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

Author(s):  
Suntoro Suntoro ◽  
I Putu G Kayika

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

Author(s):  
I Made W Jembawan

Objective: To determine the difference of sexual function after vaginal delivery with episiotomy and cesarean section in Sanglah Hospital, Denpasar. Method: This research was conducted using cross sectional method. Sample was collected using consecutive sampling, starting from October 2011-September 2012. Our sample consists of 86 women, 43 post-episiotomy and 43 post-cesarean section. Sexual function was assessed using FSFI (Female Sexual Function Index). Total score was analyzed using independent t-test and difference of sexual function was tested using Chi-square, with significance level p0.05). There was no significant difference between the two groups in term of sexual arousal and lubrication, with p-value 0.160 and 0.67, respectively. However, we found significant difference in other domains, namely desire (p=0.014), orgasm (p=0.045), satisfaction (p=0.018), pain (p=0.02), and total FSFI score (p=0.006). Sexual dysfunction was found in 18.60% of the episiotomy group and 2.33% of the cesarean section group, with p=0.030. Conclusion: Female sexual dysfunction was found to be significantly different between women post vaginal delivery with episiotomy and women who had cesarean section. [Indones J Obstet Gynecol 2014; 4: 199-203] Keywords: cesarean section, episiotomy, female sexual function


Author(s):  
I Made W Jembawan

Objective: To determine the difference of sexual function after vaginal delivery with episiotomy and cesarean section in Sanglah Hospital, Denpasar. Method: This research was conducted using cross sectional method. Sample was collected using consecutive sampling, starting from October 2011-September 2012. Our sample consists of 86 women, 43 post-episiotomy and 43 post-cesarean section. Sexual function was assessed using FSFI (Female Sexual Function Index). Total score was analyzed using independent t-test and difference of sexual function was tested using Chi-square, with significance level p0.05). There was no significant difference between the two groups in term of sexual arousal and lubrication, with p-value 0.160 and 0.67, respectively. However, we found significant difference in other domains, namely desire (p=0.014), orgasm (p=0.045), satisfaction (p=0.018), pain (p=0.02), and total FSFI score (p=0.006). Sexual dysfunction was found in 18.60% of the episiotomy group and 2.33% of the cesarean section group, with p=0.030. Conclusion: Female sexual dysfunction was found to be significantly different between women post vaginal delivery with episiotomy and women who had cesarean section. [Indones J Obstet Gynecol 2014; 4: 199-203] Keywords: cesarean section, episiotomy, female sexual function


2020 ◽  
Vol 20 (3) ◽  
pp. 1043
Author(s):  
Elsi Setiandari L.O ◽  
Ari Widyarni ◽  
Aulia Azizah

Hypertension is a condition in which a person has an increase in blood pressure above normal as indicated by the systolic and diastolic numbers on blood pressure checks using a blood pressure measuring device. The incidence of hypertension in Southeast Asia is 24.7% and 23.3% of Indonesia's population. The results of the initial survey of blood pressure measurements and interviews obtained the results of blood pressure checks from 30 community members with the criteria not suffering from hypertension as many as 3 people and those suffering from pre-hypertension were 9 people and those suffering from hypertension were 18 people. The purpose of this study was to determine the analysis of the relationship between family history and physical activity with the incidence of hypertension in Indrasari Village, Banjar Regency. This research was conducted with an analytic observational research design and method cross sectional. The population in this study were all hypertension sufferers in Indrasari who met the criteria as many as 87 people. Data analysis used univariate analysis using frequency distribution and bivariate analysis using chi-square test. The results showed that from the results of the chi square test, there was correlation between family history, physical activity and the incidence of hypertension , the value was obtained p = 0.001 <α 0.005 and the value obtained p = 0.001 <α 0.005 was. Based on the results of the research analysis, it can be concluded that there is a relationship between family history and physical activity with the incidence of hypertension in Indrasari Village, Banjar Regency.


