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E-ISSN : 2148-9696
Crescent Journal of
Medical and Biological Sciences
Oct 2019, Vol 6, Issue 4
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Original Article
The Relationship Between the Type of Delivery and Sexual Function in Mothers Referring to Kourdistan (Sanandaj) Health Centers in 2015-2016
Marzieh Moghadam1, Farzaneh Zaheri2, Narges Shams Alizadeh1, Siroos Shahsavari3
1Department of Psychiatry and Behavioral Sciences, Neurosciences Research Center, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
2Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
3Health Faculty of Sananadj, Kurdistan University of Medical Sciences, Sanandaj, Iran

CJMB 2019; 6: 473–480

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Downloaded : 1502 times.

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. The type of delivery is one of the factors that may affect the prevalence of sexual disorders in this period. The present study evaluated the relationship between the mode of delivery
and women’s sexual function in 6 months and one year after the delivery.

Materials and Methods: The participants of this cohort study included all nulliparous mothers aged 18 to 35 years, who referred to healthcare centers in Sanandaj, the capital city of Kurdistan province, Iran. The sample size for the vaginal delivery with episiotomy and cesarean section (C-section) was 68 women. Sexual function was evaluated using the Female
Sexual Function Index (FSFI) 6 and 12 months after the delivery.

Results: There was no signifcant difference between the two groups before pregnancy regarding women’s sexual function (P=0.9) while both types of deliveries resulted in a signifcant reduction in sexual function 6 months after the childbirth. In addition, vaginal delivery reduced sexual function more than C-section. The mean scores of sexual function were 24.4 for
the vaginal delivery group and 26.8 for cesarean delivery (P=0.01). Finally, women in the C-section group had signifcantly higher levels of sexual desire one year after the delivery (P=0.03).

Conclusions: Overall, sexual function in the C-section group was better than the vaginal delivery group 6 months after the delivery. However, this difference was only signifcant in the domain of sexual desire one year after the childbirth.


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