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The Effect of Mode of Delivery on Postpartum Sexual Function and Sexual Quality of Life in Primiparous Women

Received: 5 June 2017    Accepted: 19 June 2017    Published: 24 July 2017
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Abstract

Pregnancy and delivery are one of the most significant periods of women's life that causes hormonal and bodily alterations which could have major effects on sexual function and sexual quality of life. The aim of the study was to evaluate the effect of mode of delivery on postpartum sexual function and sexual quality of life in primiparous women. A comparative descriptive design was used. The study was conducted at the family planning outpatient clinic of Benha teaching hospital. A purposive sample of 277 primiparous women were divided in two groups vaginal delivery (n= 140) and cesarean section (n=137). Three tools were used for data collection; 1) Structured interviewing questionnaire to collect data about the women' demographic characteristics, gynecologic and sexual history. 2) Female sexual function index was used to evaluate sexual function of the studied women. 3) Sexual quality of life-female questionnaire. The study results showed that 65% of vaginal delivery group and 57.7% of cesarean section group had poor sexual function level, 76.4% of vaginal delivery group and 75.9% of cesarean section group had average level of sexual quality of life after delivery, which revealed no statistically significant differences (P > 0.05) between the two groups as regard to postpartum sexual function and sexual quality of life. Moreover, there was a positive highly statistically significant correlation (P < 0.01) between the women' sexual function scores and their sexual quality of life scores. The study concluded that there were no statistically significant differences between vaginal delivery and cesarean section groups as regard to postpartum sexual function and sexual quality of life. The study recommended that nurses should provide sexual education for women during postpartum period to enhance sexual functioning and sexual quality of life.

Published in American Journal of Nursing Science (Volume 6, Issue 4)
DOI 10.11648/j.ajns.20170604.19
Page(s) 347-357
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cesarean Section, Female Sexual Function, Quality of Life, Vaginal Delivery