2017 ◽  
Vol 15 (2) ◽  
pp. 35
Author(s):  
M ROMLI

Title : Association between Blood Lead Level and Learning Achievement on the Students at Grinting 01 Elementary School, Bulakamba District, Brebes RegencyBackground: Plumbum (Pb) is a highly poisonous heavy metal, especially for the children. Pb enters the human body through the respiratory and gastrointestinal tract, and also skin. The aim of this study was to determine the correlation between blood lead level and the learning achievement on the students in Grinting 01 Elementary School, Bulakamba District, Brebes Regency. Methods: This study was an observational research using cross sectional design.  The subjects were 51 students. The data were collected using interview and observational field. The exposure of blood lead level was measured by detecting Pb content in blood according to the result of laboratory test by ASS method (Atomic absorbance spectrometer), and the learning achievement was measured using MST (Middle Semester Test) score of the students. Univariate analysis and bivariate analysis (Chi-Square) were used to analyze the data. Results: The result of bivariate test indicated that there was no correlation between blood lead level and learning achievement with p >0.05. For in the ehole samples, the blood lead level were more than Normal standard of CDC (≥5 µg/dL) with the highest Pb in blood is 48.39 µg/dL and the lowest is 11.06 µg/dL. Conclusion: In conclusion, Pb concentration - in blood on the children does not influence the learning achievement directly.  


2017 ◽  
Vol 1 (1) ◽  
pp. 72
Author(s):  
Slamet Slamet ◽  
Laila Kamila

Abstract:  One of the wastes material from the welding process is particulate that has exposure potential to workers. This study was aimed to measure pulmonary function disorders on welding workers and factors influencing it in Pontianak City. This research was an observational research using cross-sectional design, with 78 samples of worker were taken by random sampling. Data of respirable welding dust levels were obtained by measurement using personal dust sampler, while pulmonary function disorder data obtained by examining the pulmonary function of workers using spirometry, and other data obtained by interview. Data analyzed by univariate and bivariate analysis with Kendall-tau and chi-square (α = 0,05). Result of study showed that respirable dust still below threshold limit value (TLV = 3 mg/m3), the highest = 2,791 mg/m3, the lowest = 0,085 mg/m3, mean = 0,83 mg/m3 and SD = 0,70, and 59 respondents (75.6%) had pulmonary function disorders. Statistical test results showed there was significant association between level of respirable dust (p-value = 0,001), and working hour/day (p-value = 0,008, OR = 6,321, 95%CI = 1,663-24,026 with pulmonary function disorders. Conclusion of this study was respirable dust level and duration of exposure were potential factors of pulmonary function disorders in welding workers in Pontianak City.Abstrak: Salah satu bahan buangan dari proses pengelasan adalah partikulat yang berpotensi menimbulkan paparan pada pekerjanya. Tujuan dari penelitian ini yaitu untuk mengukur gangguan fungsi paru pada pekerja pengelasan dan faktor-faktor yang mempengaruhinya di Kota Pontianak. Penelitian ini merupakan penelitian observasional dengan pendekatan cross sectional, dengan jumlah sampel 78 pekerja diambil secara random sampling. Data kadar debu las terhirup diukur menggunakan personal dust sampler, sedangkan data fungsi paru pekerja diukur menggunakan spirometri, dan untuk data lain diperoleh melalui wawancara. Analisis data dilakukan secara univariat, bivariat menggunakan uji Kendall-tau dan Chi-square (α = 0,05). Hasil penelitian menunjukkan kadar debu terhirup masih dibawah Nilai Ambang Batas (NAB = 3 mg/m3), tertinggi = 2,791 mg/m3, terendah = 0,085 mg/m3, rata-rata = 0,83 mg/m3 dengan standar deviasi 0,70 dan sebanyak 59 responden (75,6%) mengalami gangguan fungsi paru. Hasil uji statistik menunjukkan ada hubungan yang bermakna antara kadar debuterhirup (p-value = 0,001) dan lama paparan (p-value = 0,008, OR = 6,321, 95%CI = 1,663-24,026) dengan gangguan fungsi paru. Kesimpulan dari penelitian ini adalah kadar debu terhirup dan lama paparan merupakan faktor potensial terjadinya gangguan fungsi paru pada pekerja pengelasan di Kota Pontianak.


