{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T01:31:40Z","timestamp":1755221500587,"version":"3.43.0"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Eine Schwangerschaft bringt tiefgreifende k\u00f6rperliche und emotionale\n                        Ver\u00e4nderungen mit sich, die das sexuelle Verhalten sowie das Wohlbefinden\n                        der werdenden Mutter beeinflussen k\u00f6nnen. Ziel dieser Studie war es, diese\n                        Ver\u00e4nderungen zu untersuchen und den m\u00f6glichen Einfluss des fetalen\n                        Geschlechts zu analysieren.<\/jats:p><jats:p>Insgesamt nahmen 320 Frauen mit Einlingsschwangerschaften in fr\u00fchen\n                        Schwangerschaftswochen teil. Zur Auswertung wurden 296 vollst\u00e4ndig\n                        ausgef\u00fcllte Frageb\u00f6gen herangezogen. F\u00e4lle mit Fehlgeburten oder fetalen\n                        Auff\u00e4lligkeiten wurden ausgeschlossen.<\/jats:p><jats:p>Nach Eintritt der Schwangerschaft berichteten 27% der Frauen, den\n                        Geschlechtsverkehr eingestellt zu haben. Insgesamt nahm die H\u00e4ufigkeit\n                        sexueller Aktivit\u00e4ten signifikant ab (p&lt;0,001). Frauen \u00fcber 30 Jahre\n                        zeigten einen st\u00e4rkeren R\u00fcckgang (p=0,035). K\u00f6rperliche Aktivit\u00e4t nahm\n                        besonders bei Frauen unter 30 Jahren ab (p=0,038). Kein signifikanter\n                        Unterschied bestand zwischen Erst- und Mehrgeb\u00e4renden (p=0,173). H\u00e4ufigste\n                        Beschwerden: Energielosigkeit (78%), Schlafst\u00f6rungen (59%), \u00dcbelkeit (55%),\n                        Verstopfung (49%), gesteigerter Appetit (46%) und Stimmungsschwankungen\n                        (45%). Das fetale Geschlecht hatte auf die meisten Symptome keinen\n                        signifikanten Einfluss (p&gt;0,05). Konzentrationsprobleme traten h\u00e4ufiger\n                        bei weiblichen F\u00f6ten auf (p=0,024), Haarausfall bei m\u00e4nnlichen F\u00f6ten\n                        (p=0,038). Ver\u00e4nderte vaginale Sekretion war h\u00e4ufiger, wenn sich das fetale\n                        Geschlecht von fr\u00fcheren Schwangerschaften unterschied (p=0,025).<\/jats:p><jats:p>Schwangerschaft f\u00fchrt zu deutlichen Ver\u00e4nderungen in Sexualverhalten,\n                        Aktivit\u00e4t und Wohlbefinden. Ein besseres Verst\u00e4ndnis kann die Betreuung\n                        individueller und empathischer gestalten.<\/jats:p>","DOI":"10.1055\/a-2607-7766","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T19:54:27Z","timestamp":1748980467000},"page":"239-248","source":"Crossref","is-referenced-by-count":0,"title":["Auswirkungen der Schwangerschaft auf die Sexualit\u00e4t, k\u00f6rperliche\n                    Aktivit\u00e4t und das Wohlbefinden von Frauen w\u00e4hrend der\n                    Schwangerschaft"],"prefix":"10.1055","volume":"229","author":[{"given":"Duygu","family":"Adiyaman","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Korzoum","sequence":"additional","affiliation":[{"name":"Frauenheilkunde & Geburtshilfe, Donauklinik\n                    Neu-Ulm, Neu-Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Lukac","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9169-5642","authenticated-orcid":false,"given":"Beate","family":"H\u00fcner","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christiane","family":"Lato","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonie","family":"Burkert","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annika","family":"Schmid","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Janni","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krisztian","family":"Lato","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,6,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.710858","article-title":"The Impact of Social Support and Pregnancy on Subjective Well-Being: A\n                    Systematic Review","volume":"12","author":"B Battulga","year":"2021","journal-title":"Frontiers in Psychology"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1002\/icd.651","article-title":"Psychological and psychophysiological considerations regarding the\n                    maternal-fetal relationship","volume":"19","author":"J A Dipietro","year":"2010","journal-title":"Infant Child Dev"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1161","DOI":"10.1007\/s00404-020-05839-1","article-title":"Does greater morning sickness predict carrying a girl? Analysis of nausea and\n                    vomiting during pregnancy from retrospective report","volume":"303","author":"N R Young","year":"2021","journal-title":"Arch Gynecol Obstet"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1753","DOI":"10.3109\/14767058.2013.798293","article-title":"Pregnancy outcome in hyperemesis gravidarum--the role of fetal gender","volume":"26","author":"Y Peled","year":"2013","journal-title":"The journal of maternal-fetal & neonatal medicine: the official\n                    journal of the European Association of Perinatal Medicine, the Federation of\n                    Asia and Oceania Perinatal Societies, the International Society of Perinatal\n                    Obstet"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"100668","DOI":"10.1016\/j.srhc.2021.100668","article-title":"Sexuality in the perinatal period: A systematic review of reviews and\n                    recommendations for practice","volume":"30","author":"P Grussu","year":"2021","journal-title":"Sexual & reproductive healthcare : official journal of the\n                    Swedish Association of Midwives"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1267","DOI":"10.1111\/j.1743-6109.2011.02223.x","article-title":"Sexual health during pregnancy and the postpartum","volume":"8","author":"C E Johnson","year":"2011","journal-title":"J