Factors Associated With Postpartum Women’s Intention to Consult Midwives for Sexual Dysfunction: A Study Based on the Theory of Planned Behavior

Abstract

Aim: This study aimed to identify factors associated with the intention to seek help from midwives among postpartum women experiencing sexual dysfunction.

Methods: Responses were collected from 500 postpartum women through an online survey. Of these, 383 women (76.6%) who were within three years postpartum and identified as experiencing sexual dysfunction were included in the analysis. Logistic regression analysis was conducted with the Theory of Planned Behavior (TPB) components—attitude, subjective norms, and perceived behavioral control—as explanatory variables, and intention to seek help from midwives as the dependent variable. Control variables included age, psychological distress, prior help-seeking experience from midwives, among others.

Results: Only 9.1% of participants had ever consulted a midwife regarding sexual dysfunction. Logistic regression analysis revealed that, more positive attitudes toward help-seeking and stronger subjective norms were significantly associated with a higher intention to seek help. In contrast, perceived behavioral control was not significantly related to intention.

Conclusion: These findings suggest that postpartum women’s intention to seek help from midwives is associated with positive attitudes and perceived social norms. Promoting help-seeking may require fostering openness and supportive norms.