The sexual function of primiparous women after normal delivery and cesarean section according to the female sexual function index

BACKGROUND: Various anatomical and physiological changes occur to provide a suitable environment for fetal development during pregnancy. Changes in body shape and other physical changes also undergo changes and are associated with postpartum sexual dysfunction. AIM: This study aims to measure and determine the difference in female sexual function index scores for primiparous women post normal delivery and post-cesarean section. METHODS: An observational analytic study with a cross-sectional study design conducted in a hospital. This study involved 60 women with inclusion criteria aged 20–35 years, primiparous women with post-term pregnancy, primiparous women after normal delivery and cesarean section at 3–4 months, women who were married and living with their husbands and were willing to participate in this study. Data were analyzed descriptively and statistically. RESULTS: The results showed that the cause of perineal damage was mostly due to the mediolateral episiotomy, the degree of perineal damage with Grade II status, and there was variation in the indication of an elective cesarean section. The statistical test results show that there was no difference in the type of delivery, both normal delivery and cesarean delivery on desire, arousal, satisfaction, lubrication, orgasm, and dyspareunia and the total female sexual index in primiparous (P > 0.05). CONCLUSION: This study recommends that in primiparous women care, it is not advisable to choose one type of delivery as a form of prevention of postpartum sexual dysfunction. In addition, in the management of complaints of sexual dysfunction in primiparous it is not required to consider the type of delivery as the main cause.