References
[1] Golmakani, N., Dormohammadi, M., & Mazloum, S. R. Survey Of sexual satisfaction and marital satisfaction during postpartum at primiparous women referred to health care centers of Mashhad, Iran. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2013; 16 (55):7-13.
[2] Mccool, M., Theurich, M., & Apfelbacher, C. Prevalence and Predictors of Female Sexual Dysfunction: A Protocol For A Systematic Review." Systematic Reviews. 2014; 3 (1):75-80.
[3] Ozgoli, G., Sheikhan, Z., Dolatian, M., & Valaee, N. The Survey of Obstacle and Essentiality Health Providers for Sexual Health Evaluation in Women Referring to Health Centers Related of Shahid Beheshti University Of Medical Sciences. Pejouhandeh. 2014; 19 (4):175-83.
[4] Bien, A., Rzońca, E., Palus, G., & Lenkiewicz, E. Factors affecting sexual activity of women after childbirth. Journal Of Public Health, Nursing and Medical Rescue, 2016; 18 (2):647–55.
[5] Leeman, L. M., & Rogers, R. G. Sex After Childbirth Postpartum Sexual Function. Obstet Gynecol, 2012; 119 (3):58–66.
[6] Enferm, A. B. Sexual dysfunction and associated factors reported in the postpartum period, 2014; 27 (6):573-8.
[7] Leal 1, I., Lourenço, S., Oliveira 1, R., Carvalheira, A., & Maroco, J. Sexual function in women after delivery: Does episiotomy matter?. Health, 2012; 6 (5): 356-363.
[8] Barbara, G., Pifarotti, P., Facchin, F., Cortinovis, I., Dridi, D., Ronchetti, C., Calzolari, L., & Vercellini P. Impact of Mode of Delivery on Female Postpartum Sexual Functioning: Spontaneous Vaginal Delivery and Operative Vaginal Delivery vs. Cesarean Section. J Sex Med. 2016 Mar; 13 (3):393-401. doi: 10.1016/j.jsxm.2016.01.004. Epub 2016 Feb 5.
[9] Lumbiganon, P., Laopaiboon, M., Gulmezoglu, A. M., Souza, J. P., Taneepanichskul, S., Ruyan, P., et al. Method of delivery and pregnancy outcomes in Asia: the WHO global survey on maternal and perinatal health 2007–08. Lancet. 2010; 375 (9713):490–499. doi: 10.1016/S0140-6736 (09) 61870-5.
[10] Mi, J., and Liu, F., Rate of caesarean section is alarming in China. Lancet. 2014; 383 (9927):1463–4. doi: 10.1016/S0140-6736 (14) 60716-9.
[11] Torkzahrani, S. H., Banaei, M, 1., Ozgoli, G.1., Azad, M., Emamhadi, M. A. Postpartum Sexual Function; Conflict in Marriage Stability: A Systematic Review, International Journal of Medical Toxicology and Forensic Medicine. 2016; 6 (2): 88-98.
[12] Vettorazzi, J., Marques, F., Hentschel, H., Ramos, J. G. L., Martins-Costa, S. H., & Badalotti, M. Sexuality and the postpartum period: a literature review. Rev HCPA. 2012; 32 (4):473-9.
[13] Sayasneh A. & Pandeva I. Postpartum Sexual Dysfunction: A literature review of risk factors and role of mode of delivery, BJMP 2010; 3 (2):316.
[14] Elkowessny, D., Salama, H., Abu-Nazel, M., & Gobashy, S. Help Seeking Behavior for Female Sexual Dysfunction Among Middle Aged Egyptian Women. European Psychiatry, 30 (1) 2015; P 1392.
[15] Rizvi, S. J., Yeung, N. W., & Kennedy, S. H. Instruments to measure sexual dysfunction in community and psychiatric populations. J Psychosom Res., 2011; 70: 99–109.
[16] Chedraui, P., Perez-Lopez, F. R., Sanchez, H., Aguirre, W., Martinez, N., Miranda. O., Plaza, M. S., Schwager, G., Narvaez, J., Quintero, J. C., Zambrano, B. Assessment of sexual function of mid-aged ecuadorian women with the 6-item Female Sexual Function Index. Maturitas 2012; 71: 407–412.
[17] Tsai, T. F., Yeh, C. H., & Hwang, T. I. S. Female sexual dysfunction: physiology, epidemiology, classification, evaluation and treatment. Urological Science, 2011; 22:7–13.
