Journal of Qualitative Research in Health Sciences

Document Type : Original Article


1 Department of Midwifery, Faculty of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran

2 Department of Health Education and Promotion, Faculty of Health, Qom University of Medical Sciences, Qom, Iran



Background: Pregnancy is a sensitive time in women’s lives, as they experience numerous physical, psychological, and behavioral changes that can affect their sexual and marital relations. Due to the significance of this topic, the present study aimed to examine pregnant women’s experiences of sexual activity during pregnancy.
Methods: The participants in this qualitative content analysis study were 23 pregnant women who visited hospitals in Babolsar, Iran (2019-2020) and were selected using purposive sampling. Following in-depth interviews, a semi-structured questionnaire guide was used to collect qualitative data. Data were analyzed using the conventional content analysis method proposed by Graneheim and Lundman. The MAXQDA 10 software was utilized for qualitative data analysis.
Results: In the present study, pregnant women ranged in age from 19 to 35 years. The analysis of pregnant women’s experiences of sexual activity during pregnancy led to the identification of four categories including sexual changes perceived during pregnancy, strategies for coping with sexual changes during pregnancy, sexual changes leading to the couple’s development, and factors influencing sexual activity during pregnancy.
Conclusion: During pregnancy, women observe various sexual changes in themselves and their partners, influenced by gestational age, medical disorders, physical changes, psychological and emotional factors, and underlying factors. Accordingly, it is recommended that couples be educated on sexual health during pregnancy which emphasizes the need for further research in this area.


Narges Eskandari (Google Scholar) (PubMed)

Zabihollah Gharlipour (Google Scholar) (PubMed)

Siamak Mohebi (Google Scholar) (PubMed)

Roghayeh Tavakolian (Google Scholar) (PubMed)



