{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T23:01:51Z","timestamp":1791241311603,"version":"4.1.0"},"reference-count":20,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"abstract":"<jats:p> Objective: to investigate female sexual function in women six months postpartum and to compare sexual function among women who had and who did not have severe maternal morbidity (SMM).  Method: a cross-sectional study conducted with 110 women in the postpartum period, with and without SMM. Two instruments were used, one for the characterization of sociodemographic and obstetric variables and the Female Sexual Function Index (FSFI) for sexual function. Univariate, bivariate and regression model analyses were performed.  Results: FSFI scores showed 44.5% of female sexual dysfunction, of which 48.7% were among women who had SMM and 42.0% among those who had not. There were significant differences between age (P=0.013) and duration of pregnancy (P&lt;0.001) between women with or without SMM. Among the cases of SMM, hypertensive disorders were the most frequent (83%). An association was obtained between some domains of the FSFI and the following variables: orgasm and self-reported skin color, satisfaction and length of relationship, and pain and SMM.  Conclusion: white women have greater difficulty in reaching orgasm when compared to non-white women and women with more than 120 months of relationship feel more dissatisfied with sexual health than women with less time in a relationship. Women who have had some type of SMM have more dyspareunia when compared to women who have not had SMM.<\/jats:p>","DOI":"10.1590\/1518-8345.3500.3293","type":"journal-article","created":{"date-parts":[[2020,6,20]],"date-time":"2020-06-20T13:05:43Z","timestamp":1592658343000},"source":"Crossref","is-referenced-by-count":6,"title":["Women\u2019s sexual health six months after a severe maternal morbidity event"],"prefix":"10.1590","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9757-8313","authenticated-orcid":false,"given":"Lisiane Camargo","family":"Alves","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil; Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3688-0201","authenticated-orcid":false,"given":"Jessica Ribeiro","family":"Costa","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6470-673X","authenticated-orcid":false,"given":"Juliana Cristina dos Santos","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1540-0659","authenticated-orcid":false,"given":"Fl\u00e1via Azevedo","family":"Gomes-Sponholz","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"key":"ref1","series-title":"Evaluating the quality of care for severe pregnancy complications: the WHO near-miss approach for maternal health","year":"2011"},{"issue":"3","key":"ref2","first-page":"617","article-title":"Severe maternal morbidity identified in the Hospital Information System of the Brazilian National Health System in Paran\u00e1 State, Brazil, 2010","volume":"25","author":"Silva TC","year":"2016","journal-title":"Epidemiol Serv Sa\u00fade"},{"issue":"Suppl 1","key":"ref3","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1186\/s12978-018-0527-2","article-title":"A global view of severe maternal morbidity: moving beyond maternal mortality","volume":"15","author":"Geller SE","year":"2018","journal-title":"Reprod Health"},{"issue":"7","key":"ref4","article-title":"Prevalence of severe maternal morbidity and factors associated with maternal mortality in Ontario, Canada","volume":"1","author":"Ray JG","year":"2018","journal-title":"JAMA Netw Open"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"2164","DOI":"10.1016\/S0140-6736(16)31533-1","article-title":"Diversity and divergence: the dynamic burden of poor maternal health","volume":"388","author":"Graham W","year":"2016","journal-title":"Lancet"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1186\/s12884-015-0619-8","article-title":"Maternal near miss and mortality in a tertiary care hospital in Rwanda","volume":"15","author":"Rulisa S","year":"2015","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.srhc.2017.02.003","article-title":"Maternal near-miss and death incidences - frequencies, causes and the referral chain in Somaliland: a pilot study using the WHO near-miss approach","volume":"12","author":"Kiruja J","year":"2017","journal-title":"Sex Reprod Healthc"},{"key":"ref8","first-page":"299","article-title":"Maternal near miss: a multicenter surveillance in Kathmandu Valley","volume":"52","author":"Rana A","year":"2013","journal-title":"JNMA J Nepal Med Assoc"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1007\/s13224-014-0552-1","article-title":"Evaluation of obstetric near miss and maternal deaths in a tertiary care hospital in North India: shifting focus from mortality to morbidity","volume":"64","author":"Pandey A","year":"2014","journal-title":"J Obstet Gynecol India"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12978-016-0250-9","article-title":"Maternal near miss and predictive ability of potentially life-threatening conditions at selected maternity hospitals in Latin America","volume":"13","author":"De Mucio B","year":"2016","journal-title":"Reprod Health"},{"key":"ref11","first-page":"S169","article-title":"Incidence of maternal near miss in hospital childbirth and postpartum: data from the birth in Brazil study","volume":"30","author":"Dias MAB","year":"2014","journal-title":"Cad Sa\u00fade P\u00fablica"},{"issue":"12","key":"ref12","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0143581","article-title":"Does severe maternal morbidity affect female sexual activity and function? 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