[18] Maasoumi, R., Lamyian,1., Montazeri, A., Azin, S. A., Aguilar-Vafaie, M. E., & Hajizadeh, E., The sexual quality of life-female (SQOL-F) questionnaire: translation and psychometric properties of the Iranian version, Reproductive Health, 2013; 10 (25):1-6.
[19] Mohammed, Y. S., Hassan, H. M., Al Dinary, A. M., & Rashed, N. S., sexual function after child birth according to the mode of delivery. AAMJ., 2014; 12 (4):264-284.
[20] Acele, E. O., & Karaçam, Z. Sexual problems in women during the first postpartum year and related conditions. Journal of Clinical Nursing, 2011; 21, 929–937.
[21] Prairie, B. A., Scheier, M. F., Matthews, K. A., Chang, C. C., & Hess, R. A. higher sense of purpose in life is associated with sexual enjoyment in midlife women. Menopause .2011; 18 (8):839-844.
[22] Pancholy, A. B., Goldenhar, L., Fellner, A., N., Crisp, C., Kleeman, S., & Pauls, R. Resident education and training in female sexuality: results of a national survey. J Sex Med. 2011; 8 (2):361-6.
[23] Cacciatore, A., Giordano, R., Romano, M., La Rosa, B., & Fonti, I. Putative protective effects of cesarean section on pelvic floor disorders. J Prenat Med. 2010 Jan; 4 (1):1-4.
[24] Al-Sherbeny, M. F. Evaluation of Impact of Birth trauma on Female Sexual Activity in Primiparous women: A Comparative Study using Female Sexual Function Index. J Am Sci 2012; 8 (7):289-296.
[25] Malchi, F., Afshari, P., Bostani, H., & Rasekh, A. Assessment of the relationship between modes of delivery and sexual function in primiparous women perspective, International Journal of Pharmaceutical Research & Allied Sciences, 2016, 5 (3):307-310.
[26] Alesheikh, A., Jaafarnejad, F., Esmaili, H., & Asgharipour, N. The Relationship between Mode of Delivery and Sexual Function in Nulliparous Women. Journal of Midwifery and Reproductive Health. 2016; 4 (3): 635-643.
[27] Eniel, A. O., & Petri, E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J 2014; 25:5–14.
[28] Symonds, T., Boolell, M., & Quirk, F., Development of a questionnaire on sexual quality of life in women. J Sex Marital Therapy, 2005; 31:385–397.
[29] Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., Ferguson, D., & D'Agostino, R. The female sexual function index (FSFI): A multidimensional self-report instrument for the assessment of female sexual functions. J Sex Marital Therapy, 2000; 26 (2): 191-208.
[30] Mohammadi, K. H., Heydari, M., & Faghihzadeh, S. The female sexual function index: validation of the Iranian version. Payesh. 2008; 7 (3): 269-278.
[31] Cronbach, L., Coefficient alpha and the internal structure of tests. Psychometrika. 1951; 16 (5):297–334.
[32] Dabiri, F., Yabandeh, A. P., Shahi, A., Kamjoo, A., & Teshnizi, S. H. The Effect of Mode of Delivery on Postpartum Sexual Functioning in Primiparous Women. Oman Med J. 2014 Jul; 29 (4): 276–279. doi: 10.5001/omj.2014.72.
[33] Amiri, F. N., Omidvar, S., Bakhtiari, A., Yazdani, S. & Hajiahmadi, M. Comparison of Sexual Function in Primiparous Women Pre-Pregnancy and Postpartum: Difference of the Sexual Function after the Normal Vaginal Delivery and the Cesarean Section. Health, 2015; 7: 1379-1386. http://dx.doi.org/10.4236/health.2015.710152
[34] Hipp, L. E., Kane Low, L., & van Anders, S. M. Exploring women's postpartum sexuality: social, psychological, relational, and birth-related contextual factors. J Sex Med 2012; 9 (9): 2330- 4.
[35] Rezaei, N., Azadi, A., Sayehmiri, K., Valizadeh, R. Postpartum sexual functioning and it's predicting factors among Iranian women. Malays J Med Sci. 2017;24 (1):94–103. https://doi.org/10.21315/mjms2017.24.1.10
[36] Alum, A. C., Kizza, I. B., Osingada, C. P., Katende, G., & Kaye, D. K. Factors associated with early resumption of sexual intercourse among postnatal women in Uganda. Reprod Health. 2015; 12: 107.
