Abstract:
Introduction: Sexual health is a state of physical, mental and social well-being in relation to sexuality. Female sexual function changes considerably during pregnancy and the postpartum period. In this study, by comparing sexual function in primiparous women who delivered vaginally with episiotomy or cesarean delivery, we tried to determine whether type of delivery could affect the prevalence of sexual dysfunction in postpartum period.
Aim of study § To determine prevalence of post-partum dyspareunia. § To evaluate risk factors responsible for development of post-partum dyapareunia.
Methodology: A total of 190 post-partum women were enrolled in the study. Time period of study being May 2017 to December 2017 (8months). to investigate the relationship of sexual function with delivery mode, episiotomy, and laceration. They were followed till 6 months post-partum period.
Result: Prevalence of post-partum dyspareunia was found to be 40% in our study. The findings of the study showed an increase rate of postpartum dyspareunia among women delivered by operative vaginal delivery followed by normal vaginal delivery (p<0.05). Postpartum dyspareunia is significantly associated with episiotomy, infection, scar tissue formation at episiotomy site.
Conclusion: Sexual health problems are common in the postpartum period but despite this it is a topic that lacks professional recognition. After delivery, many women experience reduced sexual desire and reduced vaginal lubrication & shorter orgasms. Therefore a holistic approach needs to be adopted.
Key Message: To improve maternal sexual function after delivery, we recommend that routine episiotomy be avoided at delivery. Individualization of decision of episiotomy is need of the hour.
