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Jul 2019, Vol 7, Issue 3
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Original Article
The Effect of Sexual Counseling Based on PLISSIT Model on Sexual Function of Pregnant Women: A Randomized Controlled Clinical Trial
Zhila Shahbazi1, Azizeh Farshbaf-Khalili2, Niloofar Sattarzadeh3, Mahin Kamalifard4
1Students’ Research Committee, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
2Aging Research Institute, Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
3Midwifery Department, Faculty of Nursing & Midwifery. Tabriz University of Medical Science, Tabriz, Iran
4Department of Midwifery, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran

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Keywords : Sexual Dysfunction, Pregnancy, Counseling, PLISSIT Model
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Objectives : Several factors, including pregnancy which is associated with physical, psychological and hormonal changes, affect the females and their sexual partners’ relation and function. This study aimed to investigate the effect of PLISSIT-based sexual counseling on the sexual function of pregnant women.

Materials and Methods: This was a randomized controlled trial performed on 70 pregnant women who had a sexual function score of less than cut-off point, with a gestational period of 16-20 weeks. The participants were randomly divided into intervention and control groups by blocking method. The intervention group received individual counseling based on the PLISSIT model by a well-trained midwife, while the control group received only the usual care for the pregnancy. The primary outcome measures were the total score of female sexual function 4 weeks after the intervention. Data were collected using a questionnaire of personal and midwifery information, and female sexual function index (FSFI) in previous stages and 4 weeks after the intervention. All analyses were based on the intention to treat approach.

Results: There was a significant difference between the mean total score of sexual function (adjusted mean difference: 9.07; confidence interval 95%: 7.24 to 10.90) and all the sub scale the intervention and control groups four weeks after the intervention (p<0.05) adjusted for baseline scores. Consultation significantly reduced the frequency of sexual dysfunction and there was a significant difference between the two groups (p<0.001).

Conclusion: Given the effect of sexual counseling based on the PLISSIT model on the improvement of sexual function of pregnant women, this approach is recommended during pregnancy.

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