2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Selda Ozturk ◽  
Hatice Kahyaoglu Sut ◽  
Leyla Kucuk

Objective: To examine the sexual functions and depressive symptoms of infertile and fertile women. Methods: This study was conducted between October 2015 and April 2016 using a descriptive, cross-sectional and comparative design. The sample of this study consisted of 96 infertile and 96 fertile women. The data were collected using an information form, the Beck Depression Inventory and the Index of Female Sexual Function. The data were analyzed The Mann-Whitney U test, chi-square test, and Spearman’s correlation analysis. Results: The rate of sexual dysfunction (87.5% vs. 69.8%) and the Index of Female Sexual Function total score (31.8 ± 7.8 vs 35.7 ± 6.3) were significantly higher in infertile women than fertile women (p=0.003, p<0.001, respectively). The sexual satisfaction and discomfort during sexual intercourse subscales of the Index of Female Sexual Function were significantly lower among infertile women than fertile women (p<0.001 for all); however, no significant difference was observed in the sexual intercourse/libido score of the Index of Female Sexual Function between infertile and fertile women (p=0.590). The correlation coefficients between the Beck Depression Inventory total score and the total and subscale scores of the IFSF did not significantly differ between infertile and fertile women (p>0.05 for all). Conclusion: The sexual dysfunction rate among infertile women was higher than that among fertile women. Sexual functions decreased when depressive symptoms increased for both infertile and fertile women. doi: https://doi.org/10.12669/pjms.35.5.615 How to cite this:Ozturk S, Sut HK, Kucuk L. Examination of sexual functions and depressive symptoms among infertile and fertile women. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.615 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2019 ◽  
Vol 7 (2) ◽  
pp. 54
Author(s):  
Roni - Subrata ◽  
Retno Rahayu

Postpartum women will experience some changes related to the labor process experienced. Changes that occur are the presence of physical and psychological discomfort. These changes can affect the sexual needs of women and their partners. Causes of Postpartum Female Sexual Dysfunction are dyspareunia, perineal pain, incision wound discomfort including surgery, reduced libido, lack of lubrication in the vagina, changes in body image to negative and anorgasms associated with pain and trauma. The purpose of this study was to determine the differences in sexual dysfunction of women after vaginal delivery with a mediolateral episiotomy with cesarean section at Bangil Pasuruan Hospital. This research using a cross sectional method. The study subjects consisted of vaginal delivery women with mediolateral episiotomy and post cesarean section. Each group consists of 30 people. The sampling technique used was consecutive sampling. After three months postpartum, sexual function is assessed using an FSFI score (Femal Sexual Function Index. Data in the form of a questionnaire then tested by analysis of the T-test. The results of this study a difference between postpartum female sexual dysfunction and mediolateral episiotomy with cesarean section, seen from the desirability of 4,787> 1.67, stimulation 8.723> 1.67 lubrication namely 9,102>1.67 orgasm namely 7,381>1.67 satisfaction is 11,040> 1,67 and pain 9,981> 1,67.


2020 ◽  
Vol 33 ◽  
Author(s):  
Jardelina Hermecina Dantas ◽  
Thaissa Hamana de Macedo Dantas ◽  
Alianny Raphaely Rodrigues Pereira ◽  
Grasiela Nascimento Correia ◽  
Luciana Castaneda ◽  
...  

