Resumo Objetivos: investigar como o suporte social pela família nuclear, família estendida e extrafamiliar influenciam nos índices de funcionalidade das puérperas do Estado de São Paulo. Métodos: a coleta de dados ocorreu via formulário online, divulgado em grupos de maternidade em redes sociais. Foi utilizado um questionário estruturado para a identificação do perfil da puérpera e de sua rede de apoio, bem como o Whodas 2.0 para avaliação da funcionalidade. Resultados: o suporte do marido/companheiro (p=0,012), outros familiares (p=0,001), amigos/ vizinhos (p=0,003) representaram melhor funcionalidade da puérpera, enquanto o apoio virtual (p=0,043) estava relacionado a piores índices nos domínios contemplados pelo Whodas 2.0. Em relação aos profssionais da saúde, o resultado não foi significativo (p=0,721), indicando frequência baixa deste tipo de apoio (12%). Conclusão: a presença de apoio atuou positivamente na funcionalidade da mulher no puerpério.

Abstract Objectives: to investigate how social support for the nuclear family, extended family and extra-family influences the functioning indexes of the mothers of the State of São Paulo. Methods: data collection took place via an online form, posted in maternity groups on social networks. A structured questionnaire was used to identify the profile of the puerperal woman and her support network, as well as WHODAS 2.0 to assess functioning. Results: support of husband/partner (p=0.012), other family members (p=0.001), friends/neighbors (p=0.003) were translated into better functioning of puerperal woman, while virtual support (p=0.043) was related to worse rates in the domains contemplated by WHODAS 2.0. Regarding health professionals, the result was not significant (p=0.721), indicating a low frequency for this type of support (12%). Conclusions: the presence of support acted positively on the functioning of women in the puerperium.

ABSTRACT BACKGROUND: The present study aimed to evaluate female sexual function among young undergraduate women. DESIGN AND SETTING: Cross-sectional survey conducted among Brazilian undergraduate students. METHODS: This study used online questionnaires to assess sociodemographic and health-related data and used the Brazilian version of the Female Sexual Function Index (FSFI) among female undergraduate students aged 18 to 25 years who were regularly enrolled in undergraduate healthcare courses. The FSFI is composed of 19 items that measure female sexual function over the last four weeks, in six domains: desire and subjective stimulation, sexual arousal, lubrication, orgasm, satisfaction and pain or discomfort. RESULTS: Among the 149 female undergraduate students evaluated, 43 (28.8%) presented sexual dysfunction (score < 26.55). Health conditions were not associated with female sexual dysfunction. Among the women with sexual dysfunction, all domains of the sexual response cycle were affected (P < 0.001). CONCLUSIONS: Sexual dysfunction was identified in at least a quarter of these young undergraduate women and it was not associated with gynecological problems, menstrual cycles, dysmenorrhea, contraceptive use or physical activity.

Resumo Objetivos: (i) avaliar a função sexual feminina no puerpério remoto em mulheres brasileiras e (ii) comparar a disfunção sexual feminina em relação a via de parto. Métodos: neste estudo transversal, dois grupos de mulheres no puerpério remoto, que passaram por parto vaginal (n=30) e cesárea (n=48), foram estudados. A função sexual das participantes foi avaliada via online através da versão brasileira do FSFI entre 45 e 180 dias após o parto. Os dados foram analisados pela estatística descritiva e inferencial, utilizando o teste exato de Fisher e o teste t de Student. Resultados: com base nos dados de 78 mulheres que completaram o questionário online, 78% (n=61) apresentaram disfunção sexual no pós-parto remoto, sendo que o escore médio do FSFI foi de 22,17 para o pós-parto vaginal e 21,12 para o puerpério de cesárea, (p=0,443). Conclusões: a maior parte das mulheres no puerpério remoto apresentou disfunção sexual. Não foi encontrada diferença significativa na função sexual feminina entre os tipos de parto.

Abstract Objectives: (i) to evaluate female sexual function in remote postpartum period within Brazilian women and (ii) to compare female sexual dysfunction in relation to the mode of delivery. Methods: in this cross-sectional study, two groups of remote postpartum women, who underwent vaginal delivery (n=30) and cesarean (n=48), were studied. The sexual function of participants was assessed through an online Brazilian version of FSFI between 45 and 180 days after delivery. Data were analyzed by descriptive and inferential statistics using Fisher exact test, and Student t test. Results: based on the data of 78 women who completed the online questionnaire, 78% (n=61) showed sexual dysfunction on remote postpartum period being that the FSFI mean score for vaginal postpartum was 22.17 and for cesarean postpartum, 21.12 (p=0.443). Conclusions: the majority of remote postpartum women showed sexual dysfunction. There was no significant difference found on female sexual function between modes of delivery.