|The Relationship Between Type of Delivery and Sexual Function in Mothers Referred Kurdistan (sannandaj) Health Canters in 2015-2016.|
|Marzieh Moghadam1, Farzaneh Zaheri2, Narges Shams Alizadeh3, Siroos Shahsavari4|
|1Neurosciences Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
2Clinical Care Research center, Kurdistan University of Medical Sciences, Sanandaj, Iran
3Neurosciences Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
4Health faculty of Sananadj, Kurdistan University of Medical Sciences, Sanandaj, Iran
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Keywords : Mode of delivery, Sexual dysfunction, Cesarean section, Episiotomy
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Objectives:Sexual dysfunction is one of the most serious problems that may occur in the postpartum period and can lead to physical, psychological, and social adverse effects in women. One of the factors that may affect the prevalence of sexual disorders in the postpartum period is the type of delivery. The present study surveys the Relationship between Mode of delivery and Women's Sexual Function in six months and one year after delivery.
Materials and Methods:/b> The participants in this cohort study were all nulliparous mothers aged 18 to 35 years referred to healthcare centers in Sanandaj (the capital city of Kurdistan province, Iran). The sample size the vaginal delivery with episiotomy and cesarean section, was 68 women. Sexual function was evaluated using the Female Sexual Function Index (FSFI) six and twelve months after delivery.
Results: There was no significant difference in women"s sexual function between the two groups before pregnancy (P = 0.9), however, six months after childbirth, both types of deliveries resulted in a significant reduction in sexual function. The vaginal delivery reduced sexual function more than the cesarean section (sexual function mean scores were 24.4 for vaginal delivery group and 26.8 for cesarean delivery (P: 0.01). One year after delivery, women in the cesarean section group had significantly higher levels of sexual desire (P=0.03).
Conclusions: Sexual function in cesarean section group was better than vaginal delivery group six months after delivery. However one year after childbirth, this difference was only significant in domain of sexual desire.
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