PERBEDAAN FUNGSI SEKSUAL WANITA PASCA PERSALINAN PERVAGINAM DENGAN EPISIOTOMI DAN TANPA EPISIOTOMI PADA WANITA PRIMIPARA BERDASARKAN FEMALE SEXUAL FUNCTION INDEX

Rizka, Arsil (2019) PERBEDAAN FUNGSI SEKSUAL WANITA PASCA PERSALINAN PERVAGINAM DENGAN EPISIOTOMI DAN TANPA EPISIOTOMI PADA WANITA PRIMIPARA BERDASARKAN FEMALE SEXUAL FUNCTION INDEX. Masters thesis, Universitas Andalas.

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Abstract

THE DIFFERENCES IN SEXUAL FUNCTIONS BETWEEN WOMEN AFTER VAGINAL DELIVERY WITH EPITIOTOMY AND WITHOUT EPISIOTOMY IN PRIMIPAROUS BASED ON FEMALE SEXUAL FUNCTION INDEX Rizka Arsil, Syahredi SA, Hafni Bachtiar Departement of Obstetrics and Gynecology Faculty of Medicine Andalas University Dr.M. Djamil Central General Hospital Padang Objective: To know difference of sexual function in women after vaginal delivery with episiotomy and without the episiotomy in primiparous women based on Female Sexual Function Index (FSFI) score Method: The study was carried out in the form of an analytic study using a comparative cross sectional study design comparing two research groups, namely post vaginal delivery patients without episiotomy and post vaginal delivery with episiotomy in primiparous women to see difference in sexual satisfaction with Female Sexual Function Index (FSFI) score. Number of sample was 52 samples (consisting of 2 research groups) which met the inclusion and exclusion criteria of the study with sampling using consecutive sampling technique from Primary Health Care in Padang (Community Health Center network of Andalas University Obstetric & Gynecologic Residency Program) in Padang from August 2018. Univariate analysis was used to calculate the mean and standard deviations of each FSFI domain including desire, arousal, lubrication, orgasm, satisfaction and sexual intercourse pain (dyspareunia). Bivariate analysis was conducted to determine the significance of differences in sexual function in vaginal delivery with episiotomy and without episiotomy using the T Independent dan uji Two Sample Kolmogorov-Smirnov test to classify patients with Female Sexual Disorder (FSD) and without Female Sexual Disorder (Non FSD) after vaginal delivery, where the one included in FSD was the one with FSFI score ≤ 26 Results: There was no differences in the mean sexual satisfaction in woman after vaginal delivery with episiotomy (23,8 ± 4,6) and after vaginal delivery without episiotomy (25,26. ± 4.22). Based on FSFI (desire, arousal, lubrication, orgasm, satisfaction, and pain) there was no differences of mean sexual satisfaction between episiotomy and without episiotomy, p value was > 0.05. Conclusions: There were no significant difference in sexual satisfaction between women after vaginal delivery with episiotomy and vaginal delivery without episiotomy groups. Keywords: Vaginal delivery, episiotomy, Female Sexual Function Index (FSFI).

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