The factors that affect the quality of women's sexual function during the first year after childbirth in Greece: a cross-sectional study

Aim: Postpartum sexual dysfunction is common yet understudied, and the factors that contribute to it remain unclear. This study aimed to identify the determinants of sexual function among women in Greece during the first twelve months after childbirth. Design: A cross-sectional study. Methods: A cross-sectional online survey was conducted among 441 Greek-speaking women. The participants completed a structured questionnaire on sexual function, as well as associated demographic, physical, and psychosocial factors. Results: Higher maternal age, shorter sleep duration, limited family support, exclusive breastfeeding, and flatus incontinence were negatively associated with sexual function. In contrast, greater frequency of sexual intercourse before and during pregnancy, as well as a longer time elapsed since childbirth, were positively associated with sexual function. No significant associations were found with perineal trauma, mode of delivery, parity, high body mass index, or smoking. Conclusion: Prenatal parenting programs should incorporate counseling on maintaining sexual activity during and after pregnancy, provide information on breastfeeding, promote pelvic floor exercises, and emphasize the importance of family support. These factors were identified as key to improving maternal sexual health postpartum.