Indicadores clínicos de disfunção sexual em mulheres grávidas: revisão integrativa de literatura

Carteiro, Dora Maria Honorato; Sousa, Lisete Maria Ribeiro de; Caldeira, Sílvia Maria Alves

doi:10.1590/0034-7167.2016690122i

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

Español English

Brasil

Español English

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Sumário

REVISÃO • Rev. Bras. Enferm. 69 (1) • Jan-Feb 2016 • https://doi.org/10.1590/0034-7167.2016690122i copiar

Indicadores clínicos de disfunção sexual em mulheres grávidas: revisão integrativa de literatura

Indicadores clínicos de disfunción sexual en mujeres embarazadas: revisión integradora de literatura

Autoria SCIMAGO INSTITUTIONS RANKINGS

RESUMO

Objetivo:

identificar os indicadores clínicos do diagnóstico de enfermagem disfunção sexual em mulheres grávidas.

Método:

revisão integrativa da literatura, com pesquisa em bases de dados, utilizando os descritores "sexual*", "pregnan*" e"function*". Foram incluídos estudos com resumo disponível para análise, referentes a grávidas com idade igual ou superior a 18 anos, escritos em português, francês, espanhol e inglês, com data de publicação entre 2010 e 2014. Foram excluídos estudos que reportassem grávidas com patologia associada.

Resultados:

a disfunção sexual na grávida é consistente na literatura. Foram identificadas nove características definidoras e 16 fatores relacionados, alguns não classificados na NANDA Internacional.

Conclusão:

indicadores clínicos podem ser adicionados ao diagnóstico de enfermagem de modo a favorecer um diagnóstico acurado e intervenções efetivas na vigilância da gravidez como um período de vivência sexual saudável.

Descritores:
Comportamento Sexual; Disfunção Sexual Fisiológica; Disfunção Sexual Psicogênica; Gestantes; Revisão

