<![CDATA[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]]>
