling of pregnant women during pregnancy,neutral,purposive sampling method is used to extract the clinic prenatal eleven primipara for semi-structured depth interview,interview content mainly includes the husband and wife sex during pregnancy,the sex during pregnancy,the specific content of the views and concerns,and want to know what for prenatal sex knowledge.Colaizzi’s 7-step analysis method was used to analyze the data and refine the sublimation theme.The second part: the effect of Centering pregnancy sexual healtheducation on pregnant women’s sexual function,sexual cognition and marital satisfaction1.Summarized the investigation and interview results,based on the behavior of the curriculum goal theory,adult learning theory and the Richter treatment model,in combination with clinical nursing practice,preliminary in focus group prenatal health education mode for pregnant women’s sexual health education and training,brainstorming discussion again,invite obstetrics,urogenital,has rich clinical experience in the framework which is formed by the relevant experts to guide,through the discussion after supplement has clinical significance of each expert to increase the intervention of the content,and finally officially determine the pregnant women’s sexual health education and training.2.To test the intervention effect of centralized group prenatal sexual health education established through randomized controlled clinical trials.Considering the domestic "in the first three months of pregnancy and after three months can’t sexual behavior" of the traditional thought influence is deeper,the acceptance of the mid pregnancy pregnant women for sexual health education may be higher,we effectively in a hospital maternity clinic in chongqing accept 80 cases with mid gestation maternal prenatal,to flip a coin to send randomly divided into experimental group(40 cases)and control group(40 cases).The control group received the routine study of pregnant women who were involved in sexual knowledgeduring pregnancy,while the experimental group received the routine study to increase the learning of sexual health education during pregnancy.Effect evaluation is divided into four aspects:(1)female sexual function;(2)cognitive status of sex life during pregnancy;(3)marriage satisfaction;(4)satisfaction with health education.Data were collected before enrollment and 4 weeks after health education,and analyzed by T test and rank sum test.ResultsThe first part of results1.Female sexual function scale: except the dimension of sexual desire,scores and total scores of CVFSFI in other dimensions of pregnant women were all less than the critical value,and there were statistically significant differences in sexual desire,vaginal lubrication and sexual satisfaction between early,middle and late pregnant women(P < 0.05).There were significant differences in sexual function among pregnant women of different ages,marital status,pregnancy mode,sexual life time and whether they cohabited with their parents(all P < 0.05).The scores of sexual function of pregnant women aged between 18 and 23 years and having sex for less than 1 year were the highest(all P<0.05).The sexual function scores of unmarried cohabitation and unplanned pregnancy were higher than those of married and pregnant women(all P<0.05).Those separated from their parents had higher sexual function scores(P<0.05).2.Sex knowledge and cognition during pregnancy: 77.8% of pregnant women think they can have sex during pregnancy,41.7% do not know about possible problems,and 71.3% do not know how to deal with them;The level of sexual function was higher in pregnant women who knew they could have sex during pregnancy,understood the changes in the patterns during the period,understood the possible problems and the treatment measures(all P < 0.05).3.Qualitative interview: four themes were extracted from the semi-structured in-depth interview of 11 primipara: great difference in sex life during pregnancy,insufficient sexual knowledge and cognition during pregnancy,complex psychological state,and the desire to obtain professional guidance.The second part of results:1.CP sexual health education program: formed the sexual health education program for 2 weeks and 3 times,including 3 course contents:(1)basic medical knowledge of pregnancy and sexual behavior;(2)sexual science knowledge;(3)Knowledge of sexual behavior during pregnancy.Each group consisted of 10 persons with similar gestational age and was led by a midwife.Each course consisted of prenatal examination,health education and psychological support.2.Intervention outcome indicators(1)Female sexual function: after the comparison between theexperimental group and the control group,the total score of maternal sexual function and the scores of each dimension in the experimental group were significantly higher than those in the control group(P < 0.05).The results of intra-group comparison showed that except for the sexual desire dimension,all dimensions and total scores of CVFSFI were higher than those before intervention(P < 0.05),and the scores of sexual desire dimension were lower than those before intervention(P <0.05).Comparison within the control group showed that except for the sexual desire dimension,the CVFSFI total score and the scores after intervention of each dimension were not statistically significant(P > 0.05),while the scores of sexual desire dimension were lower than before intervention and had statistical difference(P < 0.05).(2)Cognition of sex knowledge during pregnancy: after the intervention,the overall cognition of sex knowledge during pregnancy in the experimental group was significantly better than that in the control group(P < 0.05),but there was no significant difference in the knowledge of contraindications of sex during pregnancy between the two groups(P >0.05).Comparison within the experimental group showed that the knowledge of sexual life was improved except for one contraindication during pregnancy,and the knowledge of other items was improved and the difference was statistically significant(P < 0.05).Compared with the control group,there was no significant difference in the cognition of pregnantwomen about their sex life during pregnancy(P > 0.05).(3)Marriage satisfaction: after the intervention,the marriage satisfaction of the experimental group was higher than that of the control group(P < 0.05);The marital satisfaction of the experimental group was higher than that before intervention(P < 0.05).There was no significant difference in marital satisfaction between the control group and the control group(P > 0.05).(4)Satisfaction with health education: the satisfaction with health education in the experimental group was better than that in the control group,and the difference was statistically significant(P < 0.05).Conclusions1.Pregnant women’s sexual cognition is generally not high and comprehensive,and their sexual function is at a low level,but they still have sexual interest or need.2.Pregnant women are eager to obtain professional knowledge about sex during pregnancy,but lack access to it,and medical staff also pay insufficient attention to it.3.Due to subjective and objective factors such as pregnancy stage,social environment,previous experience,cultural background and feelings with spouse,the sexual status of pregnant women is quite different.4.CP sexual health education during pregnancy can improve pregnant women’s sexual cognition,sexual function and marital satisfaction.5.Pregnant women are more satisfied with the centralized group of prenatal sexual health education than the regular pregnant women schools.6.The intervention program is deficient in improving the knowledge of contraindications in pregnant women’s sexual cognition.