Características definidoras	n	%
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Alteração na satisfação sexual⁽²2 Ferreira DQ, Nakamura MU, De Souza E, Neto CM, Ribeiro MC, Santana TGM, et al. [Sexual function and quality of life of low-risk pregnant women]. Rev Bras Ginecol Obstet [Internet]. 2012[cited 2015 Jun 5];34(9):409-12. Available from: http://www.scielo.br/pdf/rbgo/v34n9/a04v34n9.pdf http://www.scielo.br/pdf/rbgo/v34n9/a04v... ^,⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁰10 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 [Internet]. 2011[cited 2015 Jun 5]; 8 (10):2859-67. Available from:http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02420.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹³13 Alsibiani SA. Effects of pregnancy on sexual function: findings from a survey of Saudi women. Saudi Med J [Internet]. 2014[cited 2015 Jun 5];35(5):482-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24825810 http://www.ncbi.nlm.nih.gov/pubmed/24825... ^,¹⁵15 Gałązka I, Drosdzol-Cop A, Naworska B, Czajkowska M, Skrzypulec-Plinta V. Changes in the Sexual Function During Pregnancy. J Sex Med [Internet]. 2014[cited 2015 Jun 5];12 (2):445-54. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12747/epdf http://onlinelibrary.wiley.com/doi/10.11... ^-¹⁶16 Naldoni LMV, Pazmino MAV, Pezzan PAO, Pereira SB, Duarte G, Ferreira CHJ. Evaluation of Sexual Function in Brazilian Pregnant Women. J Sex Marital Ther [Internet]. 2011 [cited 2015 Jun 5];37(2):116-29. 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Available from: http://saudepublica.bvs.br/pesquisa/resource/pt/ibc-115723Spanish http://saudepublica.bvs.br/pesquisa/reso... ^-³⁰30 Malkoc O, Resim S, Bulut B. The Effect Pregnancy on Female Sexual Functions. J Sex Med. 2014;11:80.^,³⁵35 Amaral TLM, Monteiro GTR. [Translation and validation of the pregnancy and sexual function questionnaire (PSFQ)]. Rev Bras Ginecol Obstet[Internet]. 2014[cited 2015 Jun 5];36(3):131-8. Available from: http://www.scielo.br/scielo.php?pid=S0100-72032014000300131&script=sci_arttext&tlng=enPortuguese. http://www.scielo.br/scielo.php?pid=S010... ^,³⁷37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... 38 Guleroglu FT, Beser NG. Evaluation of Sexual Functions of the Pregnant Women. J Sex Med [Internet]. 2014[cited 2015 Jun 5];11 (1):146-53. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^-³⁹39 Prado DS, Lima RV, Lima LMMR. [Impact of pregnancy on female sexual function]. Rev Bras Ginecol Obstet [Internet]. 2013[cited 2015 Jun 5];35(5):205-9. Available from: http://www.scielo.br/pdf/rbgo/v35n5/03.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v35n5/03.p... ^,⁴²42 Aydin M, Cayonu N, Irkilata L, Demirel HC, Keles M, Atilla MK, et al. The Comparison of Sexual Functions in Pregnant and Non-Pregnant Women. J Sex Med. 2014;11:77.^-⁴³43 Millheiser, L. Female Sexual Function During Pregnancy and Postpartum. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(2):635-36. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02637.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁴⁵45 Yangin HB, Eroglu K. Investigation of the sexual behavior of pregnant women residing in squatter neighborhoods in Southwestern Turkey: A qualitative study. J Sex Marital Ther [Internet]. 2011[cited 2015 Jun 5];37(3):190-205. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21512939 http://www.ncbi.nlm.nih.gov/pubmed/21512... 46 Shoja M, Jouybari L, Sanagoo A. Changes in Sexual and Behavioral Relationships among Couples during Pregnancy. Qom University of Medical Sciences Journal [Internet]. 2011[cited 2015 Jun 5];5(3):3. Available from: https://doaj.org/article/5a76dcdfd5344edbaa9b6495f50aab1a https://doaj.org/article/5a76dcdfd5344ed... 47 Martins MFSV, Remoaldo PCAC. [Representations of the midwife in the perspective of the pregnant woman]. Rev Bras Enferm [Internet]. 2014[cited 2015 Jun 5];67(3):360-5. Available from: http://www.scielo.br/pdf/reben/v67n3/0034-7167-reben-67-03-0360.pdfPortuguese. http://www.scielo.br/pdf/reben/v67n3/003... 48 Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med [Internet]. 2011 [cited 2015 Jun 5];8(5):1267-84. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02223.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^-⁴⁹49 Afshar M, Mohammad-Alizadeh-Charandabi S, Merghti-Khoei E-S, Yavarikia P. The effect of sex education on the sexual function of women in the first half of pregnancy: a ran-domized controlled trial. J Caring Sci [Internet]. 2012[cited 2015 Jun 5];1(4):173-81. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161090/pdf/jcs-1-173.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,⁵¹51 Liu H-L, Hsu P, Chen K-H. Sexual activity during pregnancy in Taiwan: a qualitative study. J Sex Med. 2013;1(2):54-61.^,⁵³53 Kisa S, Zeyneloglu S, Yilmaz D, Güner T. Quality of sexual life and its effect on marital adjustment of Turkish women in pregnancy. J Sex Marital Ther [Internet]. 2014[cited 2015 Jun 5];40(4):309-22. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24102194 http://www.ncbi.nlm.nih.gov/pubmed/24102... 54 Katz A. Sexually speaking: Sexual changes during and after pregnancy. Am J Pract Nurs[Internet]. 2010[cited 2015 Jun 5];110(8):50-2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20671497 http://www.ncbi.nlm.nih.gov/pubmed/20671... 55 Guleroglu TF, Beser GN. Evaluation of sexual function of the pregnant women. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9:352-3. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... 56 Barbosa ECB. Factores que influenciam a sexualidade do casal durante a gravidez [Monografia] [Internet]. Universidade Fernando Pessoa. 2011[cited 2015 Jun 5]; Available from: http://bdigital.ufp.pt/bitstream/10284/2849/3/T_24439.pdf http://bdigital.ufp.pt/bitstream/10284/2... 57 Progianti JM, Costa RF. 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Available from: http://www.publish.csiro.au/index.cfm?paper=SH13153 http://www.publish.csiro.au/index.cfm?pa... ^,⁶²62 Lee JT, Lin CL, Wan GH, Liang CC. Sexual positions and sexual satisfaction of pregnant women. J Sex Marital Ther [Internet]. 2010[cited 2015 Jun 5];36(5):408-20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20924936 http://www.ncbi.nlm.nih.gov/pubmed/20924... 63 Nik-Azin A, Nainian MR, Zamani M, Bavojdan MR, Bavojdan MR, Motlagh MJ. Evaluation of sexual function, quality of life, and mental and physical health in pregnant women. J Fam Plann Reprod Health Care [Internet]. 2013)[cited 2015 Jun 5];7(4):171-6. Available Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064754/pdf/JFRH-7-171.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^-⁶⁴64 Rados SN, Vranes HS, Sunjic, M. Limited role of body satisfaction and body image self-consciousness in sexual frequency and satisfaction in pregnant women. J Sex Res [Internet]. 2014[cited 2015 Jun 5];51(5):532-41. 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Alteração no orgasmo⁽²2 Ferreira DQ, Nakamura MU, De Souza E, Neto CM, Ribeiro MC, Santana TGM, et al. [Sexual function and quality of life of low-risk pregnant women]. Rev Bras Ginecol Obstet [Internet]. 2012[cited 2015 Jun 5];34(9):409-12. Available from: http://www.scielo.br/pdf/rbgo/v34n9/a04v34n9.pdf http://www.scielo.br/pdf/rbgo/v34n9/a04v... ^,⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁰10 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 [Internet]. 2011[cited 2015 Jun 5]; 8 (10):2859-67. Available from:http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02420.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹²12 Ahmed MR, Madny EH, Ahmed WAS. Prevalence of female sexual dysfunction during pregnancy among egyptian women. J Obstet Gynaecol [Internet]. 2014[cited 2015 Jun 5];40(4):1023-9. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jog.12313/epdf http://onlinelibrary.wiley.com/doi/10.11... 13 Alsibiani SA. Effects of pregnancy on sexual function: findings from a survey of Saudi women. Saudi Med J [Internet]. 2014[cited 2015 Jun 5];35(5):482-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24825810 http://www.ncbi.nlm.nih.gov/pubmed/24825... 14 Babazadeh R, Mirzaii K, Masomi Z. Changes in sexual desire and activity during pregnancy among women in Shahroud, Iran. Int J Gynecol Obstet [Internet]. 2013[cited 2015 Jun 5];120(1):82-4. Available from: http://www.ijgo.org/article/S0020-7292(12)00501-2/pdf http://www.ijgo.org/article/S0020-7292(1... 15 Gałązka I, Drosdzol-Cop A, Naworska B, Czajkowska M, Skrzypulec-Plinta V. Changes in the Sexual Function During Pregnancy. J Sex Med [Internet]. 2014[cited 2015 Jun 5];12 (2):445-54. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12747/epdf http://onlinelibrary.wiley.com/doi/10.11... ^-¹⁶16 Naldoni LMV, Pazmino MAV, Pezzan PAO, Pereira SB, Duarte G, Ferreira CHJ. Evaluation of Sexual Function in Brazilian Pregnant Women. J Sex Marital Ther [Internet]. 2011 [cited 2015 Jun 5];37(2):116-29. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21400336 http://www.ncbi.nlm.nih.gov/pubmed/21400... ^,¹⁹19 Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J Pelvic Floor Dysfunct [Internet]. 2014[cited 2015 Jun 5];25(1):5-14. Available from: http://link.springer.com/content/pdf/10.1007%2Fs00192-013-2118-7.pdf http://link.springer.com/content/pdf/10.... ^,²²22 Queirós AC, Cunha V, Ambrósio P, Marques F, Serrano, F. Sexualidade no terceiro trimestre da gravidez. Rev Port Clin Geral [Internet]. 2011 [cited 2015 Jun 5];27:434-43. Available from: http://www.scielo.mec.pt/pdf/rpcg/v27n5/v27n5a05.pdf http://www.scielo.mec.pt/pdf/rpcg/v27n5/... ^-²³23 Corbacioglu A, Akca A, Akbayir O, Cilesiz Goksedef BP, Bakir VL. Female sexual function and associated factors during pregnancy. J Obstet Gynaecol [Internet]. 2013[cited 2015 Jun 5];39(6):1165-72. Available from:http://onlinelibrary.wiley.com/doi/10.1111/jog.12048/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,²⁷27 Chang SR, Chen KH, Lin HH. Determinants of Sexual Function in Early, Middle, and Late Pregnancy. J Sex Med. 2011;8(s3):171. 28 Pauleta JR, Pereira NM, Graça LM. Sexuality during pregnancy. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(1pt1):136-42. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2009.01538.x/epdf http://onlinelibrary.wiley.com/doi/10.11... 29 Rodríguez LM, Ramón AE. [Characteristics and evolution of pregnant women's sexual pattern]. Enf Global [Internet].2013;12(32):362-70. Available from: http://saudepublica.bvs.br/pesquisa/resource/pt/ibc-115723Spanish http://saudepublica.bvs.br/pesquisa/reso... ^-³⁰30 Malkoc O, Resim S, Bulut B. The Effect Pregnancy on Female Sexual Functions. J Sex Med. 2014;11:80.^,³⁵35 Amaral TLM, Monteiro GTR. [Translation and validation of the pregnancy and sexual function questionnaire (PSFQ)]. Rev Bras Ginecol Obstet[Internet]. 2014[cited 2015 Jun 5];36(3):131-8. Available from: http://www.scielo.br/scielo.php?pid=S0100-72032014000300131&script=sci_arttext&tlng=enPortuguese. http://www.scielo.br/scielo.php?pid=S010... 36 Catão CC, Benevides JV, Alvares Barbosa LM. Analysis of sexual function in pregnancy: a study with pregnants residents in Bom Conselho - Pernambuco - Brazil. J Sex Med. 2013;10:363. 37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... 38 Guleroglu FT, Beser NG. Evaluation of Sexual Functions of the Pregnant Women. J Sex Med [Internet]. 2014[cited 2015 Jun 5];11 (1):146-53. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^-³⁹39 Prado DS, Lima RV, Lima LMMR. [Impact of pregnancy on female sexual function]. Rev Bras Ginecol Obstet [Internet]. 2013[cited 2015 Jun 5];35(5):205-9. Available from: http://www.scielo.br/pdf/rbgo/v35n5/03.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v35n5/03.p... ^,⁴¹41 Erenel A, Eroglu K, Vural G, Dilbaz B. A Pilot Study: In What Ways Do Women in Turkey Experience a Change in Their Sexuality During Pregnancy? Sex Disabil[Internet]. 2011[cited 2015 Jun 5];29(3):207-16. Available from:http://www.researchgate.net/publication/226828375_A_Pilot_Study_In_What_Ways_Do_Women_in_Turkey_Experience_a_ Change_in_Their_Sexuality_During_Pregnancy http://www.researchgate.net/publication/... ^-⁴²42 Aydin M, Cayonu N, Irkilata L, Demirel HC, Keles M, Atilla MK, et al. The Comparison of Sexual Functions in Pregnant and Non-Pregnant Women. J Sex Med. 2014;11:77.^,⁴⁵45 Yangin HB, Eroglu K. Investigation of the sexual behavior of pregnant women residing in squatter neighborhoods in Southwestern Turkey: A qualitative study. J Sex Marital Ther [Internet]. 2011[cited 2015 Jun 5];37(3):190-205. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21512939 http://www.ncbi.nlm.nih.gov/pubmed/21512... 46 Shoja M, Jouybari L, Sanagoo A. Changes in Sexual and Behavioral Relationships among Couples during Pregnancy. Qom University of Medical Sciences Journal [Internet]. 2011[cited 2015 Jun 5];5(3):3. Available from: https://doaj.org/article/5a76dcdfd5344edbaa9b6495f50aab1a https://doaj.org/article/5a76dcdfd5344ed... 47 Martins MFSV, Remoaldo PCAC. [Representations of the midwife in the perspective of the pregnant woman]. Rev Bras Enferm [Internet]. 2014[cited 2015 Jun 5];67(3):360-5. Available from: http://www.scielo.br/pdf/reben/v67n3/0034-7167-reben-67-03-0360.pdfPortuguese. http://www.scielo.br/pdf/reben/v67n3/003... 48 Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med [Internet]. 2011 [cited 2015 Jun 5];8(5):1267-84. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02223.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^-⁴⁹49 Afshar M, Mohammad-Alizadeh-Charandabi S, Merghti-Khoei E-S, Yavarikia P. The effect of sex education on the sexual function of women in the first half of pregnancy: a ran-domized controlled trial. J Caring Sci [Internet]. 2012[cited 2015 Jun 5];1(4):173-81. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161090/pdf/jcs-1-173.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,⁵¹51 Liu H-L, Hsu P, Chen K-H. Sexual activity during pregnancy in Taiwan: a qualitative study. J Sex Med. 2013;1(2):54-61.^,⁵³53 Kisa S, Zeyneloglu S, Yilmaz D, Güner T. Quality of sexual life and its effect on marital adjustment of Turkish women in pregnancy. J Sex Marital Ther [Internet]. 2014[cited 2015 Jun 5];40(4):309-22. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24102194 http://www.ncbi.nlm.nih.gov/pubmed/24102... ^-⁵⁴54 Katz A. Sexually speaking: Sexual changes during and after pregnancy. Am J Pract Nurs[Internet]. 2010[cited 2015 Jun 5];110(8):50-2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20671497 http://www.ncbi.nlm.nih.gov/pubmed/20671... ^,⁵⁶56 Barbosa ECB. Factores que influenciam a sexualidade do casal durante a gravidez [Monografia] [Internet]. Universidade Fernando Pessoa. 2011[cited 2015 Jun 5]; Available from: http://bdigital.ufp.pt/bitstream/10284/2849/3/T_24439.pdf http://bdigital.ufp.pt/bitstream/10284/2... 57 Progianti JM, Costa RF. [Educational practices developed by nurses: reflections on women's pregnancy and labor experiences]. Rev Bras Enferm [Internet]. 2012[cited 2015 Jun 5];65(2):257-63. Available from: http://www.scielo.br/pdf/reben/v65n2/v65n2a09.pdfPortuguese. http://www.scielo.br/pdf/reben/v65n2/v65... ^-⁵⁸58 Guerreiro EM, Rodrigues DP, Queiroz ABA, Ferreira MDA. [Health education in pregnancy and postpartum: meanings attributed by puerperal women]. Rev Bras Enferm [Internet]. 2014[cited 2015 Jun 5];67(1): 13-21. Available from:http://www.scielo.br/pdf/reben/v67n1/0034-7167-reben-67-01-0013.pdfPortuguese. http://www.scielo.br/pdf/reben/v67n1/003... ^,⁶³63 Nik-Azin A, Nainian MR, Zamani M, Bavojdan MR, Bavojdan MR, Motlagh MJ. Evaluation of sexual function, quality of life, and mental and physical health in pregnant women. J Fam Plann Reprod Health Care [Internet]. 2013)[cited 2015 Jun 5];7(4):171-6. Available Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064754/pdf/JFRH-7-171.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	34	59
