Active, not recruiting
Not applicable
The Effect of Sexual Education-Counseling According to PLISSIT Model of Couples' Sexual Functions During Pregnancy and Postpartum
Condition(s) studied
PregnancyPostpartum PeriodSexual DysfunctionPLISSIT ModelSexual Counselling
Investigational drug(s) / intervention(s)
sexual education and counselingRoutine clinical care
sexual education and counseling: After the initial evaluation, pregnant women who will be included in the study group will be given an appointment for 1 week later, they will be asked to come with their partners and couples will be given sexual education and counseling in line with the PLISSIT model. After the initial evaluation, couples will be interviewed in the 1st, 2nd and 3rd trimesters, their sexuality since the previous evaluation according to the PLISSIT model, their problems, if any, will be discussed and short counseling will be given if necessary. In the first 4 weeks after delivery, couples in the study group will receive sexual education and counseling for the postpartum period in line with the PLISSIT model. They will be interviewed at the 3rd and 6th month after delivery and their postpartum sexuality and problems, if any, will be discussed and the sexual functions of the couples for the last 4 weeks will be evaluated.
Routine clinical care: Control Group
Study summary
Sexuality is a natural part of human life at every stage of life. It is a multidimensional phenomenon influenced by biological, psychological, social, interpersonal and cultural factors. Pregnancy is an extremely important process that occurs as a result of a sexual relationship and affects the lives of the woman and the couple.
Many studies in the literature clearly show that sexual life is affected during pregnancy and postpartum period. In this context, it is stated that sexual health assessment, sexual education and counseling in pregnant/couples can be addressed in the early stages of pregnancy to reduce the anxiety of couples and the likelihood of sexual problems. It is important to evaluate sexual health during pregnancy and postpartum and to provide counseling and support in line with the results. In order to evaluate pregnancy and postpartum processes appropriately, the sexual history of women/couples should be defined. Therefore, it is important to learn the pre-pregnancy history of women/couples regarding their sexual activities and current sexual functions, to determine whether they experience sexual dysfunction during pregnancy or postpartum, and to examine its role in pregnancy and postpartum period, if any.
Eligibility
Inclusion Criteria:
* For a pregnant woman;
* A woman who had just received the result of a pregnancy test and was referred to the family health center due to a positive pregnancy,
* Who wants the pregnancy to continue,
* In the first 6-8 gh. of gestation,
* FSFI cut-off value for pre/conceptional period with a total score ≤26.55,
* The one with a single, healthy fetus,
* Has a sexual partner and has an active sexual life,
* For the pregnant woman and her partner/partner;
* Educated enough to understand what they read and answer questions,
* Do not have chronic diseases that may affect sexual health (cancer, diabetes, hypertension, hypercholesterolemia, heart disease, atherosclerosis, chronic pulmonary and hepatic diseases, chronic renal failure, mental disorder, etc.) or continuous drug use (antihypertensive, diuretic, lipid-lowering agent, H2 receptor antagonist, antihistamine, anticholinergic, chemotherapeutic agent, anticonvulsant, antidepressant, antipsychotic, narcotic, sedative, etc.) and
* Pregnant women and their spouses who volunteered to participate in the study
Exclusion Criteria:
* Not planning to continue the pregnancy / planning to terminate the pregnancy,
* Who has completed the first trimester of pregnancy,
* FSFI cut-off value for pre/conceptional period with a total score \>26.55
* No active sex life,
* With language problems,
* Not educated enough to understand what they read and answer questions,
* Chronic illness or medication that may affect sexuality,
* Those who did not want to participate in the study and
* Pregnant women and their partners who wanted to leave the study voluntarily at any stage of the study / who felt uncomfortable with the questions asked during the study, or who discontinued the study
Primary outcome measure(s)
- Female Sexual Function Index (FSFI) — 15 Months
According to the Female Sexual Function Index (FSFI) cut-off value to be applied to each sampled pregnant woman at the first encounter, pregnant women with a total score ≤26.55, that is, pregnant women with sexual dysfunction, will be identified.
- The International Erectile Function Evaluation Form (IIEF) — 15 Months
The International Erectile Function Evaluation Form (IIEF) is evaluated in 5 categories in terms of erectile function. These are; severe erectile dysfunction (ED) score (6-10), moderate ED score (11-16), moderate-mild ED score (17-21), mild ED score (22-25), no ED (26-30) (Cappelleri et al., 1999). The scores that can be obtained as a result of IIEF evaluation are between 5-75. Cut-off value is not specified.
Trial sites (1)
| Facility | City | Region | Status |
|---|
| Marmara University |
Istanbul |
Turkey (Türkiye) |
|
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