SynthesisWomen's health (London, England)
Determinants of early resumption of postpartum sexual intercourse in sub-Saharan Africa: A systematic review and meta-analysis.
Synthesis in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Maternal self-esteem and postpartum sexual health in Polish women.Frontiers in public health · 2026Article
- Postpartum sexual dysfunction in resource-limited settings: a cross-sectional study of maternal sexual health.BMJ public health · 2026Article
- Determinants of Postpartum Sexual Dysfunction in the First Year: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- Assessing husbands' knowledge and willingness regarding postpartum sexual resumption: a study of male partners in the Bongo District.BMC public health · 2025Article
- The role of maternal age, education, birth experience and self-esteem in shaping anxiety before first postpartum intercourse.Frontiers in public health · 2025Observational
- Early resumption of sexual intercourse and associated factors among postpartum women in sub-Saharan Africa: Analysis of recent Demographic and Health Survey data (2019-2024).Women's health (London, England)Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe World Health Organization recommends that all postpartum women be examined for resumed sexual activity. Despite this, postpartum sexual health education and health promotion are not adequately incorporated into current maternal healthcare systems in low- and middle-income nations. There were variations in the prevalence and variables associated with early postpartum sexual intercourse across several studies.
objectivesThe purpose of this systematic review and meta-analysis was to evaluate the pooled prevalence and associated factors for early postpartum sexual intercourse in sub-Saharan African countries. DATA SOURCES AND
methodsPrimary studies were identified using international databases such as Scopus, PubMed, Google Scholar, Embase, and CINAHL. The Newcastle‒Ottawa Scale quality assessment tool was used to evaluate the quality and strength of the included studies. STATA version 17 was used for the meta-analysis. The heterogeneity of the studies and publication bias was examined using
resultsSeventeen primary articles were included in the meta-analysis with 8507 study participants. The pooled prevalence of early postpartum sexual resumption in sub-Saharan Africa was 39.41% (95% CI: 31.55%-47.27%). Primiparous (OR = 3.32; 95% CI: 2.26-5.90), spontaneous vaginal delivery (OR = 5.98; 95% CI: 1.74-20.51), formula feeding (OR = 2.24; 95% CI: 1.46-3.44), family planning (OR = 2.91; 95% CI: 1.89-4.49), husband pressure (OR = 4.99; 95% CI: 1.38-18.05), have no formal education (OR = 2.36; 95% CI: 1.49-3.76), and monogamy (OR = 4.18; 95% CI: 2.27-7.69) were significantly associated with early postpartum sexual resumption.
conclusionFour out of 10 women had returned to sexual activity within 6 weeks of giving birth. This suggests that a large proportion of women are more vulnerable to unwanted pregnancies and sexual health problems. Sexual health education and counseling should be incorporated into standard postpartum care to increase contraceptive use and delay unplanned pregnancies.
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