Dispareunia⁽²2 Ferreira DQ, Nakamura MU, De Souza E, Neto CM, Ribeiro MC, Santana TGM, et al. [Sexual function and quality of life of low-risk pregnant women]. Rev Bras Ginecol Obstet [Internet]. 2012[cited 2015 Jun 5];34(9):409-12. Available from: http://www.scielo.br/pdf/rbgo/v34n9/a04v34n9.pdf http://www.scielo.br/pdf/rbgo/v34n9/a04v... ^,⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁰10 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 [Internet]. 2011[cited 2015 Jun 5]; 8 (10):2859-67. Available from:http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02420.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹³13 Alsibiani SA. Effects of pregnancy on sexual function: findings from a survey of Saudi women. Saudi Med J [Internet]. 2014[cited 2015 Jun 5];35(5):482-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24825810 http://www.ncbi.nlm.nih.gov/pubmed/24825... 14 Babazadeh R, Mirzaii K, Masomi Z. Changes in sexual desire and activity during pregnancy among women in Shahroud, Iran. Int J Gynecol Obstet [Internet]. 2013[cited 2015 Jun 5];120(1):82-4. Available from: http://www.ijgo.org/article/S0020-7292(12)00501-2/pdf http://www.ijgo.org/article/S0020-7292(1... 15 Gałązka I, Drosdzol-Cop A, Naworska B, Czajkowska M, Skrzypulec-Plinta V. Changes in the Sexual Function During Pregnancy. J Sex Med [Internet]. 2014[cited 2015 Jun 5];12 (2):445-54. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12747/epdf http://onlinelibrary.wiley.com/doi/10.11... ^-¹⁶16 Naldoni LMV, Pazmino MAV, Pezzan PAO, Pereira SB, Duarte G, Ferreira CHJ. Evaluation of Sexual Function in Brazilian Pregnant Women. J Sex Marital Ther [Internet]. 2011 [cited 2015 Jun 5];37(2):116-29. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21400336 http://www.ncbi.nlm.nih.gov/pubmed/21400... ^,¹⁹19 Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J Pelvic Floor Dysfunct [Internet]. 2014[cited 2015 Jun 5];25(1):5-14. Available from: http://link.springer.com/content/pdf/10.1007%2Fs00192-013-2118-7.pdf http://link.springer.com/content/pdf/10.... ^,²²22 Queirós AC, Cunha V, Ambrósio P, Marques F, Serrano, F. Sexualidade no terceiro trimestre da gravidez. Rev Port Clin Geral [Internet]. 2011 [cited 2015 Jun 5];27:434-43. Available from: http://www.scielo.mec.pt/pdf/rpcg/v27n5/v27n5a05.pdf http://www.scielo.mec.pt/pdf/rpcg/v27n5/... ^-²³23 Corbacioglu A, Akca A, Akbayir O, Cilesiz Goksedef BP, Bakir VL. Female sexual function and associated factors during pregnancy. J Obstet Gynaecol [Internet]. 2013[cited 2015 Jun 5];39(6):1165-72. Available from:http://onlinelibrary.wiley.com/doi/10.1111/jog.12048/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,²⁷27 Chang SR, Chen KH, Lin HH. Determinants of Sexual Function in Early, Middle, and Late Pregnancy. J Sex Med. 2011;8(s3):171.^-²⁸28 Pauleta JR, Pereira NM, Graça LM. Sexuality during pregnancy. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(1pt1):136-42. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2009.01538.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,³⁰30 Malkoc O, Resim S, Bulut B. The Effect Pregnancy on Female Sexual Functions. J Sex Med. 2014;11:80.^,³⁵35 Amaral TLM, Monteiro GTR. [Translation and validation of the pregnancy and sexual function questionnaire (PSFQ)]. Rev Bras Ginecol Obstet[Internet]. 2014[cited 2015 Jun 5];36(3):131-8. Available from: http://www.scielo.br/scielo.php?pid=S0100-72032014000300131&script=sci_arttext&tlng=enPortuguese. http://www.scielo.br/scielo.php?pid=S010... ^,³⁷37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... 38 Guleroglu FT, Beser NG. Evaluation of Sexual Functions of the Pregnant Women. J Sex Med [Internet]. 2014[cited 2015 Jun 5];11 (1):146-53. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^-³⁹39 Prado DS, Lima RV, Lima LMMR. [Impact of pregnancy on female sexual function]. Rev Bras Ginecol Obstet [Internet]. 2013[cited 2015 Jun 5];35(5):205-9. Available from: http://www.scielo.br/pdf/rbgo/v35n5/03.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v35n5/03.p... ^,⁴¹41 Erenel A, Eroglu K, Vural G, Dilbaz B. A Pilot Study: In What Ways Do Women in Turkey Experience a Change in Their Sexuality During Pregnancy? Sex Disabil[Internet]. 2011[cited 2015 Jun 5];29(3):207-16. Available from:http://www.researchgate.net/publication/226828375_A_Pilot_Study_In_What_Ways_Do_Women_in_Turkey_Experience_a_ Change_in_Their_Sexuality_During_Pregnancy http://www.researchgate.net/publication/... ^-⁴²42 Aydin M, Cayonu N, Irkilata L, Demirel HC, Keles M, Atilla MK, et al. The Comparison of Sexual Functions in Pregnant and Non-Pregnant Women. J Sex Med. 2014;11:77.^,⁴⁵45 Yangin HB, Eroglu K. Investigation of the sexual behavior of pregnant women residing in squatter neighborhoods in Southwestern Turkey: A qualitative study. J Sex Marital Ther [Internet]. 2011[cited 2015 Jun 5];37(3):190-205. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21512939 http://www.ncbi.nlm.nih.gov/pubmed/21512... 46 Shoja M, Jouybari L, Sanagoo A. Changes in Sexual and Behavioral Relationships among Couples during Pregnancy. Qom University of Medical Sciences Journal [Internet]. 2011[cited 2015 Jun 5];5(3):3. Available from: https://doaj.org/article/5a76dcdfd5344edbaa9b6495f50aab1a https://doaj.org/article/5a76dcdfd5344ed... 47 Martins MFSV, Remoaldo PCAC. [Representations of the midwife in the perspective of the pregnant woman]. Rev Bras Enferm [Internet]. 2014[cited 2015 Jun 5];67(3):360-5. Available from: http://www.scielo.br/pdf/reben/v67n3/0034-7167-reben-67-03-0360.pdfPortuguese. http://www.scielo.br/pdf/reben/v67n3/003... 48 Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med [Internet]. 2011 [cited 2015 Jun 5];8(5):1267-84. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02223.x/abstract http://onlinelibrary.wiley.com/doi/10.11... 49 Afshar M, Mohammad-Alizadeh-Charandabi S, Merghti-Khoei E-S, Yavarikia P. The effect of sex education on the sexual function of women in the first half of pregnancy: a ran-domized controlled trial. J Caring Sci [Internet]. 2012[cited 2015 Jun 5];1(4):173-81. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161090/pdf/jcs-1-173.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... 50 García González S, Duarte González LD, Mejías Paneque MC. [Evaluation of a sexual education program on knowledge and sexual behavior in pregnant]. Enferm Global [Internet]. 2012[cited 2015 Jun 5];11(4):453-64. Available from: http://revistas.um.es/eglobal/article/viewFile/147791/139181Spanish http://revistas.um.es/eglobal/article/vi... ^-⁵¹51 Liu H-L, Hsu P, Chen K-H. Sexual activity during pregnancy in Taiwan: a qualitative study. J Sex Med. 2013;1(2):54-61.^,⁵³53 Kisa S, Zeyneloglu S, Yilmaz D, Güner T. Quality of sexual life and its effect on marital adjustment of Turkish women in pregnancy. J Sex Marital Ther [Internet]. 2014[cited 2015 Jun 5];40(4):309-22. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24102194 http://www.ncbi.nlm.nih.gov/pubmed/24102... ^-⁵⁴54 Katz A. Sexually speaking: Sexual changes during and after pregnancy. Am J Pract Nurs[Internet]. 2010[cited 2015 Jun 5];110(8):50-2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20671497 http://www.ncbi.nlm.nih.gov/pubmed/20671... ^,⁵⁶56 Barbosa ECB. Factores que influenciam a sexualidade do casal durante a gravidez [Monografia] [Internet]. Universidade Fernando Pessoa. 2011[cited 2015 Jun 5]; Available from: http://bdigital.ufp.pt/bitstream/10284/2849/3/T_24439.pdf http://bdigital.ufp.pt/bitstream/10284/2... 57 Progianti JM, Costa RF. [Educational practices developed by nurses: reflections on women's pregnancy and labor experiences]. Rev Bras Enferm [Internet]. 2012[cited 2015 Jun 5];65(2):257-63. Available from: http://www.scielo.br/pdf/reben/v65n2/v65n2a09.pdfPortuguese. http://www.scielo.br/pdf/reben/v65n2/v65... ^-⁵⁸58 Guerreiro EM, Rodrigues DP, Queiroz ABA, Ferreira MDA. [Health education in pregnancy and postpartum: meanings attributed by puerperal women]. Rev Bras Enferm [Internet]. 2014[cited 2015 Jun 5];67(1): 13-21. Available from:http://www.scielo.br/pdf/reben/v67n1/0034-7167-reben-67-01-0013.pdfPortuguese. http://www.scielo.br/pdf/reben/v67n1/003... ^,⁶⁴64 Rados SN, Vranes HS, Sunjic, M. Limited role of body satisfaction and body image self-consciousness in sexual frequency and satisfaction in pregnant women. J Sex Res [Internet]. 2014[cited 2015 Jun 5];51(5):532-41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24826879 http://www.ncbi.nlm.nih.gov/pubmed/24826... ^-⁶⁵65 Razali R, Balakrishnan K, Sidi H, Peter JR, Razi ZRM. Is sexual dysfunction common among pregnant Malaysian women? 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Alteração na atividade/frequência sexual⁽⁵5 Murtagh J. Female sexual function, dysfunction, and pregnancy: Implications for practice. J Midwifery Women's Health [Internet]. 2010[cited 2015 Jun 5];55(5):438-46. Available from: http://www.sciencedirect.com/science/article/pii/S152695230900470X http://www.sciencedirect.com/science/art... ^-⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁰10 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 [Internet]. 2011[cited 2015 Jun 5]; 8 (10):2859-67. 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Qom University of Medical Sciences Journal [Internet]. 2011[cited 2015 Jun 5];5(3):3. Available from: https://doaj.org/article/5a76dcdfd5344edbaa9b6495f50aab1a https://doaj.org/article/5a76dcdfd5344ed... ^,⁴⁸48 Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med [Internet]. 2011 [cited 2015 Jun 5];8(5):1267-84. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02223.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁵⁰50 García González S, Duarte González LD, Mejías Paneque MC. [Evaluation of a sexual education program on knowledge and sexual behavior in pregnant]. Enferm Global [Internet]. 2012[cited 2015 Jun 5];11(4):453-64. Available from: http://revistas.um.es/eglobal/article/viewFile/147791/139181Spanish http://revistas.um.es/eglobal/article/vi... ^,⁵⁴54 Katz A. Sexually speaking: Sexual changes during and after pregnancy. Am J Pract Nurs[Internet]. 2010[cited 2015 Jun 5];110(8):50-2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20671497 http://www.ncbi.nlm.nih.gov/pubmed/20671... ^-⁵⁵55 Guleroglu TF, Beser GN. Evaluation of sexual function of the pregnant women. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9:352-3. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁵⁷57 Progianti JM, Costa RF. [Educational practices developed by nurses: reflections on women's pregnancy and labor experiences]. Rev Bras Enferm [Internet]. 2012[cited 2015 Jun 5];65(2):257-63. Available from: http://www.scielo.br/pdf/reben/v65n2/v65n2a09.pdfPortuguese. http://www.scielo.br/pdf/reben/v65n2/v65... ^,⁶¹61 Kerdarunsuksri A, Manusirivithaya S. Attitudes and sexual function in Thai pregnant women. J Med Assoc Thai [Internet]. 2010[cited 2015 Jun 5];93(3):265-71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20420099 http://www.ncbi.nlm.nih.gov/pubmed/20420... 62 Lee JT, Lin CL, Wan GH, Liang CC. 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Alteração na excitação sexual⁽²2 Ferreira DQ, Nakamura MU, De Souza E, Neto CM, Ribeiro MC, Santana TGM, et al. [Sexual function and quality of life of low-risk pregnant women]. Rev Bras Ginecol Obstet [Internet]. 2012[cited 2015 Jun 5];34(9):409-12. Available from: http://www.scielo.br/pdf/rbgo/v34n9/a04v34n9.pdf http://www.scielo.br/pdf/rbgo/v34n9/a04v... ^,⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁰10 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 [Internet]. 2011[cited 2015 Jun 5]; 8 (10):2859-67. 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Investigation of the sexual behavior of pregnant women residing in squatter neighborhoods in Southwestern Turkey: A qualitative study. J Sex Marital Ther [Internet]. 2011[cited 2015 Jun 5];37(3):190-205. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21512939 http://www.ncbi.nlm.nih.gov/pubmed/21512... 46 Shoja M, Jouybari L, Sanagoo A. Changes in Sexual and Behavioral Relationships among Couples during Pregnancy. Qom University of Medical Sciences Journal [Internet]. 2011[cited 2015 Jun 5];5(3):3. Available from: https://doaj.org/article/5a76dcdfd5344edbaa9b6495f50aab1a https://doaj.org/article/5a76dcdfd5344ed... ^-⁴⁷47 Martins MFSV, Remoaldo PCAC. [Representations of the midwife in the perspective of the pregnant woman]. Rev Bras Enferm [Internet]. 2014[cited 2015 Jun 5];67(3):360-5. Available from: http://www.scielo.br/pdf/reben/v67n3/0034-7167-reben-67-03-0360.pdfPortuguese. http://www.scielo.br/pdf/reben/v67n3/003... ^,⁴⁹49 Afshar M, Mohammad-Alizadeh-Charandabi S, Merghti-Khoei E-S, Yavarikia P. The effect of sex education on the sexual function of women in the first half of pregnancy: a ran-domized controlled trial. J Caring Sci [Internet]. 2012[cited 2015 Jun 5];1(4):173-81. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161090/pdf/jcs-1-173.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,⁵¹51 Liu H-L, Hsu P, Chen K-H. Sexual activity during pregnancy in Taiwan: a qualitative study. J Sex Med. 2013;1(2):54-61.^,⁵³53 Kisa S, Zeyneloglu S, Yilmaz D, Güner T. Quality of sexual life and its effect on marital adjustment of Turkish women in pregnancy. J Sex Marital Ther [Internet]. 2014[cited 2015 Jun 5];40(4):309-22. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24102194 http://www.ncbi.nlm.nih.gov/pubmed/24102... ^,⁵⁶56 Barbosa ECB. Factores que influenciam a sexualidade do casal durante a gravidez [Monografia] [Internet]. Universidade Fernando Pessoa. 2011[cited 2015 Jun 5]; Available from: http://bdigital.ufp.pt/bitstream/10284/2849/3/T_24439.pdf http://bdigital.ufp.pt/bitstream/10284/2... 57 Progianti JM, Costa RF. [Educational practices developed by nurses: reflections on women's pregnancy and labor experiences]. Rev Bras Enferm [Internet]. 2012[cited 2015 Jun 5];65(2):257-63. Available from: http://www.scielo.br/pdf/reben/v65n2/v65n2a09.pdfPortuguese. http://www.scielo.br/pdf/reben/v65n2/v65... ^-⁵⁸58 Guerreiro EM, Rodrigues DP, Queiroz ABA, Ferreira MDA. [Health education in pregnancy and postpartum: meanings attributed by puerperal women]. Rev Bras Enferm [Internet]. 2014[cited 2015 Jun 5];67(1): 13-21. Available from:http://www.scielo.br/pdf/reben/v67n1/0034-7167-reben-67-01-0013.pdfPortuguese. http://www.scielo.br/pdf/reben/v67n1/003... ^,⁶³63 Nik-Azin A, Nainian MR, Zamani M, Bavojdan MR, Bavojdan MR, Motlagh MJ. Evaluation of sexual function, quality of life, and mental and physical health in pregnant women. J Fam Plann Reprod Health Care [Internet]. 2013)[cited 2015 Jun 5];7(4):171-6. Available Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064754/pdf/JFRH-7-171.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... 64 Rados SN, Vranes HS, Sunjic, M. Limited role of body satisfaction and body image self-consciousness in sexual frequency and satisfaction in pregnant women. J Sex Res [Internet]. 2014[cited 2015 Jun 5];51(5):532-41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24826879 http://www.ncbi.nlm.nih.gov/pubmed/24826... ^-⁶⁵65 Razali R, Balakrishnan K, Sidi H, Peter JR, Razi ZRM. Is sexual dysfunction common among pregnant Malaysian women? 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Diminuição no desejo sexual⁽³3 Aribi L, Ben Houidi A, Masmoudi R, Chaabane K, Guermazi M, Amami O. Female sexuality during pregnancy and post-partum: a study of 80 Tunisian women. Tunis Med [Internet]. 2012[cited 2015 Jun 5];90(12):873-7. Available from:http://www.latunisiemedicale.com/article-medicale-tunisie.php?article=2095&Codelang=en http://www.latunisiemedicale.com/article... ^,⁵5 Murtagh J. Female sexual function, dysfunction, and pregnancy: Implications for practice. J Midwifery Women's Health [Internet]. 2010[cited 2015 Jun 5];55(5):438-46. Available from: http://www.sciencedirect.com/science/article/pii/S152695230900470X http://www.sciencedirect.com/science/art... ^,¹⁰10 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 [Internet]. 2011[cited 2015 Jun 5]; 8 (10):2859-67. Available from:http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02420.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹³13 Alsibiani SA. Effects of pregnancy on sexual function: findings from a survey of Saudi women. Saudi Med J [Internet]. 