[37] Anzaku, A. S., & Mikah, S. Postpartum Resumption of Sexual Activity, Sexual Morbidity and Use of Modern Contraceptives Among Nigerian Women in Jos. Annals of Medical and Health Sciences Research. 2014; 4 (2): 210-216.
[38] Baghdari, N., Anbaran, Z. K., Mazlom, S. R., & Golmakani, N. Comparison of women's sexual function after natural childbirth and cesarean section in women referring to the healthcare centers of Mashhad. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2012; 15 (30):8-14.
[39] Hosseini, L., Iran-Pour, E., & Safarinejad, M. R. Sexual function of primiparous women after elective cesarean section and normal vaginal delivery. Urol J. 2012 Spring; 9 (2): 498-504.
[40] De Souza, A., Dwyer, P. L., Charity, M., Thomas, E., Ferreira, C. H. J., & Schierlitz, L. The effects of mode delivery on postpartum sexual function: a prospective study. BJOG 2015; 122:1410–1418.
[41] Kahramanoglu, I., Baktiroglu, M., Hamzaoglu, K., Kahramanoglu, O, Verit, F. F., & Yucel, O. The impact of mode of delivery on the sexual function of primiparous women: A prospective study. Arch Gynecol Obstet. 2017 Apr; 295 (4):907-916. doi: 10.1007/s00404-017-4299-7. Epub 2017 Feb 6.
[42] Varghese, K. M., Bansal, R., Kekre, A. N., & Jacob, K. S. Sexual dysfunction among young married women in southern India. Int Urogynecol J. 2012 Dec; 23 (12):1771-1774. doi: 10.1007/s00192-012-1782-3. Epub 2012 Apr 25.
[43] Kaviani, M., Rahnavard, T., Azima, S., Emamghoreishi, M., Asadi, N., & Sayadi, M. The Effect of Education on Sexual Health of Women with Hypoactive Sexual Desire Disorder: A Randomized Controlled Trial." International Journal of Community based Nursing and Midwifery. 2014; 2 (2):94-102.
[44] Mousavi, S. A., Mortazavi, F., Chaman, R., & Khosravi, A. Quality of life after cesarean and vaginal delivery. Oman Med J 2013. Jul; 28 (4):245-251 10.5001/omj.2013.70
[45] Laganà, A. S., Burgio, M. A., Ciancimino, L., Sicilia, A., Pizzo, A., Magno, C., Butticè, S., & Triolo, O. Evaluation of recovery and quality of sexual activity in women during postpartum in relation to the different mode of delivery: a retrospective analysis. Minerva Ginecol. 2015 Aug; 67 (4):315-20. Epub 2014 Jun 19.
[46] Lurie, S., Aizenberg, M., Sulema, V., Boaz, M., Kovo, M., Golan, A., & Sadan, O. Sexual function after childbirth by the mode of delivery: a prospective study. Arch Gynecol Obstet. 2013 Oct; 288 (4):785-792. doi: 10.1007/s00404-013-2846-4. Epub 2013 Apr 16.
[47] Ghorat, F., Esfehani, R. J., Sharifzadeh, M., Tabarraei, Y., & Aghahosseini, S. S. Long term effect of vaginal delivery and cesarean section on female sexual function in primipara mothers. Electron Physician. 2017; 9 (3):3991-3996. doi: 10.19082/3991. eCollection 2017.
[48] Holanda L. J. B., Abuchaim, E. V., Coca, K. P., & Vilhena Abrão, A. F. Sexual dysfunction and associated factors reported in the postpartum period. Acta paul. enferm. São Paulo Nov./Dec. 2014; 27 (6) http://dx.doi.org/10.1590/1982-0194201400093
[49] Hosseini-Tabaghdehi, M., Hajikazemi, E., & Hossieni, F. Prevalence and Predictors of Female Sexual Dysfunction. Mazandaran Journal of Medical Sciences. 201122 (91):102-107.
[50] Varma, A., Sethi, R., Hartman, DW., Herbertson, R., & Kablinger, A. S., et al. Sexual Functioning and Quality of Life of Women with Opioid Dependence Maintained on Buprenorphine/Naloxone vs Community Norms. J Subst Abuse Alcohol, 2014; 2 (1): 1005. Available at: https://www.jscimedcentral.com/SubstanceAbuse/substanceabuse-2-1005.pdf
Cite This Article
  • APA Style

