Childbirth and sexuality

Having a baby is a major transition in a woman’s life. Sometimes this transition is planned for and embraced enthusiastically and sometimes the very opposite is true. Childbirth is a significant rite of passage that has major physical and psychological changes attached to it. Childbirth is also culturally constructed and it is shaped by the life experiences women have, the way they are viewed and the value placed on women and mothering within the cultural context in which they live. In this chapter we examine the context and contested space in which childbirth occurs. We examine the psychological and physical aspects of giving birth, including the role key hormones play in childbirth and breastfeeding. We also explore the physical and psychological factors that can impact on sexual function and physical wellbeing during pregnancy and following the birth, including the role of the pelvic floor and pelvic floor muscle exercises. Finally, we look at breastfeeding and discuss the impact of supportive policy and employment structures and also how breastfeeding has sexual implications for women. This chapter is not meant to be a comprehensive summary of every issue relevant to childbirth but provides a broad overview in order to understand the multiple factors that can impact on women’s wellbeing, and in particular on women’s health and wellbeing.