2014[cited 2015 Jun 5];35(5):482-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24825810 http://www.ncbi.nlm.nih.gov/pubmed/24825... ^-¹⁴14 Babazadeh R, Mirzaii K, Masomi Z. Changes in sexual desire and activity during pregnancy among women in Shahroud, Iran. Int J Gynecol Obstet [Internet]. 2013[cited 2015 Jun 5];120(1):82-4. Available from: http://www.ijgo.org/article/S0020-7292(12)00501-2/pdf http://www.ijgo.org/article/S0020-7292(1... ^,¹⁶16 Naldoni LMV, Pazmino MAV, Pezzan PAO, Pereira SB, Duarte G, Ferreira CHJ. Evaluation of Sexual Function in Brazilian Pregnant Women. J Sex Marital Ther [Internet]. 2011 [cited 2015 Jun 5];37(2):116-29. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21400336 http://www.ncbi.nlm.nih.gov/pubmed/21400... ^-¹⁷17 Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V, et al. Female Sexual Function during Pregnancy and after Childbirth. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(8):2782-90. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2010.01893.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹⁹19 Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J Pelvic Floor Dysfunct [Internet]. 2014[cited 2015 Jun 5];25(1):5-14. Available from: http://link.springer.com/content/pdf/10.1007%2Fs00192-013-2118-7.pdf http://link.springer.com/content/pdf/10.... ^,²²22 Queirós AC, Cunha V, Ambrósio P, Marques F, Serrano, F. Sexualidade no terceiro trimestre da gravidez. Rev Port Clin Geral [Internet]. 2011 [cited 2015 Jun 5];27:434-43. Available from: http://www.scielo.mec.pt/pdf/rpcg/v27n5/v27n5a05.pdf http://www.scielo.mec.pt/pdf/rpcg/v27n5/... ^,²⁸28 Pauleta JR, Pereira NM, Graça LM. Sexuality during pregnancy. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(1pt1):136-42. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2009.01538.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,³⁶36 Catão CC, Benevides JV, Alvares Barbosa LM. Analysis of sexual function in pregnancy: a study with pregnants residents in Bom Conselho - Pernambuco - Brazil. J Sex Med. 2013;10:363.^-³⁷37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁴¹41 Erenel A, Eroglu K, Vural G, Dilbaz B. A Pilot Study: In What Ways Do Women in Turkey Experience a Change in Their Sexuality During Pregnancy? Sex Disabil[Internet]. 2011[cited 2015 Jun 5];29(3):207-16. Available from:http://www.researchgate.net/publication/226828375_A_Pilot_Study_In_What_Ways_Do_Women_in_Turkey_Experience_a_ Change_in_Their_Sexuality_During_Pregnancy http://www.researchgate.net/publication/... ^,⁴⁴44 Abasalizadeh F, Abasalizadeh S. Behavioral dichotomy in sexuality during pregnancy and effect of birth-week inter-course on pregnancy outcomes in an Iranian population. Internet J Gynecol Obstet [Internet]. 2011[cited 2015 Jun 5];14(2). Available from: http://ispub.com/IJGO/14/2/4516 http://ispub.com/IJGO/14/2/4516... ^-⁴⁵45 Yangin HB, Eroglu K. Investigation of the sexual behavior of pregnant women residing in squatter neighborhoods in Southwestern Turkey: A qualitative study. J Sex Marital Ther [Internet]. 2011[cited 2015 Jun 5];37(3):190-205. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21512939 http://www.ncbi.nlm.nih.gov/pubmed/21512... ^,⁴⁸48 Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med [Internet]. 2011 [cited 2015 Jun 5];8(5):1267-84. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02223.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁵⁰50 García González S, Duarte González LD, Mejías Paneque MC. [Evaluation of a sexual education program on knowledge and sexual behavior in pregnant]. Enferm Global [Internet]. 2012[cited 2015 Jun 5];11(4):453-64. Available from: http://revistas.um.es/eglobal/article/viewFile/147791/139181Spanish http://revistas.um.es/eglobal/article/vi... 51 Liu H-L, Hsu P, Chen K-H. Sexual activity during pregnancy in Taiwan: a qualitative study. J Sex Med. 2013;1(2):54-61.^-⁵²52 Lowenstein L, Mustafa S, Burke Y. Pregnancy and normal sexual function. are they compatible? J Sex Med.2013; 10(3):621-2.^,⁵⁴54 Katz A. Sexually speaking: Sexual changes during and after pregnancy. Am J Pract Nurs[Internet]. 2010[cited 2015 Jun 5];110(8):50-2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20671497 http://www.ncbi.nlm.nih.gov/pubmed/20671... ^-⁵⁵55 Guleroglu TF, Beser GN. Evaluation of sexual function of the pregnant women. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9:352-3. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁶⁰60 Hanafy S, Srour NE, Mostafa T. Female sexual dysfunction across the three pregnancy trimesters: an Egyptian study. Sex Health [Internet]. 2014[cited 2015 Jun 5];11 (3):240-3. Available from: http://www.publish.csiro.au/index.cfm?paper=SH13153 http://www.publish.csiro.au/index.cfm?pa... 61 Kerdarunsuksri A, Manusirivithaya S. Attitudes and sexual function in Thai pregnant women. J Med Assoc Thai [Internet]. 2010[cited 2015 Jun 5];93(3):265-71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20420099 http://www.ncbi.nlm.nih.gov/pubmed/20420... 62 Lee JT, Lin CL, Wan GH, Liang CC. Sexual positions and sexual satisfaction of pregnant women. J Sex Marital Ther [Internet]. 2010[cited 2015 Jun 5];36(5):408-20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20924936 http://www.ncbi.nlm.nih.gov/pubmed/20924... 63 Nik-Azin A, Nainian MR, Zamani M, Bavojdan MR, Bavojdan MR, Motlagh MJ. Evaluation of sexual function, quality of life, and mental and physical health in pregnant women. J Fam Plann Reprod Health Care [Internet]. 2013)[cited 2015 Jun 5];7(4):171-6. Available Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064754/pdf/JFRH-7-171.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^-⁶⁴64 Rados SN, Vranes HS, Sunjic, M. Limited role of body satisfaction and body image self-consciousness in sexual frequency and satisfaction in pregnant women. J Sex Res [Internet]. 2014[cited 2015 Jun 5];51(5):532-41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24826879 http://www.ncbi.nlm.nih.gov/pubmed/24826... ^,⁶⁹69 Sagiv-Reiss DM, Birnbaum GE, Safir MP. Changes in sexual experiences and relationship quality during pregnancy. Arch Sex Behav [Internet]. 2012[cited 2015 Jun 5];41 (5): 1241 -51. Available from: http://link.springer.com/article/10.1007%2Fs10508-011-9839-9 http://link.springer.com/article/10.1007... ⁾	27	47
Alteração na lubrificação vaginal⁽²2 Ferreira DQ, Nakamura MU, De Souza E, Neto CM, Ribeiro MC, Santana TGM, et al. [Sexual function and quality of life of low-risk pregnant women]. Rev Bras Ginecol Obstet [Internet]. 2012[cited 2015 Jun 5];34(9):409-12. Available from: http://www.scielo.br/pdf/rbgo/v34n9/a04v34n9.pdf http://www.scielo.br/pdf/rbgo/v34n9/a04v... ^,⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁰10 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 [Internet]. 2011[cited 2015 Jun 5]; 8 (10):2859-67. Available from:http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02420.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹³13 Alsibiani SA. Effects of pregnancy on sexual function: findings from a survey of Saudi women. Saudi Med J [Internet]. 2014[cited 2015 Jun 5];35(5):482-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24825810 http://www.ncbi.nlm.nih.gov/pubmed/24825... ^,¹⁵15 Gałązka I, Drosdzol-Cop A, Naworska B, Czajkowska M, Skrzypulec-Plinta V. Changes in the Sexual Function During Pregnancy. J Sex Med [Internet]. 2014[cited 2015 Jun 5];12 (2):445-54. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12747/epdf http://onlinelibrary.wiley.com/doi/10.11... ^-¹⁶16 Naldoni LMV, Pazmino MAV, Pezzan PAO, Pereira SB, Duarte G, Ferreira CHJ. Evaluation of Sexual Function in Brazilian Pregnant Women. J Sex Marital Ther [Internet]. 2011 [cited 2015 Jun 5];37(2):116-29. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21400336 http://www.ncbi.nlm.nih.gov/pubmed/21400... ^,¹⁹19 Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J Pelvic Floor Dysfunct [Internet]. 2014[cited 2015 Jun 5];25(1):5-14. Available from: http://link.springer.com/content/pdf/10.1007%2Fs00192-013-2118-7.pdf http://link.springer.com/content/pdf/10.... ^,²³23 Corbacioglu A, Akca A, Akbayir O, Cilesiz Goksedef BP, Bakir VL. Female sexual function and associated factors during pregnancy. J Obstet Gynaecol [Internet]. 2013[cited 2015 Jun 5];39(6):1165-72. Available from:http://onlinelibrary.wiley.com/doi/10.1111/jog.12048/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,²⁷27 Chang SR, Chen KH, Lin HH. Determinants of Sexual Function in Early, Middle, and Late Pregnancy. J Sex Med. 2011;8(s3):171.^-²⁸28 Pauleta JR, Pereira NM, Graça LM. Sexuality during pregnancy. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(1pt1):136-42. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2009.01538.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,³⁰30 Malkoc O, Resim S, Bulut B. The Effect Pregnancy on Female Sexual Functions. J Sex Med. 2014;11:80.^,³⁷37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... 38 Guleroglu FT, Beser NG. Evaluation of Sexual Functions of the Pregnant Women. J Sex Med [Internet]. 2014[cited 2015 Jun 5];11 (1):146-53. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^-³⁹39 Prado DS, Lima RV, Lima LMMR. [Impact of pregnancy on female sexual function]. Rev Bras Ginecol Obstet [Internet]. 2013[cited 2015 Jun 5];35(5):205-9. Available from: http://www.scielo.br/pdf/rbgo/v35n5/03.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v35n5/03.p... ^,⁴¹41 Erenel A, Eroglu K, Vural G, Dilbaz B. A Pilot Study: In What Ways Do Women in Turkey Experience a Change in Their Sexuality During Pregnancy? Sex Disabil[Internet]. 2011[cited 2015 Jun 5];29(3):207-16. Available from:http://www.researchgate.net/publication/226828375_A_Pilot_Study_In_What_Ways_Do_Women_in_Turkey_Experience_a_ Change_in_Their_Sexuality_During_Pregnancy http://www.researchgate.net/publication/... ^-⁴²42 Aydin M, Cayonu N, Irkilata L, Demirel HC, Keles M, Atilla MK, et al. The Comparison of Sexual Functions in Pregnant and Non-Pregnant Women. J Sex Med. 2014;11:77.^,⁴⁶46 Shoja M, Jouybari L, Sanagoo A. Changes in Sexual and Behavioral Relationships among Couples during Pregnancy. Qom University of Medical Sciences Journal [Internet]. 2011[cited 2015 Jun 5];5(3):3. Available from: https://doaj.org/article/5a76dcdfd5344edbaa9b6495f50aab1a https://doaj.org/article/5a76dcdfd5344ed... ^-⁴⁷47 Martins MFSV, Remoaldo PCAC. [Representations of the midwife in the perspective of the pregnant woman]. Rev Bras Enferm [Internet]. 2014[cited 2015 Jun 5];67(3):360-5. Available from: http://www.scielo.br/pdf/reben/v67n3/0034-7167-reben-67-03-0360.pdfPortuguese. http://www.scielo.br/pdf/reben/v67n3/003... ^,⁴⁹49 Afshar M, Mohammad-Alizadeh-Charandabi S, Merghti-Khoei E-S, Yavarikia P. The effect of sex education on the sexual function of women in the first half of pregnancy: a ran-domized controlled trial. J Caring Sci [Internet]. 2012[cited 2015 Jun 5];1(4):173-81. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161090/pdf/jcs-1-173.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,⁵¹51 Liu H-L, Hsu P, Chen K-H. Sexual activity during pregnancy in Taiwan: a qualitative study. J Sex Med. 2013;1(2):54-61.^,⁵³53 Kisa S, Zeyneloglu S, Yilmaz D, Güner T. Quality of sexual life and its effect on marital adjustment of Turkish women in pregnancy. J Sex Marital Ther [Internet]. 2014[cited 2015 Jun 5];40(4):309-22. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24102194 http://www.ncbi.nlm.nih.gov/pubmed/24102... ^,⁵⁶56 Barbosa ECB. Factores que influenciam a sexualidade do casal durante a gravidez [Monografia] [Internet]. Universidade Fernando Pessoa. 2011[cited 2015 Jun 5]; Available from: http://bdigital.ufp.pt/bitstream/10284/2849/3/T_24439.pdf http://bdigital.ufp.pt/bitstream/10284/2... 57 Progianti JM, Costa RF. [Educational practices developed by nurses: reflections on women's pregnancy and labor experiences]. Rev Bras Enferm [Internet]. 2012[cited 2015 Jun 5];65(2):257-63. Available from: http://www.scielo.br/pdf/reben/v65n2/v65n2a09.pdfPortuguese. http://www.scielo.br/pdf/reben/v65n2/v65... ^-⁵⁸58 Guerreiro EM, Rodrigues DP, Queiroz ABA, Ferreira MDA. [Health education in pregnancy and postpartum: meanings attributed by puerperal women]. Rev Bras Enferm [Internet]. 2014[cited 2015 Jun 5];67(1): 13-21. Available from:http://www.scielo.br/pdf/reben/v67n1/0034-7167-reben-67-01-0013.pdfPortuguese. http://www.scielo.br/pdf/reben/v67n1/003... ^,⁶⁴64 Rados SN, Vranes HS, Sunjic, M. Limited role of body satisfaction and body image self-consciousness in sexual frequency and satisfaction in pregnant women. J Sex Res [Internet]. 2014[cited 2015 Jun 5];51(5):532-41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24826879 http://www.ncbi.nlm.nih.gov/pubmed/24826... ⁾	25	43
Alteração no interesse sexual⁽³3 Aribi L, Ben Houidi A, Masmoudi R, Chaabane K, Guermazi M, Amami O. Female sexuality during pregnancy and post-partum: a study of 80 Tunisian women. Tunis Med [Internet]. 2012[cited 2015 Jun 5];90(12):873-7. Available from:http://www.latunisiemedicale.com/article-medicale-tunisie.php?article=2095&Codelang=en http://www.latunisiemedicale.com/article... ^,¹⁴14 Babazadeh R, Mirzaii K, Masomi Z. Changes in sexual desire and activity during pregnancy among women in Shahroud, Iran. Int J Gynecol Obstet [Internet]. 2013[cited 2015 Jun 5];120(1):82-4. Available from: http://www.ijgo.org/article/S0020-7292(12)00501-2/pdf http://www.ijgo.org/article/S0020-7292(1... ^,¹⁶16 Naldoni LMV, Pazmino MAV, Pezzan PAO, Pereira SB, Duarte G, Ferreira CHJ. Evaluation of Sexual Function in Brazilian Pregnant Women. J Sex Marital Ther [Internet]. 2011 [cited 2015 Jun 5];37(2):116-29. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21400336 http://www.ncbi.nlm.nih.gov/pubmed/21400... ^,²²22 Queirós AC, Cunha V, Ambrósio P, Marques F, Serrano, F. Sexualidade no terceiro trimestre da gravidez. Rev Port Clin Geral [Internet]. 2011 [cited 2015 Jun 5];27:434-43. Available from: http://www.scielo.mec.pt/pdf/rpcg/v27n5/v27n5a05.pdf http://www.scielo.mec.pt/pdf/rpcg/v27n5/... ^,²⁹29 Rodríguez LM, Ramón AE. [Characteristics and evolution of pregnant women's sexual pattern]. Enf Global [Internet].2013;12(32):362-70. Available from: http://saudepublica.bvs.br/pesquisa/resource/pt/ibc-115723Spanish http://saudepublica.bvs.br/pesquisa/reso... ^,³⁶36 Catão CC, Benevides JV, Alvares Barbosa LM. Analysis of sexual function in pregnancy: a study with pregnants residents in Bom Conselho - Pernambuco - Brazil. J Sex Med. 2013;10:363.^-³⁷37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁵⁵55 Guleroglu TF, Beser GN. Evaluation of sexual function of the pregnant women. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9:352-3. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁶⁰60 Hanafy S, Srour NE, Mostafa T. Female sexual dysfunction across the three pregnancy trimesters: an Egyptian study. Sex Health [Internet]. 2014[cited 2015 Jun 5];11 (3):240-3. Available from: http://www.publish.csiro.au/index.cfm?paper=SH13153 http://www.publish.csiro.au/index.cfm?pa... ^-⁶¹61 Kerdarunsuksri A, Manusirivithaya S. Attitudes and sexual function in Thai pregnant women. J Med Assoc Thai [Internet]. 2010[cited 2015 Jun 5];93(3):265-71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20420099 http://www.ncbi.nlm.nih.gov/pubmed/20420... ^,⁶³63 Nik-Azin A, Nainian MR, Zamani M, Bavojdan MR, Bavojdan MR, Motlagh MJ. Evaluation of sexual function, quality of life, and mental and physical health in pregnant women. J Fam Plann Reprod Health Care [Internet]. 2013)[cited 2015 Jun 5];7(4):171-6. Available Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064754/pdf/JFRH-7-171.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,⁶⁹69 Sagiv-Reiss DM, Birnbaum GE, Safir MP. Changes in sexual experiences and relationship quality during pregnancy. Arch Sex Behav [Internet]. 2012[cited 2015 Jun 5];41 (5): 1241 -51. Available from: http://link.springer.com/article/10.1007%2Fs10508-011-9839-9 http://link.springer.com/article/10.1007... ⁾	12	21

