Perbandingan Nilai Female Sexual Function Index pada Wanita Primipara Berdasarkan Metode Persalinan

Rena Nurita, Andi Rinaldi, Wiryawan Permadi


Tujuan: Untuk membandingkan fungsi seksual pada wanita primipara dengan metode persalinan pervaginam dan seksio sesarea.  
Metode: Penelitian ini adalah penelitian observasional analitik secara cross-sectional. Penelitian ini dilakukan selama tujuh bulan di RS Hasan Sadikin dan Rumah Sakit Khusus Ibu dan Anak Kota Bandung, dimulai pada September 2019 sampai Mei 2020. kriteria inklusi primipara, berusia 18-35 tahun, 3-6 bulan postpartum sebelum pengambilan data, aktif secara seksual dalam 6 bulan setelah persalinan dan melakukan hubungan seksual dalam empat minggu terakhir. Fungsi seksual dinilai dengan Female Sexual Function Index (FSFI).
Hasil: Subjek penelitian ini terdiri dari 98 subjek dengan dibagi menjadi dua kelompok, yakni persalinan pervaginam (n=56) dan seksio sesarea (n=42). Subjek penelitian mengisi kuesioner FSFI versi Bahasa Indonesia. Dari 98 subjek, disfungsi seksual didapatkan 95% pada wanita dengan persalinan pervaginam dan 90% dengan seksio sesarea
Kesimpulan: Tidak terdapat perbedaan yang signifikan antara persalinan pervaginam dan seksio sesarea terhadap disfungsi seksual.

The Comparison of Female Sexual Function Index Score in Primiparous Women According to Delivery Methods

Objective: to compare the sexual function of primiparous woman with spontaneous delivery and cesarean section.
Method:  This research is an analytic observational study with cross-sectional method. This study is a 7 months study at Dr. Hasan Sadikin Central General Hospital and Rumah Sakit Khusus Ibu dan Anak Kota Bandung, started from September 2019 to May 2020. The inclusion criteria were primiparous, aged 18-35 year-old, 3-6 months postpartum before data collection, sexually active within 6 months after delivery and had sexual intercourse in the last four week. Sexual function was assessed by the Female Sexual Function Index (FSFI).
Result: We obtained 98 subjects and divided them into two groups, spontaneous delivery (n = 56) and cesarean section (n = 42). Subject then filled out the Indonesian version of the FSFI questionnaire. From 98 subjects, sexual dysfunction was found in 95% subject with spontaneous delivery and 90% with cesarean section.
Discussion: Using comparative chi square test (p = 0.43), there is no significant difference between each method of delivery on sexual dysfunction. Interestingly sexual dysfunction found in tremendous percentage compared to previous studies, either in spontaneous delivery (95%) or cesarean section (90%).

Key word:cesarean section, Female Sexual Function Index, primiparous, sexual function, spontaneous delivery


Female Sexual Function Index, fungsi seksual, persalinan pervaginam, primipara, seksio sesarea

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