Sex Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1055\/s-0042-1743099","article-title":"Exercise and Physical Activity Levels and Associated Factors Among High-Risk\n                    Pregnant Women","volume":"44","author":"L A Miranda","year":"2022","journal-title":"Revista brasileira de ginecologia e obstetricia : revista da\n                    Federacao Brasileira das Sociedades de Ginecologia e Obstetricia"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e0128953","DOI":"10.1371\/journal.pone.0133564","article-title":"Physical Activity Patterns and Factors Related to Exercise during Pregnancy: A\n                    Cross Sectional Study","volume":"10","author":"S L Nascimento","year":"2015","journal-title":"PloS one"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1055\/a-1850-2329","article-title":"Fit f\u00fcr Zwei \u2013 Eine Studie zu sitzendem Verhalten und k\u00f6rperlicher Aktivit\u00e4t in\n                    der Schwangerschaft","volume":"227","author":"J Bauer","year":"2022","journal-title":"Z Geburtshilfe Neonatol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1007\/s15013-022-4363-7","article-title":"K\u00f6rperliche Aktivit\u00e4t und Sport w\u00e4hrend der Schwangerschaft","volume":"27","author":"T Schmidt","year":"2022","journal-title":"gyn\u00e4kologie + geburtshilfe"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1007\/s00129-021-04882-6","article-title":"Diabetes in der Schwangerschaft: Strategien inklusive Bewegungsprogramme","volume":"55","author":"M Martin","year":"2022","journal-title":"Der Gyn\u00e4kologe"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1367","DOI":"10.1136\/bjsports-2018-099355","article-title":"Prenatal exercise for the prevention of gestational diabetes mellitus and\n                    hypertensive disorders of pregnancy: a systematic review and meta-analysis","volume":"52","author":"M H Davenport","year":"2018","journal-title":"Br J Sports Med"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1111\/nhs.12149","article-title":"Survey of trend and factors in perinatal maternal fatigue","volume":"17","author":"C Y Cheng","year":"2015","journal-title":"Nursing & health sciences"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1038\/s41746-023-00935-3","article-title":"Prevalence and course of pregnancy symptoms using self-reported pregnancy app\n                    symptom tracker data","volume":"6","author":"M Nissen","year":"2023","journal-title":"npj Digital Medicine"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1016\/j.smrv.2017.06.005","article-title":"Sleep quality during pregnancy: A meta-analysis","volume":"38","author":"I D Sedov","year":"2018","journal-title":"Sleep Med Rev"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"e15","DOI":"10.1097\/AOG.0000000000002604","article-title":"Bulletins-Obstetrics CoP. ACOG Practice Bulletin No. 189: Nausea And Vomiting Of\n                    Pregnancy","volume":"131","author":"M Erick","year":"2018","journal-title":"Obstet Gynecol"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"e5156","DOI":"10.1210\/clinem\/dgab510","article-title":"Pregnancy-specific Adaptations in Leptin and Melanocortin Neuropeptides in Early\n                    Human Gestation","volume":"106","author":"M Andrikopoulou","year":"2021","journal-title":"The Journal of clinical endocrinology and metabolism"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1097\/JPN.0000000000000078","article-title":"Gastrointestinal distress in pregnancy: prevalence, assessment, and treatment of\n                    5 common minor discomforts","volume":"29","author":"R Zielinski","year":"2015","journal-title":"The Journal of perinatal & neonatal nursing"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"12187","DOI":"10.1038\/s41598-021-91504-9","article-title":"The effect of pregnancy on maternal cognition","volume":"11","author":"G Barda","year":"2021","journal-title":"Sci Rep"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1037\/a0025539","article-title":"Estrogen and cognitive functioning in women: lessons we have learned","volume":"126","author":"B B Sherwin","year":"2012","journal-title":"Behavioral neuroscience"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1210\/clinem\/dgaa909","article-title":"Association of Maternal-Neonatal Steroids With Early Pregnancy Endocrine\n                    Disrupting Chemicals and Pregnancy Outcomes","volume":"106","author":"M Banker","year":"2021","journal-title":"The Journal of clinical endocrinology and metabolism"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"822","DOI":"10.1002\/dev.21550","article-title":"Maternal salivary testosterone in pregnancy and fetal neuromaturation","volume":"59","author":"K M Voegtline","year":"2017","journal-title":"Developmental psychobiology"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1038\/s41386-023-01687-0","article-title":"Temporal dynamics of neurobehavioral hormone sensitivity in a scaled-down\n                    experimental model of early pregnancy and parturition","author":"T Eisenlohr-Moul","year":"2023","journal-title":"Neuropsychopharmacology: official publication of the American College\n                    of Neuropsychopharmacology"}],"container-title":["Zeitschrift f\u00fcr Geburtshilfe und Neonatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2607-7766.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T22:40:48Z","timestamp":1754692848000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2607-7766"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,3]]},"references-count":23,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2025,8,8]]},"published-print":{"date-parts":[[2025,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2607-7766","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0948-2393","1439-1651"],"issn-type":[{"type":"print","value":"0948-2393"},{"type":"electronic","value":"1439-1651"}],"subject":[],"published":{"date-parts":[[2025,6,3]]}}}