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Available from: http://www.ncbi.nlm.nih.gov/pubmed/24825810 http://www.ncbi.nlm.nih.gov/pubmed/24825... ^,¹⁵15 Gałązka I, Drosdzol-Cop A, Naworska B, Czajkowska M, Skrzypulec-Plinta V. Changes in the Sexual Function During Pregnancy. J Sex Med [Internet]. 2014[cited 2015 Jun 5];12 (2):445-54. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12747/epdf http://onlinelibrary.wiley.com/doi/10.11... 16 Naldoni LMV, Pazmino MAV, Pezzan PAO, Pereira SB, Duarte G, Ferreira CHJ. Evaluation of Sexual Function in Brazilian Pregnant Women. J Sex Marital Ther [Internet]. 2011 [cited 2015 Jun 5];37(2):116-29. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21400336 http://www.ncbi.nlm.nih.gov/pubmed/21400... ^-¹⁷17 Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V, et al. Female Sexual Function during Pregnancy and after Childbirth. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(8):2782-90. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2010.01893.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹⁹19 Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J Pelvic Floor Dysfunct [Internet]. 2014[cited 2015 Jun 5];25(1):5-14. Available from: http://link.springer.com/content/pdf/10.1007%2Fs00192-013-2118-7.pdf http://link.springer.com/content/pdf/10.... ^,²²22 Queirós AC, Cunha V, Ambrósio P, Marques F, Serrano, F. Sexualidade no terceiro trimestre da gravidez. Rev Port Clin Geral [Internet]. 2011 [cited 2015 Jun 5];27:434-43. Available from: http://www.scielo.mec.pt/pdf/rpcg/v27n5/v27n5a05.pdf http://www.scielo.mec.pt/pdf/rpcg/v27n5/... ^,²⁶26 Camacho KG, Da Costa Vargens OM, Progianti JM. Adapting to the new reality: The pregnant woman and the exercise of her sexuality. Rev Enferm [Internet]. 2010[cited 2015 Jun 5]; 18(1):32-7. Available from: http://www.facenf.uerj.br/v18n1/v18n1a06.pdf http://www.facenf.uerj.br/v18n1/v18n1a06... 27 Chang SR, Chen KH, Lin HH. Determinants of Sexual Function in Early, Middle, and Late Pregnancy. J Sex Med. 2011;8(s3):171. 28 Pauleta JR, Pereira NM, Graça LM. Sexuality during pregnancy. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(1pt1):136-42. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2009.01538.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^-²⁹29 Rodríguez LM, Ramón AE. [Characteristics and evolution of pregnant women's sexual pattern]. Enf Global [Internet].2013;12(32):362-70. Available from: http://saudepublica.bvs.br/pesquisa/resource/pt/ibc-115723Spanish http://saudepublica.bvs.br/pesquisa/reso... ^,³⁶36 Catão CC, Benevides JV, Alvares Barbosa LM. Analysis of sexual function in pregnancy: a study with pregnants residents in Bom Conselho - Pernambuco - Brazil. J Sex Med. 2013;10:363. 37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... 38 Guleroglu FT, Beser NG. Evaluation of Sexual Functions of the Pregnant Women. J Sex Med [Internet]. 2014[cited 2015 Jun 5];11 (1):146-53. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... 39 Prado DS, Lima RV, Lima LMMR. [Impact of pregnancy on female sexual function]. Rev Bras Ginecol Obstet [Internet]. 2013[cited 2015 Jun 5];35(5):205-9. Available from: http://www.scielo.br/pdf/rbgo/v35n5/03.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v35n5/03.p... 40 Queiroz CNSA, de Sousa VEC, Lopes MVO. [Nursing diagnosis of sexual dysfunction in pregnant women: an ac-curacy analysis]. Rev Enferm [Internet]. 2013[cited 2015 Jun 5];21 (6):705-10. Available from: http://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/11396/8970Portuguese. http://www.e-publicacoes.uerj.br/index.p... ^-⁴¹41 Erenel A, Eroglu K, Vural G, Dilbaz B. A Pilot Study: In What Ways Do Women in Turkey Experience a Change in Their Sexuality During Pregnancy? Sex Disabil[Internet]. 2011[cited 2015 Jun 5];29(3):207-16. Available from:http://www.researchgate.net/publication/226828375_A_Pilot_Study_In_What_Ways_Do_Women_in_Turkey_Experience_a_ Change_in_Their_Sexuality_During_Pregnancy http://www.researchgate.net/publication/... ^,⁴³43 Millheiser, L. Female Sexual Function During Pregnancy and Postpartum. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(2):635-36. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02637.x/abstract http://onlinelibrary.wiley.com/doi/10.11... 44 Abasalizadeh F, Abasalizadeh S. Behavioral dichotomy in sexuality during pregnancy and effect of birth-week inter-course on pregnancy outcomes in an Iranian population. Internet J Gynecol Obstet [Internet]. 2011[cited 2015 Jun 5];14(2). Available from: http://ispub.com/IJGO/14/2/4516 http://ispub.com/IJGO/14/2/4516... 45 Yangin HB, Eroglu K. Investigation of the sexual behavior of pregnant women residing in squatter neighborhoods in Southwestern Turkey: A qualitative study. J Sex Marital Ther [Internet]. 2011[cited 2015 Jun 5];37(3):190-205. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21512939 http://www.ncbi.nlm.nih.gov/pubmed/21512... 46 Shoja M, Jouybari L, Sanagoo A. Changes in Sexual and Behavioral Relationships among Couples during Pregnancy. Qom University of Medical Sciences Journal [Internet]. 2011[cited 2015 Jun 5];5(3):3. Available from: https://doaj.org/article/5a76dcdfd5344edbaa9b6495f50aab1a https://doaj.org/article/5a76dcdfd5344ed... 47 Martins MFSV, Remoaldo PCAC. [Representations of the midwife in the perspective of the pregnant woman]. Rev Bras Enferm [Internet]. 2014[cited 2015 Jun 5];67(3):360-5. Available from: http://www.scielo.br/pdf/reben/v67n3/0034-7167-reben-67-03-0360.pdfPortuguese. http://www.scielo.br/pdf/reben/v67n3/003... 48 Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med [Internet]. 2011 [cited 2015 Jun 5];8(5):1267-84. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02223.x/abstract http://onlinelibrary.wiley.com/doi/10.11... 49 Afshar M, Mohammad-Alizadeh-Charandabi S, Merghti-Khoei E-S, Yavarikia P. The effect of sex education on the sexual function of women in the first half of pregnancy: a ran-domized controlled trial. J Caring Sci [Internet]. 2012[cited 2015 Jun 5];1(4):173-81. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161090/pdf/jcs-1-173.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^-⁵⁰50 García González S, Duarte González LD, Mejías Paneque MC. [Evaluation of a sexual education program on knowledge and sexual behavior in pregnant]. Enferm Global [Internet]. 2012[cited 2015 Jun 5];11(4):453-64. Available from: http://revistas.um.es/eglobal/article/viewFile/147791/139181Spanish http://revistas.um.es/eglobal/article/vi... ^,⁵²52 Lowenstein L, Mustafa S, Burke Y. Pregnancy and normal sexual function. are they compatible? J Sex Med.2013; 10(3):621-2.^,⁵⁴54 Katz A. Sexually speaking: Sexual changes during and after pregnancy. Am J Pract Nurs[Internet]. 2010[cited 2015 Jun 5];110(8):50-2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20671497 http://www.ncbi.nlm.nih.gov/pubmed/20671... ^,⁵⁶56 Barbosa ECB. Factores que influenciam a sexualidade do casal durante a gravidez [Monografia] [Internet]. Universidade Fernando Pessoa. 2011[cited 2015 Jun 5]; Available from: http://bdigital.ufp.pt/bitstream/10284/2849/3/T_24439.pdf http://bdigital.ufp.pt/bitstream/10284/2... ^-⁵⁷57 Progianti JM, Costa RF. [Educational practices developed by nurses: reflections on women's pregnancy and labor experiences]. Rev Bras Enferm [Internet]. 2012[cited 2015 Jun 5];65(2):257-63. Available from: http://www.scielo.br/pdf/reben/v65n2/v65n2a09.pdfPortuguese. http://www.scielo.br/pdf/reben/v65n2/v65... ^,⁶⁰60 Hanafy S, Srour NE, Mostafa T. Female sexual dysfunction across the three pregnancy trimesters: an Egyptian study. Sex Health [Internet]. 2014[cited 2015 Jun 5];11 (3):240-3. Available from: http://www.publish.csiro.au/index.cfm?paper=SH13153 http://www.publish.csiro.au/index.cfm?pa... ^,⁶²62 Lee JT, Lin CL, Wan GH, Liang CC. Sexual positions and sexual satisfaction of pregnant women. J Sex Marital Ther [Internet]. 2010[cited 2015 Jun 5];36(5):408-20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20924936 http://www.ncbi.nlm.nih.gov/pubmed/20924... 63 Nik-Azin A, Nainian MR, Zamani M, Bavojdan MR, Bavojdan MR, Motlagh MJ. Evaluation of sexual function, quality of life, and mental and physical health in pregnant women. J Fam Plann Reprod Health Care [Internet]. 2013)[cited 2015 Jun 5];7(4):171-6. Available Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064754/pdf/JFRH-7-171.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... 64 Rados SN, Vranes HS, Sunjic, M. Limited role of body satisfaction and body image self-consciousness in sexual frequency and satisfaction in pregnant women. J Sex Res [Internet]. 2014[cited 2015 Jun 5];51(5):532-41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24826879 http://www.ncbi.nlm.nih.gov/pubmed/24826... ^-⁶⁵65 Razali R, Balakrishnan K, Sidi H, Peter JR, Razi ZRM. Is sexual dysfunction common among pregnant Malaysian women? Int J Gynaecol Obstet.2012;119:132.^,⁶⁷67 Ribeiro MC, Nakamura MU, Torloni MR, Scanavino MT, Mancini PE, Mattar R. Sexual function and quality of life of brazilian pregnant women: preliminary results. J Sex Med. 2014;11:186.^,⁶⁹69 Sagiv-Reiss DM, Birnbaum GE, Safir MP. Changes in sexual experiences and relationship quality during pregnancy. Arch Sex Behav [Internet]. 2012[cited 2015 Jun 5];41 (5): 1241 -51. Available from: http://link.springer.com/article/10.1007%2Fs10508-011-9839-9 http://link.springer.com/article/10.1007... ⁾	40	76
Alterações psicológicas⁽¹1 Vieira TCB, de Souza E, Nakamura MU, Mattar R. [Sexuality in pregnancy: are Brazilian physicians prepared to conduct these questions]? Rev Bras Ginecol Obstet [Internet]. 2012[cited 2015 Jun 5];34(11):485-7. Available from: http://www.scielo.br/pdf/rbgo/v34n11/01.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v34n11/01.... ^,⁵5 Murtagh J. Female sexual function, dysfunction, and pregnancy: Implications for practice. J Midwifery Women's Health [Internet]. 2010[cited 2015 Jun 5];55(5):438-46. Available from: http://www.sciencedirect.com/science/article/pii/S152695230900470X http://www.sciencedirect.com/science/art... ^-⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁰10 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 [Internet]. 2011[cited 2015 Jun 5]; 8 (10):2859-67. Available from:http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02420.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹²12 Ahmed MR, Madny EH, Ahmed WAS. Prevalence of female sexual dysfunction during pregnancy among egyptian women. J Obstet Gynaecol [Internet]. 2014[cited 2015 Jun 5];40(4):1023-9. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jog.12313/epdf http://onlinelibrary.wiley.com/doi/10.11... ^-¹³13 Alsibiani SA. Effects of pregnancy on sexual function: findings from a survey of Saudi women. Saudi Med J [Internet]. 2014[cited 2015 Jun 5];35(5):482-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24825810 http://www.ncbi.nlm.nih.gov/pubmed/24825... ^,¹⁵15 Gałązka I, Drosdzol-Cop A, Naworska B, Czajkowska M, Skrzypulec-Plinta V. Changes in the Sexual Function During Pregnancy. J Sex Med [Internet]. 2014[cited 2015 Jun 5];12 (2):445-54. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12747/epdf http://onlinelibrary.wiley.com/doi/10.11... 16 Naldoni LMV, Pazmino MAV, Pezzan PAO, Pereira SB, Duarte G, Ferreira CHJ. Evaluation of Sexual Function in Brazilian Pregnant Women. J Sex Marital Ther [Internet]. 2011 [cited 2015 Jun 5];37(2):116-29. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21400336 http://www.ncbi.nlm.nih.gov/pubmed/21400... 17 Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V, et al. Female Sexual Function during Pregnancy and after Childbirth. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(8):2782-90. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2010.01893.x/epdf http://onlinelibrary.wiley.com/doi/10.11... 18 Seven M, Akyuz A, Gungor S. Factors affecting sexual functioning during pregnancy in Turkish women. J Sex Med [Internet]. 2011[cited 2015 Jun 5];8:278. Available from: http://www.tandfonline.com/doi/abs/10.3109/01443615.2015.1006596?journalCode=ijog20 http://www.tandfonline.com/doi/abs/10.31... ^-¹⁹19 Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J Pelvic Floor Dysfunct [Internet]. 2014[cited 2015 Jun 5];25(1):5-14. Available from: http://link.springer.com/content/pdf/10.1007%2Fs00192-013-2118-7.pdf http://link.springer.com/content/pdf/10.... ^,²²22 Queirós AC, Cunha V, Ambrósio P, Marques F, Serrano, F. Sexualidade no terceiro trimestre da gravidez. Rev Port Clin Geral [Internet]. 2011 [cited 2015 Jun 5];27:434-43. Available from: http://www.scielo.mec.pt/pdf/rpcg/v27n5/v27n5a05.pdf http://www.scielo.mec.pt/pdf/rpcg/v27n5/... ^,²⁶26 Camacho KG, Da Costa Vargens OM, Progianti JM. Adapting to the new reality: The pregnant woman and the exercise of her sexuality. Rev Enferm [Internet]. 2010[cited 2015 Jun 5]; 18(1):32-7. Available from: http://www.facenf.uerj.br/v18n1/v18n1a06.pdf http://www.facenf.uerj.br/v18n1/v18n1a06... 27 Chang SR, Chen KH, Lin HH. Determinants of Sexual Function in Early, Middle, and Late Pregnancy. J Sex Med. 2011;8(s3):171. 28 Pauleta JR, Pereira NM, Graça LM. Sexuality during pregnancy. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(1pt1):136-42. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2009.01538.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^-²⁹29 Rodríguez LM, Ramón AE. [Characteristics and evolution of pregnant women's sexual pattern]. Enf Global [Internet].2013;12(32):362-70. Available from: http://saudepublica.bvs.br/pesquisa/resource/pt/ibc-115723Spanish http://saudepublica.bvs.br/pesquisa/reso... ^,³⁷37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... 38 Guleroglu FT, Beser NG. Evaluation of Sexual Functions of the Pregnant Women. J Sex Med [Internet]. 2014[cited 2015 Jun 5];11 (1):146-53. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... 39 Prado DS, Lima RV, Lima LMMR. [Impact of pregnancy on female sexual function]. Rev Bras Ginecol Obstet [Internet]. 2013[cited 2015 Jun 5];35(5):205-9. Available from: http://www.scielo.br/pdf/rbgo/v35n5/03.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v35n5/03.p... 40 Queiroz CNSA, de Sousa VEC, Lopes MVO. [Nursing diagnosis of sexual dysfunction in pregnant women: an ac-curacy analysis]. Rev Enferm [Internet]. 2013[cited 2015 Jun 5];21 (6):705-10. Available from: http://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/11396/8970Portuguese. http://www.e-publicacoes.uerj.br/index.p... ^-⁴¹41 Erenel A, Eroglu K, Vural G, Dilbaz B. A Pilot Study: In What Ways Do Women in Turkey Experience a Change in Their Sexuality During Pregnancy? Sex Disabil[Internet]. 2011[cited 2015 Jun 5];29(3):207-16. Available from:http://www.researchgate.net/publication/226828375_A_Pilot_Study_In_What_Ways_Do_Women_in_Turkey_Experience_a_ Change_in_Their_Sexuality_During_Pregnancy http://www.researchgate.net/publication/... ^,⁴³43 Millheiser, L. Female Sexual Function During Pregnancy and Postpartum. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(2):635-36. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02637.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁴⁵45 Yangin HB, Eroglu K. Investigation of the sexual behavior of pregnant women residing in squatter neighborhoods in Southwestern Turkey: A qualitative study. J Sex Marital Ther [Internet]. 2011[cited 2015 Jun 5];37(3):190-205. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21512939 http://www.ncbi.nlm.nih.gov/pubmed/21512... 46 Shoja M, Jouybari L, Sanagoo A. Changes in Sexual and Behavioral Relationships among Couples during Pregnancy. Qom University of Medical Sciences Journal [Internet]. 2011[cited 2015 Jun 5];5(3):3. Available from: https://doaj.org/article/5a76dcdfd5344edbaa9b6495f50aab1a https://doaj.org/article/5a76dcdfd5344ed... 47 Martins MFSV, Remoaldo PCAC. [Representations of the midwife in the perspective of the pregnant woman]. Rev Bras Enferm [Internet]. 2014[cited 2015 Jun 5];67(3):360-5. Available from: http://www.scielo.br/pdf/reben/v67n3/0034-7167-reben-67-03-0360.pdfPortuguese. http://www.scielo.br/pdf/reben/v67n3/003... ^-⁴⁸48 Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med [Internet]. 2011 [cited 2015 Jun 5];8(5):1267-84. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02223.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁵⁰50 García González S, Duarte González LD, Mejías Paneque MC. [Evaluation of a sexual education program on knowledge and sexual behavior in pregnant]. Enferm Global [Internet]. 2012[cited 2015 Jun 5];11(4):453-64. Available from: http://revistas.um.es/eglobal/article/viewFile/147791/139181Spanish http://revistas.um.es/eglobal/article/vi... ^,⁵⁴54 Katz A. Sexually speaking: Sexual changes during and after pregnancy. Am J Pract Nurs[Internet]. 2010[cited 2015 Jun 5];110(8):50-2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20671497 http://www.ncbi.nlm.nih.gov/pubmed/20671... ^,⁵⁶56 Barbosa ECB. Factores que influenciam a sexualidade do casal durante a gravidez [Monografia] [Internet]. Universidade Fernando Pessoa. 2011[cited 2015 Jun 5]; Available from: http://bdigital.ufp.pt/bitstream/10284/2849/3/T_24439.pdf http://bdigital.ufp.pt/bitstream/10284/2... ^-⁵⁷57 Progianti JM, Costa RF. [Educational practices developed by nurses: reflections on women's pregnancy and labor experiences]. Rev Bras Enferm [Internet]. 2012[cited 2015 Jun 5];65(2):257-63. Available from: http://www.scielo.br/pdf/reben/v65n2/v65n2a09.pdfPortuguese. http://www.scielo.br/pdf/reben/v65n2/v65... ^,⁶⁰60 Hanafy S, Srour NE, Mostafa T. Female sexual dysfunction across the three pregnancy trimesters: an Egyptian study. Sex Health [Internet]. 2014[cited 2015 Jun 5];11 (3):240-3. Available from: http://www.publish.csiro.au/index.cfm?paper=SH13153 http://www.publish.csiro.au/index.cfm?pa... 61 Kerdarunsuksri A, Manusirivithaya S. Attitudes and sexual function in Thai pregnant women. J Med Assoc Thai [Internet]. 2010[cited 2015 Jun 5];93(3):265-71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20420099 http://www.ncbi.nlm.nih.gov/pubmed/20420... 62 Lee JT, Lin CL, Wan GH, Liang CC. Sexual positions and sexual satisfaction of pregnant women. J Sex Marital Ther [Internet]. 2010[cited 2015 Jun 5];36(5):408-20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20924936 http://www.ncbi.nlm.nih.gov/pubmed/20924... 63 Nik-Azin A, Nainian MR, Zamani M, Bavojdan MR, Bavojdan MR, Motlagh MJ. Evaluation of sexual function, quality of life, and mental and physical health in pregnant women. J Fam Plann Reprod Health Care [Internet]. 2013)[cited 2015 Jun 5];7(4):171-6. Available Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064754/pdf/JFRH-7-171.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... 64 Rados SN, Vranes HS, Sunjic, M. Limited role of body satisfaction and body image self-consciousness in sexual frequency and satisfaction in pregnant women. J Sex Res [Internet]. 2014[cited 2015 Jun 5];51(5):532-41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24826879 http://www.ncbi.nlm.nih.gov/pubmed/24826... ^-⁶⁵65 Razali R, Balakrishnan K, Sidi H, Peter JR, Razi ZRM. Is sexual dysfunction common among pregnant Malaysian women? Int J Gynaecol Obstet.2012;119:132.^,⁶⁷67 Ribeiro MC, Nakamura MU, Torloni MR, Scanavino MT, Mancini PE, Mattar R. Sexual function and quality of life of brazilian pregnant women: preliminary results. J Sex Med. 2014;11:186.^,⁶⁹69 Sagiv-Reiss DM, Birnbaum GE, Safir MP. Changes in sexual experiences and relationship quality during pregnancy. Arch Sex Behav [Internet]. 2012[cited 2015 Jun 5];41 (5): 1241 -51. Available from: http://link.springer.com/article/10.1007%2Fs10508-011-9839-9 http://link.springer.com/article/10.1007... ⁾	38	66