Abstract Introduction: Sexual function (SF) is an important issue in women’s health from the beginning of sexual life. SF can be modified by several factors, and the presence of sexual dysfunction may negatively affect the quality of life of these women. Objective: This study aimed to investigate the sexual function, its associated factors and the association with the functioning in women in reproductive age. Method: A cross-sectional observational study with 172 women that attended 6 Family Health Facilities in the northeast region of Brazil. The evaluation tool consisted of (i) sociodemographic, obstetrical and gynecological issues, and questions about habits and health conditions, (ii) female sexual quotient (FSQ), and (iii) World Health Organization Assessment Schedule 2.0 (WHODAS 2.0). Prevalence of sexual dysfunction was calculated, and bivariate analysis was used to estimate the association of independent variables with the outcome of sexual dysfunction. Results: The prevalence of sexual dysfunction was 37.2%, and 39.5% of the sample considered their sexual health as fair to good. In total, 26.2% of women never think of sex spontaneously, they do not remember or imagine themselves during sexual intercourse, and 38.4% think about it sometimes. No association was found between the investigated variables and sexual dysfunction; however, the latter showed an association on interpersonal relationships of women (p = 0.016). Conclusions: There is a considerable prevalence of sexual dysfunction between women in reproductive age. Thus, results emphasize the relevance of investigations about female sexual function among women in reproductive age that are not in the pregnancy and postpartum period.


2017 ◽  
Vol 5 (2) ◽  
pp. 174 ◽  
Author(s):  
Destiara Hesriantica Zaenurrohmah ◽  
Riris Diana Rachmayanti

Hypertension is a main cause of morbidity and mortality in Indonesia, thus the treatment of this disease commonly done in every level of health facilities. Based on Riskesdas 2013 the most diseases toward elderly is Hypertention up to 57.6% followed by arthritis (51.9%) and stroke (46.1%). Based on blood pressure measurement in Posyandu Melati known most of elderly have prehypertension. This research aimed to analyze the relationship between knowledge, hypertention history and blood pressure control of elderly in Posyandu Melati, Ampel sub district, Semampir distric, Surabaya City. This research was an observational research with cross sectional approach. Subjects of the research were drawn from the population using total population with inclusive criteria was elderly that had come to the Posyandu Melati. Number of samples obtained was 50 elderies. Primary data were collected using questionnaires. Analysis data has done using univariate and bivariate analysis. After being analyzed, data processed by chi square statistical test. The result of bivariate analysis was found that variables associated with hypertension history and blood pressure control (p = 0.019). The conclusion which could be drawn were knowledge was unassociated with blood pressure control. Hypertension history has low associated with blood pressure control. There is needs of education or health promotion for elderlies through counseling and medias.Keywords: knowledge, hypertension history, blood pressure control


2018 ◽  
Vol 71 (suppl 3) ◽  
pp. 1428-1434 ◽  
Author(s):  
Karine de Castro Bezerra ◽  
Sabrine Rodrigues Feitoza ◽  
Camila Teixeira Moreira Vasconcelos ◽  
Sara Arcanjo Lino Karbage ◽  
Dayana Maia Saboia ◽  
...  

ABSTRACT Objective: to evaluate the sexual function of Italian and Brazilian nursing students using the Female Sexual Function Index (FSFI), to estimate the prevalence of sexual dysfunctions and related factors. Method: this is a cross-sectional study involving 84 Brazilian and 128 Italian undergraduate. For the evaluation of sexual function, the Female Sexual Function Index (FSFI) questionnaire was used. Results: Italian women presented significantly higher sexual dysfunction index (n=78/60.9%) than the Brazilian women (n=32/38.1%) (p=0.00). Only the “desire” and “excitation” domains showed no difference between groups. Younger, single and without a steady relationship women had a higher rate of sexual dysfunction (p<0.05). Conclusion: the high rate of sexual dysfunction in a young public suggests the need for more research to increase knowledge about the influence of psychosocial and related factors on female sexual function, directing care towards the promotion of sexual and reproductive health.


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