    Hanan Abd Elwahab El Sayed, Soad Abd el Salam Ramadan, Heba Abdel-Fatah Ibrahim, Huda Abd Allah Moursi. (2017). The Effect of Mode of Delivery on Postpartum Sexual Function and Sexual Quality of Life in Primiparous Women. American Journal of Nursing Science, 6(4), 347-357. https://doi.org/10.11648/j.ajns.20170604.19

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    Hanan Abd Elwahab El Sayed; Soad Abd el Salam Ramadan; Heba Abdel-Fatah Ibrahim; Huda Abd Allah Moursi. The Effect of Mode of Delivery on Postpartum Sexual Function and Sexual Quality of Life in Primiparous Women. Am. J. Nurs. Sci. 2017, 6(4), 347-357. doi: 10.11648/j.ajns.20170604.19

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    AMA Style

    Hanan Abd Elwahab El Sayed, Soad Abd el Salam Ramadan, Heba Abdel-Fatah Ibrahim, Huda Abd Allah Moursi. The Effect of Mode of Delivery on Postpartum Sexual Function and Sexual Quality of Life in Primiparous Women. Am J Nurs Sci. 2017;6(4):347-357. doi: 10.11648/j.ajns.20170604.19

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  • @article{10.11648/j.ajns.20170604.19,
      author = {Hanan Abd Elwahab El Sayed and Soad Abd el Salam Ramadan and Heba Abdel-Fatah Ibrahim and Huda Abd Allah Moursi},
      title = {The Effect of Mode of Delivery on Postpartum Sexual Function and Sexual Quality of Life in Primiparous Women},
      journal = {American Journal of Nursing Science},
      volume = {6},
      number = {4},
      pages = {347-357},
      doi = {10.11648/j.ajns.20170604.19},
      url = {https://doi.org/10.11648/j.ajns.20170604.19},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20170604.19},
      abstract = {Pregnancy and delivery are one of the most significant periods of women's life that causes hormonal and bodily alterations which could have major effects on sexual function and sexual quality of life. The aim of the study was to evaluate the effect of mode of delivery on postpartum sexual function and sexual quality of life in primiparous women. A comparative descriptive design was used. The study was conducted at the family planning outpatient clinic of Benha teaching hospital. A purposive sample of 277 primiparous women were divided in two groups vaginal delivery (n= 140) and cesarean section (n=137). Three tools were used for data collection; 1) Structured interviewing questionnaire to collect data about the women' demographic characteristics, gynecologic and sexual history. 2) Female sexual function index was used to evaluate sexual function of the studied women. 3) Sexual quality of life-female questionnaire. The study results showed that 65% of vaginal delivery group and 57.7% of cesarean section group had poor sexual function level, 76.4% of vaginal delivery group and 75.9% of cesarean section group had average level of sexual quality of life after delivery, which revealed no statistically significant differences (P > 0.05) between the two groups as regard to postpartum sexual function and sexual quality of life. Moreover, there was a positive highly statistically significant correlation (P < 0.01) between the women' sexual function scores and their sexual quality of life scores. The study concluded that there were no statistically significant differences between vaginal delivery and cesarean section groups as regard to postpartum sexual function and sexual quality of life. The study recommended that nurses should provide sexual education for women during postpartum period to enhance sexual functioning and sexual quality of life.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - The Effect of Mode of Delivery on Postpartum Sexual Function and Sexual Quality of Life in Primiparous Women
    AU  - Hanan Abd Elwahab El Sayed
    AU  - Soad Abd el Salam Ramadan
    AU  - Heba Abdel-Fatah Ibrahim
    AU  - Huda Abd Allah Moursi
    Y1  - 2017/07/24
    PY  - 2017
    N1  - https://doi.org/10.11648/j.ajns.20170604.19
    DO  - 10.11648/j.ajns.20170604.19
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 347
    EP  - 357
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20170604.19
    AB  - Pregnancy and delivery are one of the most significant periods of women's life that causes hormonal and bodily alterations which could have major effects on sexual function and sexual quality of life. The aim of the study was to evaluate the effect of mode of delivery on postpartum sexual function and sexual quality of life in primiparous women. A comparative descriptive design was used. The study was conducted at the family planning outpatient clinic of Benha teaching hospital. A purposive sample of 277 primiparous women were divided in two groups vaginal delivery (n= 140) and cesarean section (n=137). Three tools were used for data collection; 1) Structured interviewing questionnaire to collect data about the women' demographic characteristics, gynecologic and sexual history. 2) Female sexual function index was used to evaluate sexual function of the studied women. 3) Sexual quality of life-female questionnaire. The study results showed that 65% of vaginal delivery group and 57.7% of cesarean section group had poor sexual function level, 76.4% of vaginal delivery group and 75.9% of cesarean section group had average level of sexual quality of life after delivery, which revealed no statistically significant differences (P > 0.05) between the two groups as regard to postpartum sexual function and sexual quality of life. Moreover, there was a positive highly statistically significant correlation (P < 0.01) between the women' sexual function scores and their sexual quality of life scores. The study concluded that there were no statistically significant differences between vaginal delivery and cesarean section groups as regard to postpartum sexual function and sexual quality of life. The study recommended that nurses should provide sexual education for women during postpartum period to enhance sexual functioning and sexual quality of life.
    VL  - 6
    IS  - 4
    ER  - 

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Author Information
  • Community Health Nursing, Benha University, Benha, Egypt

  • Obstetrics and Woman Health Nursing, Benha University, Benha, Egypt

  • Obstetrics and Woman Health Nursing, Benha University, Benha, Egypt

  • Community Health Nursing, Benha University, Benha, Egypt

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