Garuda - Garba Rujukan Digital

I Putu G Kayika

Faculty of Medicine University of Indonesia/ Dr. Cipto Mangunkusumo Hospital Jakarta

Author-ID : 3520059

Health Professions Medicine & Pharmacology Public Health

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Female Sexual Function at Three Months Post-delivery in Spontaneous Labor and Cesarean Section Suntoro Suntoro; I Putu G Kayika
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

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

Prevalence of Postpartum Anxiety and Depression after Intrapartum Oxytocin Grace Valentine; I Putu G Kayika
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 2, April 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To know the prevalence of postpartum anxiety and depression in patients who received intrapartum oxytocin. Method: Across-sectional observational study was conducted in Dr. Cipto Mangunkusumo hospital. Observation used Edinburgh Postnatal Depression scale and Beck Anxiety Inventory before delivery day, on the first and fourteenth day of postpartum. Result: Of 112 patients, we found the prevalence of mild and moderate anxiety were 94.6% and 5.4%. There were no anxiety women before delivery and on the first day of postpartum. The prevalence of mild and moderate anxiety on the fourteenth day of postpartum were 83% and 16.9%. There was no severe anxiety found at those time. On the other hand, the prevalence of postpartum depression on the first and fourteenth day of postpartum were 31.3% and 32.1%. There was no association between exogenous oxytocin and postpartum anxiety also depression. In multivariate analysis, we found that women with low self image were more prone to postpartum anxiety (OR 0.16, 95% CI 0.06-0.46). Meanwhile, postpartum depression was associated significantly to self image (OR 0.17, 95% CI 0.07-0.83), low income (OR 10.35, 95% CI 1.72-62.45) and pregnancy plan (OR 0.17, 95% CI 0.06-0.53) Conclusion: The patients who received intrapartum oxytocin are more prevalent to have mild anxiety. The prevalence of depression before delivery day, on the first and fourteenth day of postpartum are similar. In statistic, there is no relationship between intrapartum oxytocin administration and postpartum anxiety or depression. [Indones J Obstet Gynecol 2016; 4-2: 59-63] Keywords: anxiety, depression, oxytocin intrapartum, postpartum

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