Female Sexual Function at Three Months Post-delivery in Spontaneous Labor and Cesarean Section

Objective: To study the comparison of encouragement, stimuli, orgasm, pain and satisfaction of female sexual function at 3 months postpartum between spontaneous delivery and cesarean section in Dr. Cipto Mangunkusumo Hospital in Jakarta. Method: This was an observational research, sexual funct...

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Main Authors: Suntoro Suntoro, I Putu G Kayika
Format: Article
Language:English
Published: Indonesian Society of Obstetrics and Gynecology 2015-07-01
Series:Indonesian Journal of Obstetrics and Gynecology
Online Access:http://inajog.com/index.php/journal/article/view/41
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author Suntoro Suntoro
I Putu G Kayika
author_facet Suntoro Suntoro
I Putu G Kayika
author_sort Suntoro Suntoro
collection DOAJ
description Objective: To study the comparison of encouragement, stimuli, orgasm, pain and satisfaction of female sexual function at 3 months postpartum between spontaneous delivery and cesarean section in Dr. Cipto Mangunkusumo Hospital in Jakarta. Method: This was an observational research, sexual function was measured at three months post-delivery with Female Sexual Function Index (FSFI) questionnaire. The study design used was cross sectional with consecutive sampling. Analysis for comparative nonpaired categorical variables was done using Chi square or Fisher analysis. Analysis for confounding variables was carried out using multivariate logistic regression. Result: From 150 respondents, 43.3% had sexual dysfunction, with 52% of the spontaneous labor group and 34% of the cesarean section group. Bivariate analysis showed that occurrence of sexual dysfunction at three months post-spontaneous labor was 1.5 times higher (95% CI 1.02-3.19) compared with cesarean section. Sexual encouragement shows a two-fold difference (95% CI 1.17-3.40) compared to cesarean section. However, orgasm disturbance was 8 times higher (95% CI 1.90-3.58) in the spontaneous labor group, with confounding variable of perineal rupture. Disturbance of sexual stimuli, satisfaction, and pain were not significantly different between spontaneous labor and cesarean section. Multivariate analysis found that spontaneous labor was statistically significant for sexual dysfunction at three months post-delivery in patients with sexual encouragement (RR=2.716, p=0.008) and orgasm accession dysfunction (RR= 6.952, p=0.031). However, the more than 30 years old of age variable was statistically significant in sexual dysfunction variable with RR= 2.60 and p=0.021. Conclusion: Spontaneous labor is statistically significant for sexual dysfunction at three months post-delivery, especially for sexual encouragement and orgasm accession. Meanwhile, the variables with the age of 30 years old or older of age were influential on sexual dysfunction, especially to the sexual stimuli variable. Keywords: labor method, sexual dysfunction, three months postdelivery
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spelling doaj.art-2ddd8ba14dd64d6ba8990d9891d6904f2022-12-21T22:43:28ZengIndonesian Society of Obstetrics and GynecologyIndonesian Journal of Obstetrics and Gynecology2338-64012338-73352015-07-0112713210.32771/inajog.v3i3.4141Female Sexual Function at Three Months Post-delivery in Spontaneous Labor and Cesarean SectionSuntoro Suntoro0I Putu G Kayika1Faculty of Medicine University of Indonesia/ Dr. Cipto Mangunkusumo Hospital JakartaFaculty of Medicine University of Indonesia/ Dr. Cipto Mangunkusumo Hospital JakartaObjective: To study the comparison of encouragement, stimuli, orgasm, pain and satisfaction of female sexual function at 3 months postpartum between spontaneous delivery and cesarean section in Dr. Cipto Mangunkusumo Hospital in Jakarta. Method: This was an observational research, sexual function was measured at three months post-delivery with Female Sexual Function Index (FSFI) questionnaire. The study design used was cross sectional with consecutive sampling. Analysis for comparative nonpaired categorical variables was done using Chi square or Fisher analysis. Analysis for confounding variables was carried out using multivariate logistic regression. Result: From 150 respondents, 43.3% had sexual dysfunction, with 52% of the spontaneous labor group and 34% of the cesarean section group. Bivariate analysis showed that occurrence of sexual dysfunction at three months post-spontaneous labor was 1.5 times higher (95% CI 1.02-3.19) compared with cesarean section. Sexual encouragement shows a two-fold difference (95% CI 1.17-3.40) compared to cesarean section. However, orgasm disturbance was 8 times higher (95% CI 1.90-3.58) in the spontaneous labor group, with confounding variable of perineal rupture. Disturbance of sexual stimuli, satisfaction, and pain were not significantly different between spontaneous labor and cesarean section. Multivariate analysis found that spontaneous labor was statistically significant for sexual dysfunction at three months post-delivery in patients with sexual encouragement (RR=2.716, p=0.008) and orgasm accession dysfunction (RR= 6.952, p=0.031). However, the more than 30 years old of age variable was statistically significant in sexual dysfunction variable with RR= 2.60 and p=0.021. Conclusion: Spontaneous labor is statistically significant for sexual dysfunction at three months post-delivery, especially for sexual encouragement and orgasm accession. Meanwhile, the variables with the age of 30 years old or older of age were influential on sexual dysfunction, especially to the sexual stimuli variable. Keywords: labor method, sexual dysfunction, three months postdeliveryhttp://inajog.com/index.php/journal/article/view/41
spellingShingle Suntoro Suntoro
I Putu G Kayika
Female Sexual Function at Three Months Post-delivery in Spontaneous Labor and Cesarean Section
Indonesian Journal of Obstetrics and Gynecology
title Female Sexual Function at Three Months Post-delivery in Spontaneous Labor and Cesarean Section
title_full Female Sexual Function at Three Months Post-delivery in Spontaneous Labor and Cesarean Section
title_fullStr Female Sexual Function at Three Months Post-delivery in Spontaneous Labor and Cesarean Section
title_full_unstemmed Female Sexual Function at Three Months Post-delivery in Spontaneous Labor and Cesarean Section
title_short Female Sexual Function at Three Months Post-delivery in Spontaneous Labor and Cesarean Section
title_sort female sexual function at three months post delivery in spontaneous labor and cesarean section
url http://inajog.com/index.php/journal/article/view/41
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