  1. Mohammadsadegh A, Kalantar Kosheh M, Naeimi E. The experience of sexual problems in women seeking divorce and women satisfied with their marriage: a qualitative study. J Qual Res Health Sci. 2020;7(1):35-47. [Persian].
  2. Fathi M, Parvin S, Javadian SR. Comparing the causes of infidelity in marital relationships among men and women: a qualitative research. J Qual Res Health Sci. 2020;5(4):401-18. [Persian].
  3. Mitchell KR, Lewis R, O’Sullivan LF, Fortenberry JD. What is sexual wellbeing and why does it matter for public health? Lancet Public Health. 2021;6(8):e608-13. doi: 10.1016/ s2468-2667(21)00099-2.
  4. Keley M, Nazari AM, Zahrakar K. The experience of pregnant women about sexual relation during pregnancy: a phenomenological study. J Qual Res Health Sci. 2020;7(3):240-51. [Persian].
  5. Fuchs A, Czech I, Sikora J, Fuchs P, Lorek M, Skrzypulec- Plinta V, et al. Sexual functioning in pregnant women. Int J Environ Res Public Health. 2019;16(21):4216. doi: 10.3390/ ijerph16214216.
  6. Onah HE, Iloabachie GC, Obi SN, Ezugwu FO, Eze JN. Nigerian male sexual activity during pregnancy. Int J Gynaecol Obstet. 2002;76(2):219-23. doi: 10.1016/s0020- 7292(01)00579-3.
  7. Sattarzadeh N, Yavari Kya P. Sexual Activity Changes During Pregnancy. Congress on Family and Sexual Problems. Tehran: Shahed University; 2003. p. 73. [Persian].
  8. Jahanfar S, Molaeinezhad M. Sexual Dysfunction Textbook. Tehran: Salemi & Bizhe Publication; 2015. [Persian].
  9. Lund JI, Kleinplatz PJ, Charest M, Huber JD. The relationship between the sexual self and the experience of pregnancy. J Perinat Educ. 2019;28(1):43-50. doi: 10.1891/1058- 1243.28.1.43.
  10. Oche OM, Abdullahi Z, Tunau K, Ango JT, Yahaya M, Raji IA. Sexual activities of pregnant women attending antenatal clinic of a tertiary hospital in North-West Nigeria. Pan Afr Med J. 2020;37:140. doi: 10.11604/pamj.2020.37.140.25471.
  11. Lee JT. The meaning of sexual satisfaction in pregnant Taiwanese women. J Midwifery Womens Health. 2002;47(4):278-86. doi: 10.1016/s1526-9523(02)00264-7.
  12. Bayrami R, Sattarzadeh N, Ranjbar Koochaksariie F, Pezeshki MZ. Sexual dysfunction in couples and its related factors during pregnancy. J Reprod Infertil. 2008;9(3):271-83. [Persian].
  13. Chang SR, Chen KH, Lin HH, Yu HJ. Comparison of overall sexual function, sexual intercourse/activity, sexual satisfaction, and sexual desire during the three trimesters of pregnancy and assessment of their determinants. J Sex Med. 2011;8(10):2859- 67. doi: 10.1111/j.1743-6109.2011.02420.x.
  14. Rahimian M, Nassiri S, Saffarieh E. Pregnant women’s attitude towards sexual desire and its relationship with quality of life and rumination in the last trimester of pregnancy. J Obstet Gynecol Cancer Res. 2022;4(1):16-23. doi: 10.30699/ jogcr.4.1.16.
  15. Pakseresht S, Jafarzadeh-Kenarsari F, Rafat F, Rahebi SM. Qualitative study of married women’s perception on the meaning of sexual-marital activity. J Qual Res Health Sci. 2017;6(1):78-88. [Persian].
  16. Lester JN, Cho Y, Lochmiller CR. Learning to do qualitative data analysis: a starting point. Hum Resour Dev Rev. 2020;19(1):94-106. doi: 10.1177/1534484320903890.
  17. Erfanian Arghavanian F, Heydari A, Noghani Dokht Bahmani M, Latifnejad Roudsari R. An account of Iranian pregnant women’ experiences of spousal role: an ethnophenomenological exploration. J Midwifery Reprod Health. 2020;8(4):2404-18. doi: 10.22038/jmrh.2020.49044.1606.
  18. Kamali S, Ahmadian L, Khajouei R, Bahaadinbeigy K. Health information needs of pregnant women: information sources, motives and barriers. Health Info Libr J. 2018;35(1):24-37. doi: 10.1111/hir.12200.
  19. Sharifi M, Amiri-Farahani L, Kariman N, Hasanpoor-Azghady SB, Amiri-Farahani M. Sources of get information and related factors during pregnancy among Afghan migrant women in Iran. Nurs Open. 2021;8(2):975-81. doi: 10.1002/nop2.707.
  20. Javanmardi M, Noroozi M, Mostafavi F, Ashrafi-Rizi H. Exploring women’s health information needs during pregnancy: a qualitative study. J Family Reprod Health. 2020;14(4):252-8. doi: 10.18502/jfrh.v14i4.5209.
  21. Fernández-Carrasco FJ, Rodríguez-Díaz L, González-Mey U, Vázquez-Lara JM, Gómez-Salgado J, Parrón-Carreño T. Changes in sexual desire in women and their partners during pregnancy. J Clin Med. 2020;9(2):526. doi: 10.3390/ jcm9020526.
  22. Sigalla GN, Rasch V, Gammeltoft T, Meyrowitsch DW, Rogathi J, Manongi R, et al. Social support and intimate partner violence during pregnancy among women attending antenatal care in Moshi Municipality, Northern Tanzania. BMC Public Health. 2017;17(1):240. doi: 10.1186/s12889- 017-4157-3.
  23. Alipour Z, Kazemi A, Kheirabadi G, Eslami AA. Marital communication skills training to promote marital satisfaction and psychological health during pregnancy: a couple focused approach. Reprod Health. 2020;17(1):23. doi: 10.1186/ s12978-020-0877-4.
  24. Nekoolaltak M, Keshavarz Z, Simbar M, Nazari AM, Baghestani A. Achievement of and failure to achieve orgasm in sexual relationship: exploring Iranian women’s experiences. J Qual Res Health Sci. 2020;8(2):1-13. [Persian].
  25. Malary M, Moosazadeh M, Keramat A, Sabetghadam S. Factors influencing low sexual desire and sexual distress in pregnancy: a cross-sectional study. Int J Reprod Biomed. 2021;19(10):909-20. doi: 10.18502/ijrm.v19i10.9823.
  26. Alizadeh S, Riazi H, Alavi Majd H, Ozgoli G. Factors affecting the variation in sexual activity and response before and during pregnancy among pregnant women in Rasht city, northern Iran. Galen Med J. 2019;8:e1531. doi: 10.31661/ gmj.v8i0.1531.
  27. Pereira EV, Belém JM, Alves MJ, Torquato JA, Firmino PR, de Melo Fialho AV, et al. Factors associated with sexual practices and positions performed by pregnant women: a cross-sectional study. Rev Bras Enferm. 2021;75(3):e20210162. doi: 10.1590/0034-7167-2021-0162.