Assessment Of Sexual Activity In Post Partum In Union Women In Addis Ababa A Prospective Cross Sectional Descriptive Study In Six Immunization Clinics Addis Ababa Ethiopia

Background: Pregnancy and childbirth is a special period in a woman’s life, which involvesrnsignificant physical, hormonal, psychological, social, and cultural changes that may influence herrnown sexuality as well as the health of a couple’s sexual relationship.rnObjectives: The study was done to assess the postpartum sexual activity among in union womenrnwithin 14 weeks of their childbirth in six health centres in Addis Ababa.rnMethods: A facility - based prospective cross-sectional study was done using a structuredrnquestionnaire in six heath centers; with calculated sample size of 424 postpartum women.rnDescriptive statistics (mean, standard deviation (SD), minimum, maximum), frequency andrnbinary logistic regression were employed to analyze.rnResults: Sexual intercourse was resumed by 78.3% of the women within 14 weeks of childbirth.rnOf these 57.8% had their intercourse during the puerperium. The main reasons for resumption ofrnsexual intercourse were husbands’ demands, cultural demands and inherent interest to have sex.rnThe study participants had 21.2% sexual associated problems. Of those who had sexualrnintercourse and had problems only 13.7% sought medical assistance. The reasons for notrnresuming sexual intercourse within 14 weeks were husband was away(37%) and not fellingrngood(22.8%) and no interest (21.9%) . parity (p=.015, residence(p=.000) and return ofrnmenses(p=.000) were significantly associated with early initiation of sexual intercourse.rnConclusion: Most women resumed sexual intercourse within 14 weeks of childbirth and hadrnhigh morbidity.rnKeywords : Sexual resumption time, reasons for resuming and not resuming

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