Oliveira, Ana Katherine da Silveira Gonçalves deMonteiro, Michelly Nóbrega2017-11-072017-11-072016-08-19MONTEIRO, Michelly Nóbrega. Gestação: uma perspectiva sobre sexualidade e desfechos obstétricos desfavoráveis relacionados a vulvovaginites. 2016. 83f. Dissertação (Mestrado em Ciências da Saúde) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2016.https://repositorio.ufrn.br/jspui/handle/123456789/24195The Postgraduate Program in Health Sciences of the Federal University of Rio Grande do Norte is a multidisciplinary proposal where we have the opportunity to exchange ideas, and to know experiences and receive contributions from several professionals of the area, including disciplines that expand our field of vision. The objectives of this study were to evaluate the sexual behavior and the prevalence of vulvovaginitis during pregnancy, the efficacy of the available diagnostic methods and the risk of perinatal complications. A prospective observational study conducted between October 2014 and July 2015, with vaginal material collected from 225 women between 26 and 34 weeks' gestation, and in these samples, the samples were microbiologically fresh and stained by Gram, Papanicolau, culture, amine test and vaginal pH measurement. In these patients, the FSFI (Female Sexual Function Index) questionnaire was applied to assess the female sexual response. Initially, the univariate analysis of the sample was done. Absolute and relative quantitative and categorical variables were described. The domains averages according to the risk of sexual dysfunction (FSFI ≤26.5) were compared by the T test for independent samples. The magnitude of the association between sexual dysfunction and all sociodemographic, clinical, and behavioral variables was measured by the chi-square test (χ2) and Fisher's exact test. From this perspective, the Relative Risks and their respective confidence intervals were evaluated for the bivariate analysis. Values of p less than 0.05 were considered significant. As a result, approximately two-thirds of the pregnant women studied (66.7%) presented a risk of sexual dysfunction (FSFI≤26.5). FSFI ≤26.5 (i.e., indicator of sexual dysfunction) was statistically significant (p <0.001) in all components (desire, excitation, lubrication, orgasm, satisfaction, and pain). In relation to the areas of the FSFI, it was found that the lowest means observed were desire (2.67), satisfaction (2.71) and excitation (2.78). The presence of Bacterial Vaginosis (p = 0.001, RR 3,542) and Trichomoniasis (p = 0.010; RR 2,577) was associated with preterm labor (p = 0.001; RR 2,897) and fetal birth weight below 2,500g p value = 0.001, RR 2,175). Bacterial Vaginosis and Trichomoniasis appears to have had an adverse fetal outcome (preterm delivery and fetal low birth weight).Acesso AbertoComplicações na gravidezSexualidadeOrgasmoVaginose bacterianaNascimento prematuromasterThesisCNPQ::CIENCIAS DA SAUDE