Abstract
Background: The present study investigated the relationship between spousal support during
postpartum period and the sexual function and sexual quality of life among lactating women.
Methods: A cross-sectional study was carried out from October to March 2021 comprising 301 breastfeeding
women referred to comprehensive health centers in Qazvin, Iran. The sampling method was
performed in two stages. First, via cluster sampling, ten comprehensive health centers were randomly
selected. Then based on the list of lactating mothers, 31 mothers in each center were randomly selected
and invited to complete the survey. The survey included three psychometric instruments (i.e., Postpartum
Partner Support Scale (PPSS), Female Sexual Function Index (FSFI) and Sexual Quality of
Life-Female version (SQoL-F)) as well as a reproductive and demographic information questionnaire.
The findings were analyzed using univariable and multivariable regression models at a significance
level of p<0.05.
Results: The participants had a mean age of 30.33 years and a mean length of marriage of 7.99 years.
A total of 219 women were exclusively breastfeeding (72.8%), and 82 used a combination of breastfeeding
and formula milk to feed their infants (27.2%). The mean (standard deviation) scores in the
postpartum period were 61.34 out of 80 (SD=11.41) on the PPSS, 86.52 out of 108 (SD=19.68) on the
SQoL-F, and 22.78 out of 36 (SD=6.20) on the FSFI. Based on adjusted multivariable regression
models, spousal support in the postpartum period was a significant predictor of sexual quality of life
(β=0.39, p<0.001) but not a significant predictor of sexual function. Sexual quality of life was a significant
predictor of sexual function (β=0.44, p<0.001).
Conclusion: Given the importance of spousal support during the postpartum period in relation to sexual
quality of life and sexual function, designing and implementing counseling programs based on the
role of spousal support during postpartum sexual life would be helpful.
Keywords:
Social support, sexual function, sexual quality of life, breastfeeding, sexual relationship, spousal postpartum.
Graphical Abstract
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