Sexual dysfunction among postpartum women in relation to different modes of delivery in Kuantan /
Female sexual dysfunction (FSD) following childbirth imposes significant burden to the marital institution around the world. The modes of delivery (MOD) may potentially be one of the main risk factors contributing to postpartum FSD. The study aimed to determine the relationship of postpartum FSD wit...
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| Format: | Thesis |
| Language: | English |
| Published: |
Kuantan, Pahang :
Kulliyyah of Medicine, International Islamic University Malaysia,
2020
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| Subjects: | |
| Online Access: | Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library. |
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| Summary: | Female sexual dysfunction (FSD) following childbirth imposes significant burden to the marital institution around the world. The modes of delivery (MOD) may potentially be one of the main risk factors contributing to postpartum FSD. The study aimed to determine the relationship of postpartum FSD with MOD, patients' characteristics and timing of when sexual intercourse (SI) was first resumed following different modes of delivery. This cross-sectional questionnaire study was conducted in six different health clinics in the district of Kuantan from April 2019 to October 2019. Eligible women who came to the family health clinics at 6 months postpartum were recruited as study population. The participants completed their biodata and socio-demographic form and the Malay-validated Female Sexual Function Index (MVFSFI) questionnaire given. A cut-off point of 26.55 and below on MVFSFI scoring system was used as a measure of the primary outcome, sexual dysfunction. There were 320 (first delivery) participants recruited; 223 (69.7%) had spontaneous vertex delivery (SVD), 17 (5.3%) had instrumental delivery and 80 (25.0%) had Caesarean delivery. Twelve had not attempted sexual activity up till six months post-delivery (n=308). The relationship between timing of resumption of SI in relation to MOD was statistically significant (p=0.013). A greater portion of women from the Caesarean delivery group (48.8%) resumed their first SI before four months postdelivery compared to the SVD group (40.8%) and instrumental delivery group (23.5%). However, most of the participants already had resumed sexual intercourse by six months; 97.3% of the normal vaginal delivery, 82.3% instrumental delivery and 96.3% of the Caesarean delivery group. There was a significant relationship between mode of delivery and FSD at six months postpartum (p=0.026), more in the SVD and instrumental delivery group compared to those from the Caesarean delivery group. Degree of perineal tear and level of personnel skill whom perform the repair were also found to have a significant relationship to FSD (p=0.01 and 0.001 respectively). There was a significant relationship between mode of delivery on FSFI score of the lubrication aspect of the sexual domain, showing the Caesarean delivery group had higher mean score than the other two counterparts (p=0.023). The relationship between mean age and marriage duration of participants with FSD was not statistically significant (p=0.271 and 0.903 respectively). Relation of participants' race (p=0.928), religion (p=0.852), education level (p=0.549), employment status (p=0.102), family income (p=0.460) and body mass index (BMI) (p=0.159) with presence of FSD were all found not statistically significant. In conclusion, there is a significant difference between relationship of MOD on six-month postpartum sexual function. FSD involved 60.7% of the sexually active respondents; more in the vaginal delivery group especially those requiring instrumentation (p=0.026). The MOD also affects the timing when first sexual intercourse takes place after childbirth. However, none of the socio-demographic factors shows a significant difference to sexual dysfunction. |
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| Item Description: | Abstracts in English. "A dissertation submitted in fulfilment of the requirement for the degree of Master of Obstetrics and Gynaecology." --On title page. |
| Physical Description: | x, 52 leaves : illustrations ; 30cm. |
| Bibliography: | Includes bibliographical references (leaves 29-33). |