Alteração na estrutura e função do corpo, nomeadamente relacionadas com a presença de desconfortos ao longo da gravidez⁽³3 Aribi L, Ben Houidi A, Masmoudi R, Chaabane K, Guermazi M, Amami O. Female sexuality during pregnancy and post-partum: a study of 80 Tunisian women. Tunis Med [Internet]. 2012[cited 2015 Jun 5];90(12):873-7. Available from:http://www.latunisiemedicale.com/article-medicale-tunisie.php?article=2095&Codelang=en http://www.latunisiemedicale.com/article... ^,⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁰10 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 [Internet]. 2011[cited 2015 Jun 5]; 8 (10):2859-67. Available from:http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02420.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹²12 Ahmed MR, Madny EH, Ahmed WAS. Prevalence of female sexual dysfunction during pregnancy among egyptian women. J Obstet Gynaecol [Internet]. 2014[cited 2015 Jun 5];40(4):1023-9. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jog.12313/epdf http://onlinelibrary.wiley.com/doi/10.11... 13 Alsibiani SA. Effects of pregnancy on sexual function: findings from a survey of Saudi women. Saudi Med J [Internet]. 2014[cited 2015 Jun 5];35(5):482-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24825810 http://www.ncbi.nlm.nih.gov/pubmed/24825... 14 Babazadeh R, Mirzaii K, Masomi Z. Changes in sexual desire and activity during pregnancy among women in Shahroud, Iran. Int J Gynecol Obstet [Internet]. 2013[cited 2015 Jun 5];120(1):82-4. 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Fatores sociodemográficos (idade, escolaridade, estado socioeconômico,...)⁽⁵5 Murtagh J. Female sexual function, dysfunction, and pregnancy: Implications for practice. J Midwifery Women's Health [Internet]. 2010[cited 2015 Jun 5];55(5):438-46. Available from: http://www.sciencedirect.com/science/article/pii/S152695230900470X http://www.sciencedirect.com/science/art... ^-⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁰10 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 [Internet]. 2011[cited 2015 Jun 5]; 8 (10):2859-67. Available from:http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02420.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹²12 Ahmed MR, Madny EH, Ahmed WAS. Prevalence of female sexual dysfunction during pregnancy among egyptian women. J Obstet Gynaecol [Internet]. 2014[cited 2015 Jun 5];40(4):1023-9. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jog.12313/epdf http://onlinelibrary.wiley.com/doi/10.11... ^-¹³13 Alsibiani SA. Effects of pregnancy on sexual function: findings from a survey of Saudi women. Saudi Med J [Internet]. 2014[cited 2015 Jun 5];35(5):482-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24825810 http://www.ncbi.nlm.nih.gov/pubmed/24825... ^,¹⁷17 Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V, et al. Female Sexual Function during Pregnancy and after Childbirth. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(8):2782-90. 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Available from: http://www.sciencedirect.com/science/article/pii/S152695230900470X http://www.sciencedirect.com/science/art... ^-⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹³13 Alsibiani SA. Effects of pregnancy on sexual function: findings from a survey of Saudi women. Saudi Med J [Internet]. 2014[cited 2015 Jun 5];35(5):482-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24825810 http://www.ncbi.nlm.nih.gov/pubmed/24825... 14 Babazadeh R, Mirzaii K, Masomi Z. Changes in sexual desire and activity during pregnancy among women in Shahroud, Iran. Int J Gynecol Obstet [Internet]. 2013[cited 2015 Jun 5];120(1):82-4. Available from: http://www.ijgo.org/article/S0020-7292(12)00501-2/pdf http://www.ijgo.org/article/S0020-7292(1... ^-¹⁵15 Gałązka I, Drosdzol-Cop A, Naworska B, Czajkowska M, Skrzypulec-Plinta V. Changes in the Sexual Function During Pregnancy. J Sex Med [Internet]. 2014[cited 2015 Jun 5];12 (2):445-54. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12747/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹⁷17 Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V, et al. Female Sexual Function during Pregnancy and after Childbirth. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(8):2782-90. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2010.01893.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^-¹⁸18 Seven M, Akyuz A, Gungor S. Factors affecting sexual functioning during pregnancy in Turkish women. J Sex Med [Internet]. 2011[cited 2015 Jun 5];8:278. Available from: http://www.tandfonline.com/doi/abs/10.3109/01443615.2015.1006596?journalCode=ijog20 http://www.tandfonline.com/doi/abs/10.31... ^,²²22 Queirós AC, Cunha V, Ambrósio P, Marques F, Serrano, F. Sexualidade no terceiro trimestre da gravidez. Rev Port Clin Geral [Internet]. 2011 [cited 2015 Jun 5];27:434-43. Available from: http://www.scielo.mec.pt/pdf/rpcg/v27n5/v27n5a05.pdf http://www.scielo.mec.pt/pdf/rpcg/v27n5/... ^,²⁸28 Pauleta JR, Pereira NM, Graça LM. Sexuality during pregnancy. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(1pt1):136-42. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2009.01538.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^-²⁹29 Rodríguez LM, Ramón AE. [Characteristics and evolution of pregnant women's sexual pattern]. Enf Global [Internet].2013;12(32):362-70. Available from: http://saudepublica.bvs.br/pesquisa/resource/pt/ibc-115723Spanish http://saudepublica.bvs.br/pesquisa/reso... ^,³⁷37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,³⁹39 Prado DS, Lima RV, Lima LMMR. [Impact of pregnancy on female sexual function]. Rev Bras Ginecol Obstet [Internet]. 2013[cited 2015 Jun 5];35(5):205-9. Available from: http://www.scielo.br/pdf/rbgo/v35n5/03.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v35n5/03.p... 40 Queiroz CNSA, de Sousa VEC, Lopes MVO. [Nursing diagnosis of sexual dysfunction in pregnant women: an ac-curacy analysis]. Rev Enferm [Internet]. 2013[cited 2015 Jun 5];21 (6):705-10. Available from: http://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/11396/8970Portuguese. http://www.e-publicacoes.uerj.br/index.p... ^-⁴¹41 Erenel A, Eroglu K, Vural G, Dilbaz B. A Pilot Study: In What Ways Do Women in Turkey Experience a Change in Their Sexuality During Pregnancy? Sex Disabil[Internet]. 2011[cited 2015 Jun 5];29(3):207-16. Available from:http://www.researchgate.net/publication/226828375_A_Pilot_Study_In_What_Ways_Do_Women_in_Turkey_Experience_a_ Change_in_Their_Sexuality_During_Pregnancy http://www.researchgate.net/publication/... ^,⁴⁵45 Yangin HB, Eroglu K. Investigation of the sexual behavior of pregnant women residing in squatter neighborhoods in Southwestern Turkey: A qualitative study. J Sex Marital Ther [Internet]. 2011[cited 2015 Jun 5];37(3):190-205. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21512939 http://www.ncbi.nlm.nih.gov/pubmed/21512... ^,⁴⁷47 Martins MFSV, Remoaldo PCAC. [Representations of the midwife in the perspective of the pregnant woman]. Rev Bras Enferm [Internet]. 2014[cited 2015 Jun 5];67(3):360-5. Available from: http://www.scielo.br/pdf/reben/v67n3/0034-7167-reben-67-03-0360.pdfPortuguese. http://www.scielo.br/pdf/reben/v67n3/003... ^-⁴⁸48 Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med [Internet]. 2011 [cited 2015 Jun 5];8(5):1267-84. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02223.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁵⁰50 García González S, Duarte González LD, Mejías Paneque MC. [Evaluation of a sexual education program on knowledge and sexual behavior in pregnant]. Enferm Global [Internet]. 2012[cited 2015 Jun 5];11(4):453-64. Available from: http://revistas.um.es/eglobal/article/viewFile/147791/139181Spanish http://revistas.um.es/eglobal/article/vi... ^,⁵²52 Lowenstein L, Mustafa S, Burke Y. Pregnancy and normal sexual function. are they compatible? J Sex Med.2013; 10(3):621-2.^,⁵⁴54 Katz A. Sexually speaking: Sexual changes during and after pregnancy. Am J Pract Nurs[Internet]. 2010[cited 2015 Jun 5];110(8):50-2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20671497 http://www.ncbi.nlm.nih.gov/pubmed/20671... 55 Guleroglu TF, Beser GN. Evaluation of sexual function of the pregnant women. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9:352-3. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^-⁵⁶56 Barbosa ECB. Factores que influenciam a sexualidade do casal durante a gravidez [Monografia] [Internet]. Universidade Fernando Pessoa. 2011[cited 2015 Jun 5]; Available from: http://bdigital.ufp.pt/bitstream/10284/2849/3/T_24439.pdf http://bdigital.ufp.pt/bitstream/10284/2... ^,⁶⁰60 Hanafy S, Srour NE, Mostafa T. Female sexual dysfunction across the three pregnancy trimesters: an Egyptian study. Sex Health [Internet]. 2014[cited 2015 Jun 5];11 (3):240-3. Available from: http://www.publish.csiro.au/index.cfm?paper=SH13153 http://www.publish.csiro.au/index.cfm?pa... ^,⁶⁵65 Razali R, Balakrishnan K, Sidi H, Peter JR, Razi ZRM. Is sexual dysfunction common among pregnant Malaysian women? Int J Gynaecol Obstet.2012;119:132. 66 Ribeiro MC, Nakamura MU, Torloni MR, Scanavino MDT, do Amaral MLSA, Puga MES, et al. Treatments of female sexual dysfunction symptoms during pregnancy: a system-atic review of the literature. Sex Med Reviews [Internet]. 2014[cited 2015 Jun 5];2(1):1-9. Available from: http://onlinelibrary.wiley.com/doi/10.1002/smrj.18/abstract http://onlinelibrary.wiley.com/doi/10.10... 67 Ribeiro MC, Nakamura MU, Torloni MR, Scanavino MT, Mancini PE, Mattar R. Sexual function and quality of life of brazilian pregnant women: preliminary results. J Sex Med. 2014;11:186. 68 Sacomori C, Cardoso FL. Sexual initiative and intercourse behavior during pregnancy among brazilian women: a retrospective study. J Sex Marital Ther [Internet]. 2010[cited 2015 Jun 5];36(2):124-36. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20169493 http://www.ncbi.nlm.nih.gov/pubmed/20169... ^-⁶⁹69 Sagiv-Reiss DM, Birnbaum GE, Safir MP. Changes in sexual experiences and relationship quality during pregnancy. Arch Sex Behav [Internet]. 2012[cited 2015 Jun 5];41 (5): 1241 -51. Available from: http://link.springer.com/article/10.1007%2Fs10508-011-9839-9 http://link.springer.com/article/10.1007... ⁾	30	52
Fatores culturais⁽³3 Aribi L, Ben Houidi A, Masmoudi R, Chaabane K, Guermazi M, Amami O. Female sexuality during pregnancy and post-partum: a study of 80 Tunisian women. Tunis Med [Internet]. 2012[cited 2015 Jun 5];90(12):873-7. Available from:http://www.latunisiemedicale.com/article-medicale-tunisie.php?article=2095&Codelang=en http://www.latunisiemedicale.com/article... ^,⁵5 Murtagh J. Female sexual function, dysfunction, and pregnancy: Implications for practice. J Midwifery Women's Health [Internet]. 2010[cited 2015 Jun 5];55(5):438-46. Available from: http://www.sciencedirect.com/science/article/pii/S152695230900470X http://www.sciencedirect.com/science/art... ^-⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁰10 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 [Internet]. 2011[cited 2015 Jun 5]; 8 (10):2859-67. Available from:http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02420.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹²12 Ahmed MR, Madny EH, Ahmed WAS. Prevalence of female sexual dysfunction during pregnancy among egyptian women. J Obstet Gynaecol [Internet]. 2014[cited 2015 Jun 5];40(4):1023-9. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jog.12313/epdf http://onlinelibrary.wiley.com/doi/10.11... ^-¹³13 Alsibiani SA. Effects of pregnancy on sexual function: findings from a survey of Saudi women. Saudi Med J [Internet]. 2014[cited 2015 Jun 5];35(5):482-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24825810 http://www.ncbi.nlm.nih.gov/pubmed/24825... ^,¹⁶16 Naldoni LMV, Pazmino MAV, Pezzan PAO, Pereira SB, Duarte G, Ferreira CHJ. Evaluation of Sexual Function in Brazilian Pregnant Women. J Sex Marital Ther [Internet]. 2011 [cited 2015 Jun 5];37(2):116-29. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21400336 http://www.ncbi.nlm.nih.gov/pubmed/21400... ^-¹⁷17 Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V, et al. Female Sexual Function during Pregnancy and after Childbirth. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(8):2782-90. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2010.01893.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹⁹19 Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J Pelvic Floor Dysfunct [Internet]. 2014[cited 2015 Jun 5];25(1):5-14. Available from: http://link.springer.com/content/pdf/10.1007%2Fs00192-013-2118-7.pdf http://link.springer.com/content/pdf/10.... ^,²³23 Corbacioglu A, Akca A, Akbayir O, Cilesiz Goksedef BP, Bakir VL. Female sexual function and associated factors during pregnancy. J Obstet Gynaecol [Internet]. 2013[cited 2015 Jun 5];39(6):1165-72. Available from:http://onlinelibrary.wiley.com/doi/10.1111/jog.12048/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,²⁶26 Camacho KG, Da Costa Vargens OM, Progianti JM. Adapting to the new reality: The pregnant woman and the exercise of her sexuality. Rev Enferm [Internet]. 2010[cited 2015 Jun 5]; 18(1):32-7. Available from: http://www.facenf.uerj.br/v18n1/v18n1a06.pdf http://www.facenf.uerj.br/v18n1/v18n1a06... ^,³⁷37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... 38 Guleroglu FT, Beser NG. Evaluation of Sexual Functions of the Pregnant Women. J Sex Med [Internet]. 2014[cited 2015 Jun 5];11 (1):146-53. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^-³⁹39 Prado DS, Lima RV, Lima LMMR. [Impact of pregnancy on female sexual function]. Rev Bras Ginecol Obstet [Internet]. 2013[cited 2015 Jun 5];35(5):205-9. Available from: http://www.scielo.br/pdf/rbgo/v35n5/03.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v35n5/03.p... ^,⁴¹41 Erenel A, Eroglu K, Vural G, Dilbaz B. A Pilot Study: In What Ways Do Women in Turkey Experience a Change in Their Sexuality During Pregnancy? Sex Disabil[Internet]. 2011[cited 2015 Jun 5];29(3):207-16. Available from:http://www.researchgate.net/publication/226828375_A_Pilot_Study_In_What_Ways_Do_Women_in_Turkey_Experience_a_ Change_in_Their_Sexuality_During_Pregnancy http://www.researchgate.net/publication/... ^,⁴⁴44 Abasalizadeh F, Abasalizadeh S. Behavioral dichotomy in sexuality during pregnancy and effect of birth-week inter-course on pregnancy outcomes in an Iranian population. Internet J Gynecol Obstet [Internet]. 2011[cited 2015 Jun 5];14(2). Available from: http://ispub.com/IJGO/14/2/4516 http://ispub.com/IJGO/14/2/4516... ^-⁴⁵45 Yangin HB, Eroglu K. Investigation of the sexual behavior of pregnant women residing in squatter neighborhoods in Southwestern Turkey: A qualitative study. J Sex Marital Ther [Internet]. 2011[cited 2015 Jun 5];37(3):190-205. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21512939 http://www.ncbi.nlm.nih.gov/pubmed/21512... ^,⁴⁷47 Martins MFSV, Remoaldo PCAC. [Representations of the midwife in the perspective of the pregnant woman]. Rev Bras Enferm [Internet]. 2014[cited 2015 Jun 5];67(3):360-5. Available from: http://www.scielo.br/pdf/reben/v67n3/0034-7167-reben-67-03-0360.pdfPortuguese. http://www.scielo.br/pdf/reben/v67n3/003... ^-⁴⁸48 Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med [Internet]. 2011 [cited 2015 Jun 5];8(5):1267-84. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02223.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁵⁰50 García González S, Duarte González LD, Mejías Paneque MC. [Evaluation of a sexual education program on knowledge and sexual behavior in pregnant]. Enferm Global [Internet]. 2012[cited 2015 Jun 5];11(4):453-64. Available from: http://revistas.um.es/eglobal/article/viewFile/147791/139181Spanish http://revistas.um.es/eglobal/article/vi... ^-⁵¹51 Liu H-L, Hsu P, Chen K-H. Sexual activity during pregnancy in Taiwan: a qualitative study. J Sex Med. 2013;1(2):54-61.^,⁵⁷57 Progianti JM, Costa RF. [Educational practices developed by nurses: reflections on women's pregnancy and labor experiences]. Rev Bras Enferm [Internet]. 2012[cited 2015 Jun 5];65(2):257-63. Available from: http://www.scielo.br/pdf/reben/v65n2/v65n2a09.pdfPortuguese. http://www.scielo.br/pdf/reben/v65n2/v65... ^,⁵⁹59 Cruz M.D.F. Vivências da sexualidade durante a gravidez (Monografia). Universidade Fernando Pessoa, Porto.2012.^,⁶²62 Lee JT, Lin CL, Wan GH, Liang CC. Sexual positions and sexual satisfaction of pregnant women. J Sex Marital Ther [Internet]. 2010[cited 2015 Jun 5];36(5):408-20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20924936 http://www.ncbi.nlm.nih.gov/pubmed/20924... ^,⁶⁴64 Rados SN, Vranes HS, Sunjic, M. Limited role of body satisfaction and body image self-consciousness in sexual frequency and satisfaction in pregnant women. J Sex Res [Internet]. 2014[cited 2015 Jun 5];51(5):532-41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24826879 http://www.ncbi.nlm.nih.gov/pubmed/24826... ^-⁶⁵65 Razali R, Balakrishnan K, Sidi H, Peter JR, Razi ZRM. Is sexual dysfunction common among pregnant Malaysian women? Int J Gynaecol Obstet.2012;119:132.^,⁶⁷67 Ribeiro MC, Nakamura MU, Torloni MR, Scanavino MT, Mancini PE, Mattar R. Sexual function and quality of life of brazilian pregnant women: preliminary results. J Sex Med. 2014;11:186.^,⁶⁹69 Sagiv-Reiss DM, Birnbaum GE, Safir MP. Changes in sexual experiences and relationship quality during pregnancy. Arch Sex Behav [Internet]. 2012[cited 2015 Jun 5];41 (5): 1241 -51. Available from: http://link.springer.com/article/10.1007%2Fs10508-011-9839-9 http://link.springer.com/article/10.1007... ⁾	28	48
