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[The effect of mode of delivery on woman's sexuality].

AIM
To find out whether the mode of delivery can influence the female sexuality and find out dimensions of female sexuality that can be influenced by the mode of delivery.


SETTING
Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava.


METHODS
The research sample was consisted of 99 after delivery. This women gave birth 6 months to 3 years ago. The sample contained 70 women after spontaneous vaginal delivery, 17 women after the section cesarean and 12 women after the optative vaginal delivery. The questionnaire Female sexual function index (FSFI) was used for the purpose of measuring sexuality. The questionnaire evaluates 6 domain sof fiale sexual functioning: desire, arousal, lubrication, orgasm, satisfaction and pain. The surfy was carried out in 3 private gynecologists.


RESULTS
The mode of delivery does not affect the overall score in the dimension of desire, arousal,lubrication, orgasm and satisfaction. The differences were found in the incidence then were analysed the individual questionnaire items in the incidence of the problem with achieving and maintaining lubrication, frequency of orgasm and satisfaction with their partner. Women who had an optative vaginal delivery had higher incidence and rate of the pain during intercourse compared with women with vaginal deliveries.


CONCLUSION
The mode of delivery affects sexual function of women specially in the adherence and degree of the pain. Cesarean section reduce the level of the pain during intercourse. The women after optative vaginal delivery were the most end angered group so these women would be given special care.