Conhecimento insuficiente⁽¹1 Vieira TCB, de Souza E, Nakamura MU, Mattar R. [Sexuality in pregnancy: are Brazilian physicians prepared to conduct these questions]? Rev Bras Ginecol Obstet [Internet]. 2012[cited 2015 Jun 5];34(11):485-7. Available from: http://www.scielo.br/pdf/rbgo/v34n11/01.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v34n11/01.... 2 Ferreira DQ, Nakamura MU, De Souza E, Neto CM, Ribeiro MC, Santana TGM, et al. [Sexual function and quality of life of low-risk pregnant women]. Rev Bras Ginecol Obstet [Internet]. 2012[cited 2015 Jun 5];34(9):409-12. Available from: http://www.scielo.br/pdf/rbgo/v34n9/a04v34n9.pdf http://www.scielo.br/pdf/rbgo/v34n9/a04v... ^-³3 Aribi L, Ben Houidi A, Masmoudi R, Chaabane K, Guermazi M, Amami O. Female sexuality during pregnancy and post-partum: a study of 80 Tunisian women. Tunis Med [Internet]. 2012[cited 2015 Jun 5];90(12):873-7. Available from:http://www.latunisiemedicale.com/article-medicale-tunisie.php?article=2095&Codelang=en http://www.latunisiemedicale.com/article... ^,⁵5 Murtagh J. Female sexual function, dysfunction, and pregnancy: Implications for practice. J Midwifery Women's Health [Internet]. 2010[cited 2015 Jun 5];55(5):438-46. Available from: http://www.sciencedirect.com/science/article/pii/S152695230900470X http://www.sciencedirect.com/science/art... ^,¹⁴14 Babazadeh R, Mirzaii K, Masomi Z. Changes in sexual desire and activity during pregnancy among women in Shahroud, Iran. Int J Gynecol Obstet [Internet]. 2013[cited 2015 Jun 5];120(1):82-4. Available from: http://www.ijgo.org/article/S0020-7292(12)00501-2/pdf http://www.ijgo.org/article/S0020-7292(1... ^,¹⁷17 Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V, et al. Female Sexual Function during Pregnancy and after Childbirth. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(8):2782-90. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2010.01893.x/epdf http://onlinelibrary.wiley.com/doi/10.11... 18 Seven M, Akyuz A, Gungor S. Factors affecting sexual functioning during pregnancy in Turkish women. J Sex Med [Internet]. 2011[cited 2015 Jun 5];8:278. Available from: http://www.tandfonline.com/doi/abs/10.3109/01443615.2015.1006596?journalCode=ijog20 http://www.tandfonline.com/doi/abs/10.31... ^-¹⁹19 Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J Pelvic Floor Dysfunct [Internet]. 2014[cited 2015 Jun 5];25(1):5-14. Available from: http://link.springer.com/content/pdf/10.1007%2Fs00192-013-2118-7.pdf http://link.springer.com/content/pdf/10.... ^,²²22 Queirós AC, Cunha V, Ambrósio P, Marques F, Serrano, F. Sexualidade no terceiro trimestre da gravidez. Rev Port Clin Geral [Internet]. 2011 [cited 2015 Jun 5];27:434-43. Available from: http://www.scielo.mec.pt/pdf/rpcg/v27n5/v27n5a05.pdf http://www.scielo.mec.pt/pdf/rpcg/v27n5/... 23 Corbacioglu A, Akca A, Akbayir O, Cilesiz Goksedef BP, Bakir VL. Female sexual function and associated factors during pregnancy. J Obstet Gynaecol [Internet]. 2013[cited 2015 Jun 5];39(6):1165-72. Available from:http://onlinelibrary.wiley.com/doi/10.1111/jog.12048/epdf http://onlinelibrary.wiley.com/doi/10.11... ^-²⁴24 Brooks J, Born AM, Hoggard A, Desper DD, Johns T, Willard C. Sexual dysfunction during pregnancy: occurrence and assessment of progression. J Womens Health [Internet]. 2012[cited 2015 Jun 5];21 (4):5-6. Available from: http://www.bioconferences.com/CONFERENCES/Womens Health/PDF/WH_Abstracts.pdf http://www.bioconferences.com/CONFERENCE... ^,²⁶26 Camacho KG, Da Costa Vargens OM, Progianti JM. Adapting to the new reality: The pregnant woman and the exercise of her sexuality. Rev Enferm [Internet]. 2010[cited 2015 Jun 5]; 18(1):32-7. Available from: http://www.facenf.uerj.br/v18n1/v18n1a06.pdf http://www.facenf.uerj.br/v18n1/v18n1a06... ^,²⁸28 Pauleta JR, Pereira NM, Graça LM. Sexuality during pregnancy. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(1pt1):136-42. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2009.01538.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^-²⁹29 Rodríguez LM, Ramón AE. [Characteristics and evolution of pregnant women's sexual pattern]. Enf Global [Internet].2013;12(32):362-70. Available from: http://saudepublica.bvs.br/pesquisa/resource/pt/ibc-115723Spanish http://saudepublica.bvs.br/pesquisa/reso... ^,³⁸38 Guleroglu FT, Beser NG. Evaluation of Sexual Functions of the Pregnant Women. J Sex Med [Internet]. 2014[cited 2015 Jun 5];11 (1):146-53. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁴⁰40 Queiroz CNSA, de Sousa VEC, Lopes MVO. [Nursing diagnosis of sexual dysfunction in pregnant women: an ac-curacy analysis]. Rev Enferm [Internet]. 2013[cited 2015 Jun 5];21 (6):705-10. Available from: http://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/11396/8970Portuguese. http://www.e-publicacoes.uerj.br/index.p... ^-⁴¹41 Erenel A, Eroglu K, Vural G, Dilbaz B. A Pilot Study: In What Ways Do Women in Turkey Experience a Change in Their Sexuality During Pregnancy? Sex Disabil[Internet]. 2011[cited 2015 Jun 5];29(3):207-16. Available from:http://www.researchgate.net/publication/226828375_A_Pilot_Study_In_What_Ways_Do_Women_in_Turkey_Experience_a_ Change_in_Their_Sexuality_During_Pregnancy http://www.researchgate.net/publication/... ^,⁴³43 Millheiser, L. Female Sexual Function During Pregnancy and Postpartum. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(2):635-36. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02637.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^-⁴⁴44 Abasalizadeh F, Abasalizadeh S. Behavioral dichotomy in sexuality during pregnancy and effect of birth-week inter-course on pregnancy outcomes in an Iranian population. Internet J Gynecol Obstet [Internet]. 2011[cited 2015 Jun 5];14(2). Available from: http://ispub.com/IJGO/14/2/4516 http://ispub.com/IJGO/14/2/4516... ^,⁴⁶46 Shoja M, Jouybari L, Sanagoo A. Changes in Sexual and Behavioral Relationships among Couples during Pregnancy. Qom University of Medical Sciences Journal [Internet]. 2011[cited 2015 Jun 5];5(3):3. Available from: https://doaj.org/article/5a76dcdfd5344edbaa9b6495f50aab1a https://doaj.org/article/5a76dcdfd5344ed... ^-⁴⁷47 Martins MFSV, Remoaldo PCAC. [Representations of the midwife in the perspective of the pregnant woman]. Rev Bras Enferm [Internet]. 2014[cited 2015 Jun 5];67(3):360-5. Available from: http://www.scielo.br/pdf/reben/v67n3/0034-7167-reben-67-03-0360.pdfPortuguese. http://www.scielo.br/pdf/reben/v67n3/003... ^,⁵⁰50 García González S, Duarte González LD, Mejías Paneque MC. [Evaluation of a sexual education program on knowledge and sexual behavior in pregnant]. Enferm Global [Internet]. 2012[cited 2015 Jun 5];11(4):453-64. Available from: http://revistas.um.es/eglobal/article/viewFile/147791/139181Spanish http://revistas.um.es/eglobal/article/vi... ^,⁵⁵55 Guleroglu TF, Beser GN. Evaluation of sexual function of the pregnant women. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9:352-3. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁶¹61 Kerdarunsuksri A, Manusirivithaya S. Attitudes and sexual function in Thai pregnant women. J Med Assoc Thai [Internet]. 2010[cited 2015 Jun 5];93(3):265-71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20420099 http://www.ncbi.nlm.nih.gov/pubmed/20420... ^,⁶⁸68 Sacomori C, Cardoso FL. Sexual initiative and intercourse behavior during pregnancy among brazilian women: a retrospective study. J Sex Marital Ther [Internet]. 2010[cited 2015 Jun 5];36(2):124-36. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20169493 http://www.ncbi.nlm.nih.gov/pubmed/20169... ^-⁶⁹69 Sagiv-Reiss DM, Birnbaum GE, Safir MP. Changes in sexual experiences and relationship quality during pregnancy. Arch Sex Behav [Internet]. 2012[cited 2015 Jun 5];41 (5): 1241 -51. Available from: http://link.springer.com/article/10.1007%2Fs10508-011-9839-9 http://link.springer.com/article/10.1007... ⁾	26	45
Mitos tabus e crenças⁽¹1 Vieira TCB, de Souza E, Nakamura MU, Mattar R. [Sexuality in pregnancy: are Brazilian physicians prepared to conduct these questions]? Rev Bras Ginecol Obstet [Internet]. 2012[cited 2015 Jun 5];34(11):485-7. Available from: http://www.scielo.br/pdf/rbgo/v34n11/01.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v34n11/01.... ^,³3 Aribi L, Ben Houidi A, Masmoudi R, Chaabane K, Guermazi M, Amami O. Female sexuality during pregnancy and post-partum: a study of 80 Tunisian women. Tunis Med [Internet]. 2012[cited 2015 Jun 5];90(12):873-7. Available from:http://www.latunisiemedicale.com/article-medicale-tunisie.php?article=2095&Codelang=en http://www.latunisiemedicale.com/article... ^,⁵5 Murtagh J. Female sexual function, dysfunction, and pregnancy: Implications for practice. J Midwifery Women's Health [Internet]. 2010[cited 2015 Jun 5];55(5):438-46. Available from: http://www.sciencedirect.com/science/article/pii/S152695230900470X http://www.sciencedirect.com/science/art... ^,¹⁰10 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 [Internet]. 2011[cited 2015 Jun 5]; 8 (10):2859-67. Available from:http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02420.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹²12 Ahmed MR, Madny EH, Ahmed WAS. Prevalence of female sexual dysfunction during pregnancy among egyptian women. J Obstet Gynaecol [Internet]. 2014[cited 2015 Jun 5];40(4):1023-9. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jog.12313/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹⁶16 Naldoni LMV, Pazmino MAV, Pezzan PAO, Pereira SB, Duarte G, Ferreira CHJ. Evaluation of Sexual Function in Brazilian Pregnant Women. J Sex Marital Ther [Internet]. 2011 [cited 2015 Jun 5];37(2):116-29. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21400336 http://www.ncbi.nlm.nih.gov/pubmed/21400... ^,¹⁹19 Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J Pelvic Floor Dysfunct [Internet]. 2014[cited 2015 Jun 5];25(1):5-14. Available from: http://link.springer.com/content/pdf/10.1007%2Fs00192-013-2118-7.pdf http://link.springer.com/content/pdf/10.... ^,²²22 Queirós AC, Cunha V, Ambrósio P, Marques F, Serrano, F. Sexualidade no terceiro trimestre da gravidez. Rev Port Clin Geral [Internet]. 2011 [cited 2015 Jun 5];27:434-43. Available from: http://www.scielo.mec.pt/pdf/rpcg/v27n5/v27n5a05.pdf http://www.scielo.mec.pt/pdf/rpcg/v27n5/... ^,²⁶26 Camacho KG, Da Costa Vargens OM, Progianti JM. Adapting to the new reality: The pregnant woman and the exercise of her sexuality. Rev Enferm [Internet]. 2010[cited 2015 Jun 5]; 18(1):32-7. Available from: http://www.facenf.uerj.br/v18n1/v18n1a06.pdf http://www.facenf.uerj.br/v18n1/v18n1a06... ^-²⁷27 Chang SR, Chen KH, Lin HH. Determinants of Sexual Function in Early, Middle, and Late Pregnancy. J Sex Med. 2011;8(s3):171.^,²⁹29 Rodríguez LM, Ramón AE. [Characteristics and evolution of pregnant women's sexual pattern]. Enf Global [Internet].2013;12(32):362-70. Available from: http://saudepublica.bvs.br/pesquisa/resource/pt/ibc-115723Spanish http://saudepublica.bvs.br/pesquisa/reso... ^,³⁷37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... 38 Guleroglu FT, Beser NG. Evaluation of Sexual Functions of the Pregnant Women. J Sex Med [Internet]. 2014[cited 2015 Jun 5];11 (1):146-53. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^-³⁹39 Prado DS, Lima RV, Lima LMMR. [Impact of pregnancy on female sexual function]. Rev Bras Ginecol Obstet [Internet]. 2013[cited 2015 Jun 5];35(5):205-9. Available from: http://www.scielo.br/pdf/rbgo/v35n5/03.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v35n5/03.p... ^,⁴¹41 Erenel A, Eroglu K, Vural G, Dilbaz B. A Pilot Study: In What Ways Do Women in Turkey Experience a Change in Their Sexuality During Pregnancy? Sex Disabil[Internet]. 2011[cited 2015 Jun 5];29(3):207-16. Available from:http://www.researchgate.net/publication/226828375_A_Pilot_Study_In_What_Ways_Do_Women_in_Turkey_Experience_a_ Change_in_Their_Sexuality_During_Pregnancy http://www.researchgate.net/publication/... ^,⁴⁵45 Yangin HB, Eroglu K. Investigation of the sexual behavior of pregnant women residing in squatter neighborhoods in Southwestern Turkey: A qualitative study. J Sex Marital Ther [Internet]. 2011[cited 2015 Jun 5];37(3):190-205. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21512939 http://www.ncbi.nlm.nih.gov/pubmed/21512... ^,⁴⁷47 Martins MFSV, Remoaldo PCAC. [Representations of the midwife in the perspective of the pregnant woman]. Rev Bras Enferm [Internet]. 2014[cited 2015 Jun 5];67(3):360-5. Available from: http://www.scielo.br/pdf/reben/v67n3/0034-7167-reben-67-03-0360.pdfPortuguese. http://www.scielo.br/pdf/reben/v67n3/003... ^,⁵⁰50 García González S, Duarte González LD, Mejías Paneque MC. [Evaluation of a sexual education program on knowledge and sexual behavior in pregnant]. Enferm Global [Internet]. 2012[cited 2015 Jun 5];11(4):453-64. Available from: http://revistas.um.es/eglobal/article/viewFile/147791/139181Spanish http://revistas.um.es/eglobal/article/vi... ^,⁵²52 Lowenstein L, Mustafa S, Burke Y. Pregnancy and normal sexual function. are they compatible? J Sex Med.2013; 10(3):621-2.^,⁵⁶56 Barbosa ECB. Factores que influenciam a sexualidade do casal durante a gravidez [Monografia] [Internet]. Universidade Fernando Pessoa. 2011[cited 2015 Jun 5]; Available from: http://bdigital.ufp.pt/bitstream/10284/2849/3/T_24439.pdf http://bdigital.ufp.pt/bitstream/10284/2... ^,⁶¹61 Kerdarunsuksri A, Manusirivithaya S. Attitudes and sexual function in Thai pregnant women. J Med Assoc Thai [Internet]. 2010[cited 2015 Jun 5];93(3):265-71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20420099 http://www.ncbi.nlm.nih.gov/pubmed/20420... ^,⁶⁷67 Ribeiro MC, Nakamura MU, Torloni MR, Scanavino MT, Mancini PE, Mattar R. Sexual function and quality of life of brazilian pregnant women: preliminary results. J Sex Med. 2014;11:186.^,⁶⁹69 Sagiv-Reiss DM, Birnbaum GE, Safir MP. Changes in sexual experiences and relationship quality during pregnancy. Arch Sex Behav [Internet]. 2012[cited 2015 Jun 5];41 (5): 1241 -51. Available from: http://link.springer.com/article/10.1007%2Fs10508-011-9839-9 http://link.springer.com/article/10.1007... ⁾	23	40
História obstétrica (número de filhos, número de gravidezes, tipos de parto, abortos,...)⁽¹1 Vieira TCB, de Souza E, Nakamura MU, Mattar R. [Sexuality in pregnancy: are Brazilian physicians prepared to conduct these questions]? Rev Bras Ginecol Obstet [Internet]. 2012[cited 2015 Jun 5];34(11):485-7. Available from: http://www.scielo.br/pdf/rbgo/v34n11/01.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v34n11/01.... ^,⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁰10 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 [Internet]. 2011[cited 2015 Jun 5]; 8 (10):2859-67. Available from:http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02420.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹⁷17 Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V, et al. Female Sexual Function during Pregnancy and after Childbirth. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(8):2782-90. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2010.01893.x/epdf http://onlinelibrary.wiley.com/doi/10.11... 18 Seven M, Akyuz A, Gungor S. Factors affecting sexual functioning during pregnancy in Turkish women. J Sex Med [Internet]. 2011[cited 2015 Jun 5];8:278. Available from: http://www.tandfonline.com/doi/abs/10.3109/01443615.2015.1006596?journalCode=ijog20 http://www.tandfonline.com/doi/abs/10.31... ^-¹⁹19 Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J Pelvic Floor Dysfunct [Internet]. 2014[cited 2015 Jun 5];25(1):5-14. Available from: http://link.springer.com/content/pdf/10.1007%2Fs00192-013-2118-7.pdf http://link.springer.com/content/pdf/10.... ^,²²22 Queirós AC, Cunha V, Ambrósio P, Marques F, Serrano, F. Sexualidade no terceiro trimestre da gravidez. Rev Port Clin Geral [Internet]. 2011 [cited 2015 Jun 5];27:434-43. Available from: http://www.scielo.mec.pt/pdf/rpcg/v27n5/v27n5a05.pdf http://www.scielo.mec.pt/pdf/rpcg/v27n5/... ^-²³23 Corbacioglu A, Akca A, Akbayir O, Cilesiz Goksedef BP, Bakir VL. Female sexual function and associated factors during pregnancy. J Obstet Gynaecol [Internet]. 2013[cited 2015 Jun 5];39(6):1165-72. Available from:http://onlinelibrary.wiley.com/doi/10.1111/jog.12048/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,²⁷27 Chang SR, Chen KH, Lin HH. Determinants of Sexual Function in Early, Middle, and Late Pregnancy. J Sex Med. 2011;8(s3):171.^,²⁹29 Rodríguez LM, Ramón AE. [Characteristics and evolution of pregnant women's sexual pattern]. Enf Global [Internet].2013;12(32):362-70. Available from: http://saudepublica.bvs.br/pesquisa/resource/pt/ibc-115723Spanish http://saudepublica.bvs.br/pesquisa/reso... ^,³⁰30 Malkoc O, Resim S, Bulut B. The Effect Pregnancy on Female Sexual Functions. J Sex Med. 2014;11:80.^,³⁷37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... 38 Guleroglu FT, Beser NG. Evaluation of Sexual Functions of the Pregnant Women. J Sex Med [Internet]. 2014[cited 2015 Jun 5];11 (1):146-53. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^-³⁹39 Prado DS, Lima RV, Lima LMMR. [Impact of pregnancy on female sexual function]. Rev Bras Ginecol Obstet [Internet]. 2013[cited 2015 Jun 5];35(5):205-9. Available from: http://www.scielo.br/pdf/rbgo/v35n5/03.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v35n5/03.p... ^,⁴²42 Aydin M, Cayonu N, Irkilata L, Demirel HC, Keles M, Atilla MK, et al. The Comparison of Sexual Functions in Pregnant and Non-Pregnant Women. J Sex Med. 2014;11:77.^,⁴⁵45 Yangin HB, Eroglu K. Investigation of the sexual behavior of pregnant women residing in squatter neighborhoods in Southwestern Turkey: A qualitative study. J Sex Marital Ther [Internet]. 2011[cited 2015 Jun 5];37(3):190-205. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21512939 http://www.ncbi.nlm.nih.gov/pubmed/21512... ^,⁴⁸48 Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med [Internet]. 2011 [cited 2015 Jun 5];8(5):1267-84. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02223.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁵⁴54 Katz A. Sexually speaking: Sexual changes during and after pregnancy. Am J Pract Nurs[Internet]. 2010[cited 2015 Jun 5];110(8):50-2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20671497 http://www.ncbi.nlm.nih.gov/pubmed/20671... ^,⁶²62 Lee JT, Lin CL, Wan GH, Liang CC. Sexual positions and sexual satisfaction of pregnant women. J Sex Marital Ther [Internet]. 2010[cited 2015 Jun 5];36(5):408-20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20924936 http://www.ncbi.nlm.nih.gov/pubmed/20924... ^,⁶⁹69 Sagiv-Reiss DM, Birnbaum GE, Safir MP. Changes in sexual experiences and relationship quality during pregnancy. Arch Sex Behav [Internet]. 2012[cited 2015 Jun 5];41 (5): 1241 -51. Available from: http://link.springer.com/article/10.1007%2Fs10508-011-9839-9 http://link.springer.com/article/10.1007... ⁾	20	35
Alterações relacionais⁽⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,²⁶26 Camacho KG, Da Costa Vargens OM, Progianti JM. Adapting to the new reality: The pregnant woman and the exercise of her sexuality. Rev Enferm [Internet]. 2010[cited 2015 Jun 5]; 18(1):32-7. Available from: http://www.facenf.uerj.br/v18n1/v18n1a06.pdf http://www.facenf.uerj.br/v18n1/v18n1a06... ^,³⁵35 Amaral TLM, Monteiro GTR. [Translation and validation of the pregnancy and sexual function questionnaire (PSFQ)]. Rev Bras Ginecol Obstet[Internet]. 2014[cited 2015 Jun 5];36(3):131-8. Available from: http://www.scielo.br/scielo.php?pid=S0100-72032014000300131&script=sci_arttext&tlng=enPortuguese. http://www.scielo.br/scielo.php?pid=S010... ^,³⁷37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^-³⁸38 Guleroglu FT, Beser NG. Evaluation of Sexual Functions of the Pregnant Women. J Sex Med [Internet]. 2014[cited 2015 Jun 5];11 (1):146-53. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁴¹41 Erenel A, Eroglu K, Vural G, Dilbaz B. A Pilot Study: In What Ways Do Women in Turkey Experience a Change in Their Sexuality During Pregnancy? Sex Disabil[Internet]. 2011[cited 2015 Jun 5];29(3):207-16. Available from:http://www.researchgate.net/publication/226828375_A_Pilot_Study_In_What_Ways_Do_Women_in_Turkey_Experience_a_ Change_in_Their_Sexuality_During_Pregnancy http://www.researchgate.net/publication/... ^,⁴⁴44 Abasalizadeh F, Abasalizadeh S. Behavioral dichotomy in sexuality during pregnancy and effect of birth-week inter-course on pregnancy outcomes in an Iranian population. Internet J Gynecol Obstet [Internet]. 2011[cited 2015 Jun 5];14(2). Available from: http://ispub.com/IJGO/14/2/4516 http://ispub.com/IJGO/14/2/4516... 45 Yangin HB, Eroglu K. Investigation of the sexual behavior of pregnant women residing in squatter neighborhoods in Southwestern Turkey: A qualitative study. J Sex Marital Ther [Internet]. 2011[cited 2015 Jun 5];37(3):190-205. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21512939 http://www.ncbi.nlm.nih.gov/pubmed/21512... ^-⁴⁶46 Shoja M, Jouybari L, Sanagoo A. Changes in Sexual and Behavioral Relationships among Couples during Pregnancy. Qom University of Medical Sciences Journal [Internet]. 2011[cited 2015 Jun 5];5(3):3. Available from: https://doaj.org/article/5a76dcdfd5344edbaa9b6495f50aab1a https://doaj.org/article/5a76dcdfd5344ed... ^,⁴⁸48 Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med [Internet]. 2011 [cited 2015 Jun 5];8(5):1267-84. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02223.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁵⁰50 García González S, Duarte González LD, Mejías Paneque MC. [Evaluation of a sexual education program on knowledge and sexual behavior in pregnant]. Enferm Global [Internet]. 2012[cited 2015 Jun 5];11(4):453-64. Available from: http://revistas.um.es/eglobal/article/viewFile/147791/139181Spanish http://revistas.um.es/eglobal/article/vi... ^,⁵⁴54 Katz A. Sexually speaking: Sexual changes during and after pregnancy. Am J Pract Nurs[Internet]. 2010[cited 2015 Jun 5];110(8):50-2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20671497 http://www.ncbi.nlm.nih.gov/pubmed/20671... 55 Guleroglu TF, Beser GN. Evaluation of sexual function of the pregnant women. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9:352-3. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^-⁵⁶56 Barbosa ECB. Factores que influenciam a sexualidade do casal durante a gravidez [Monografia] [Internet]. Universidade Fernando Pessoa. 2011[cited 2015 Jun 5]; Available from: http://bdigital.ufp.pt/bitstream/10284/2849/3/T_24439.pdf http://bdigital.ufp.pt/bitstream/10284/2... ^,⁶⁰60 Hanafy S, Srour NE, Mostafa T. Female sexual dysfunction across the three pregnancy trimesters: an Egyptian study. Sex Health [Internet]. 2014[cited 2015 Jun 5];11 (3):240-3. Available from: http://www.publish.csiro.au/index.cfm?paper=SH13153 http://www.publish.csiro.au/index.cfm?pa... ^-⁶¹61 Kerdarunsuksri A, Manusirivithaya S. Attitudes and sexual function in Thai pregnant women. J Med Assoc Thai [Internet]. 2010[cited 2015 Jun 5];93(3):265-71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20420099 http://www.ncbi.nlm.nih.gov/pubmed/20420... ^,⁶³63 Nik-Azin A, Nainian MR, Zamani M, Bavojdan MR, Bavojdan MR, Motlagh MJ. Evaluation of sexual function, quality of life, and mental and physical health in pregnant women. J Fam Plann Reprod Health Care [Internet]. 2013)[cited 2015 Jun 5];7(4):171-6. Available Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064754/pdf/JFRH-7-171.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^-⁶⁴64 Rados SN, Vranes HS, Sunjic, M. Limited role of body satisfaction and body image self-consciousness in sexual frequency and satisfaction in pregnant women. J Sex Res [Internet]. 2014[cited 2015 Jun 5];51(5):532-41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24826879 http://www.ncbi.nlm.nih.gov/pubmed/24826... ⁾	18	31
Alterações na autoimagem⁽³3 Aribi L, Ben Houidi A, Masmoudi R, Chaabane K, Guermazi M, Amami O. Female sexuality during pregnancy and post-partum: a study of 80 Tunisian women. Tunis Med [Internet]. 2012[cited 2015 Jun 5];90(12):873-7. Available from:http://www.latunisiemedicale.com/article-medicale-tunisie.php?article=2095&Codelang=en http://www.latunisiemedicale.com/article... ^,¹⁰10 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 [Internet]. 2011[cited 2015 Jun 5]; 8 (10):2859-67. Available from:http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02420.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹²12 Ahmed MR, Madny EH, Ahmed WAS. Prevalence of female sexual dysfunction during pregnancy among egyptian women. J Obstet Gynaecol [Internet]. 2014[cited 2015 Jun 5];40(4):1023-9. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jog.12313/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹⁴14 Babazadeh R, Mirzaii K, Masomi Z. Changes in sexual desire and activity during pregnancy among women in Shahroud, Iran. Int J Gynecol Obstet [Internet]. 2013[cited 2015 Jun 5];120(1):82-4. Available from: http://www.ijgo.org/article/S0020-7292(12)00501-2/pdf http://www.ijgo.org/article/S0020-7292(1... 15 Gałązka I, Drosdzol-Cop A, Naworska B, Czajkowska M, Skrzypulec-Plinta V. Changes in the Sexual Function During Pregnancy. J Sex Med [Internet]. 2014[cited 2015 Jun 5];12 (2):445-54. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12747/epdf http://onlinelibrary.wiley.com/doi/10.11... ^-¹⁶16 Naldoni LMV, Pazmino MAV, Pezzan PAO, Pereira SB, Duarte G, Ferreira CHJ. Evaluation of Sexual Function in Brazilian Pregnant Women. J Sex Marital Ther [Internet]. 2011 [cited 2015 Jun 5];37(2):116-29. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21400336 http://www.ncbi.nlm.nih.gov/pubmed/21400... ^,¹⁹19 Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J Pelvic Floor Dysfunct [Internet]. 2014[cited 2015 Jun 5];25(1):5-14. Available from: http://link.springer.com/content/pdf/10.1007%2Fs00192-013-2118-7.pdf http://link.springer.com/content/pdf/10.... ^,²⁷27 Chang SR, Chen KH, Lin HH. Determinants of Sexual Function in Early, Middle, and Late Pregnancy. J Sex Med. 2011;8(s3):171.^-²⁸28 Pauleta JR, Pereira NM, Graça LM. Sexuality during pregnancy. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(1pt1):136-42. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2009.01538.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,³⁷37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,³⁹39 Prado DS, Lima RV, Lima LMMR. [Impact of pregnancy on female sexual function]. Rev Bras Ginecol Obstet [Internet]. 2013[cited 2015 Jun 5];35(5):205-9. Available from: http://www.scielo.br/pdf/rbgo/v35n5/03.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v35n5/03.p... ^-⁴⁰40 Queiroz CNSA, de Sousa VEC, Lopes MVO. [Nursing diagnosis of sexual dysfunction in pregnant women: an ac-curacy analysis]. Rev Enferm [Internet]. 2013[cited 2015 Jun 5];21 (6):705-10. Available from: http://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/11396/8970Portuguese. http://www.e-publicacoes.uerj.br/index.p... ^,⁵⁰50 García González S, Duarte González LD, Mejías Paneque MC. [Evaluation of a sexual education program on knowledge and sexual behavior in pregnant]. Enferm Global [Internet]. 2012[cited 2015 Jun 5];11(4):453-64. Available from: http://revistas.um.es/eglobal/article/viewFile/147791/139181Spanish http://revistas.um.es/eglobal/article/vi... ^,⁵²52 Lowenstein L, Mustafa S, Burke Y. Pregnancy and normal sexual function. are they compatible? J Sex Med.2013; 10(3):621-2.^,⁵⁵55 Guleroglu TF, Beser GN. Evaluation of sexual function of the pregnant women. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9:352-3. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ⁾	15	26
Fatores religiosos⁽⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁷17 Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V, et al. Female Sexual Function during Pregnancy and after Childbirth. J Sex Med [Internet]. 2010[cited 2015 Jun 5];7(8):2782-90. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2010.01893.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,²²22 Queirós AC, Cunha V, Ambrósio P, Marques F, Serrano, F. Sexualidade no terceiro trimestre da gravidez. Rev Port Clin Geral [Internet]. 2011 [cited 2015 Jun 5];27:434-43. Available from: http://www.scielo.mec.pt/pdf/rpcg/v27n5/v27n5a05.pdf http://www.scielo.mec.pt/pdf/rpcg/v27n5/... ^,²⁵25 Veríssimo CMDA. Funcionamento sexual feminino e exposição corporal na gravidez de termo [Dissertação] [Internet]. Universidade de Lisboa: 2011[cited 2015 Jun 5]; Available from: http://hdl.handle.net/10451/5533 http://hdl.handle.net/10451/5533... ^-²⁶26 Camacho KG, Da Costa Vargens OM, Progianti JM. Adapting to the new reality: The pregnant woman and the exercise of her sexuality. Rev Enferm [Internet]. 2010[cited 2015 Jun 5]; 18(1):32-7. Available from: http://www.facenf.uerj.br/v18n1/v18n1a06.pdf http://www.facenf.uerj.br/v18n1/v18n1a06... ^,³⁹39 Prado DS, Lima RV, Lima LMMR. [Impact of pregnancy on female sexual function]. Rev Bras Ginecol Obstet [Internet]. 2013[cited 2015 Jun 5];35(5):205-9. Available from: http://www.scielo.br/pdf/rbgo/v35n5/03.pdfPortuguese. http://www.scielo.br/pdf/rbgo/v35n5/03.p... ^,⁴⁵45 Yangin HB, Eroglu K. Investigation of the sexual behavior of pregnant women residing in squatter neighborhoods in Southwestern Turkey: A qualitative study. J Sex Marital Ther [Internet]. 2011[cited 2015 Jun 5];37(3):190-205. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21512939 http://www.ncbi.nlm.nih.gov/pubmed/21512... ^,⁴⁸48 Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med [Internet]. 2011 [cited 2015 Jun 5];8(5):1267-84. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02223.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁵⁰50 García González S, Duarte González LD, Mejías Paneque MC. [Evaluation of a sexual education program on knowledge and sexual behavior in pregnant]. Enferm Global [Internet]. 2012[cited 2015 Jun 5];11(4):453-64. Available from: http://revistas.um.es/eglobal/article/viewFile/147791/139181Spanish http://revistas.um.es/eglobal/article/vi... ^,⁶⁷67 Ribeiro MC, Nakamura MU, Torloni MR, Scanavino MT, Mancini PE, Mattar R. Sexual function and quality of life of brazilian pregnant women: preliminary results. J Sex Med. 2014;11:186.^,⁶⁹69 Sagiv-Reiss DM, Birnbaum GE, Safir MP. Changes in sexual experiences and relationship quality during pregnancy. Arch Sex Behav [Internet]. 2012[cited 2015 Jun 5];41 (5): 1241 -51. Available from: http://link.springer.com/article/10.1007%2Fs10508-011-9839-9 http://link.springer.com/article/10.1007... ⁾	11	19
Idade gestacional ⁽²2 Ferreira DQ, Nakamura MU, De Souza E, Neto CM, Ribeiro MC, Santana TGM, et al. [Sexual function and quality of life of low-risk pregnant women]. Rev Bras Ginecol Obstet [Internet]. 2012[cited 2015 Jun 5];34(9):409-12. Available from: http://www.scielo.br/pdf/rbgo/v34n9/a04v34n9.pdf http://www.scielo.br/pdf/rbgo/v34n9/a04v... ^,⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁰10 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 [Internet]. 2011[cited 2015 Jun 5]; 8 (10):2859-67. Available from:http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02420.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹⁶16 Naldoni LMV, Pazmino MAV, Pezzan PAO, Pereira SB, Duarte G, Ferreira CHJ. Evaluation of Sexual Function in Brazilian Pregnant Women. J Sex Marital Ther [Internet]. 2011 [cited 2015 Jun 5];37(2):116-29. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21400336 http://www.ncbi.nlm.nih.gov/pubmed/21400... ^,¹⁸18 Seven M, Akyuz A, Gungor S. Factors affecting sexual functioning during pregnancy in Turkish women. J Sex Med [Internet]. 2011[cited 2015 Jun 5];8:278. Available from: http://www.tandfonline.com/doi/abs/10.3109/01443615.2015.1006596?journalCode=ijog20 http://www.tandfonline.com/doi/abs/10.31... ^-¹⁹19 Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J Pelvic Floor Dysfunct [Internet]. 2014[cited 2015 Jun 5];25(1):5-14. Available from: http://link.springer.com/content/pdf/10.1007%2Fs00192-013-2118-7.pdf http://link.springer.com/content/pdf/10.... ^,²³23 Corbacioglu A, Akca A, Akbayir O, Cilesiz Goksedef BP, Bakir VL. Female sexual function and associated factors during pregnancy. J Obstet Gynaecol [Internet]. 2013[cited 2015 Jun 5];39(6):1165-72. Available from:http://onlinelibrary.wiley.com/doi/10.1111/jog.12048/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,³⁷37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^-³⁸38 Guleroglu FT, Beser NG. Evaluation of Sexual Functions of the Pregnant Women. J Sex Med [Internet]. 2014[cited 2015 Jun 5];11 (1):146-53. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ⁾	9	16
Alteração na autoestima ⁽¹²12 Ahmed MR, Madny EH, Ahmed WAS. Prevalence of female sexual dysfunction during pregnancy among egyptian women. J Obstet Gynaecol [Internet]. 2014[cited 2015 Jun 5];40(4):1023-9. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jog.12313/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,¹⁶16 Naldoni LMV, Pazmino MAV, Pezzan PAO, Pereira SB, Duarte G, Ferreira CHJ. Evaluation of Sexual Function in Brazilian Pregnant Women. J Sex Marital Ther [Internet]. 2011 [cited 2015 Jun 5];37(2):116-29. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21400336 http://www.ncbi.nlm.nih.gov/pubmed/21400... ^,²³23 Corbacioglu A, Akca A, Akbayir O, Cilesiz Goksedef BP, Bakir VL. Female sexual function and associated factors during pregnancy. J Obstet Gynaecol [Internet]. 2013[cited 2015 Jun 5];39(6):1165-72. Available from:http://onlinelibrary.wiley.com/doi/10.1111/jog.12048/epdf http://onlinelibrary.wiley.com/doi/10.11... ^,³⁷37 Corbacioglu A, Bakir VL, Akbayir O, Cilesiz Goksedef BP, Akca A. The role of pregnancy awareness on female sexual function in early gestation. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9(7):1897-903. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02740.x/abstract http://onlinelibrary.wiley.com/doi/10.11... ^-³⁸38 Guleroglu FT, Beser NG. Evaluation of Sexual Functions of the Pregnant Women. J Sex Med [Internet]. 2014[cited 2015 Jun 5];11 (1):146-53. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁴⁶46 Shoja M, Jouybari L, Sanagoo A. Changes in Sexual and Behavioral Relationships among Couples during Pregnancy. Qom University of Medical Sciences Journal [Internet]. 2011[cited 2015 Jun 5];5(3):3. Available from: https://doaj.org/article/5a76dcdfd5344edbaa9b6495f50aab1a https://doaj.org/article/5a76dcdfd5344ed... ^,⁵⁵55 Guleroglu TF, Beser GN. Evaluation of sexual function of the pregnant women. J Sex Med [Internet]. 2012[cited 2015 Jun 5];9:352-3. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁶¹61 Kerdarunsuksri A, Manusirivithaya S. Attitudes and sexual function in Thai pregnant women. J Med Assoc Thai [Internet]. 2010[cited 2015 Jun 5];93(3):265-71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20420099 http://www.ncbi.nlm.nih.gov/pubmed/20420... ⁾	8	14
Vulnerabilidades (problemas na gravidez, doenças,...)⁽¹³13 Alsibiani SA. Effects of pregnancy on sexual function: findings from a survey of Saudi women. Saudi Med J [Internet]. 2014[cited 2015 Jun 5];35(5):482-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24825810 http://www.ncbi.nlm.nih.gov/pubmed/24825... ^,³⁰30 Malkoc O, Resim S, Bulut B. The Effect Pregnancy on Female Sexual Functions. J Sex Med. 2014;11:80.^,³⁸38 Guleroglu FT, Beser NG. Evaluation of Sexual Functions of the Pregnant Women. J Sex Med [Internet]. 2014[cited 2015 Jun 5];11 (1):146-53. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁵⁰50 García González S, Duarte González LD, Mejías Paneque MC. [Evaluation of a sexual education program on knowledge and sexual behavior in pregnant]. Enferm Global [Internet]. 2012[cited 2015 Jun 5];11(4):453-64. Available from: http://revistas.um.es/eglobal/article/viewFile/147791/139181Spanish http://revistas.um.es/eglobal/article/vi... ^,⁵⁶56 Barbosa ECB. Factores que influenciam a sexualidade do casal durante a gravidez [Monografia] [Internet]. Universidade Fernando Pessoa. 2011[cited 2015 Jun 5]; Available from: http://bdigital.ufp.pt/bitstream/10284/2849/3/T_24439.pdf http://bdigital.ufp.pt/bitstream/10284/2... ⁾	5	9
Conflito de valores⁽⁶6 Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Irã J Med Reprod [Internet]. 2013[cited 2015 Jun 5];11(6):479-86. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941320/pdf/ijrm-11-479.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,³⁸38 Guleroglu FT, Beser NG. Evaluation of Sexual Functions of the Pregnant Women. J Sex Med [Internet]. 2014[cited 2015 Jun 5];11 (1):146-53. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jsm.12347/abstract http://onlinelibrary.wiley.com/doi/10.11... ^,⁴⁰40 Queiroz CNSA, de Sousa VEC, Lopes MVO. [Nursing diagnosis of sexual dysfunction in pregnant women: an ac-curacy analysis]. Rev Enferm [Internet]. 2013[cited 2015 Jun 5];21 (6):705-10. Available from: http://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/11396/8970Portuguese. http://www.e-publicacoes.uerj.br/index.p... ^,⁵⁰50 García González S, Duarte González LD, Mejías Paneque MC. [Evaluation of a sexual education program on knowledge and sexual behavior in pregnant]. Enferm Global [Internet]. 2012[cited 2015 Jun 5];11(4):453-64. Available from: http://revistas.um.es/eglobal/article/viewFile/147791/139181Spanish http://revistas.um.es/eglobal/article/vi... ⁾	4	7

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[1] AUTOR CORRESPONDENTE: Sílvia Maria Alves Caldeira. E -mail: caldeira.silvia@gmail.com