The effect of mode of delivery on woman’s sexuality

Authors: P. Langrová;  Y. Vrublová
Authors‘ workplace: Ústav ošetřovatelství a porodní asistence, Lékařská fakulta, Ostravská univerzita, Ostrava, vedoucí pracoviště doc. PhDr. D. Jarošová, Ph. D.
Published in: Ceska Gynekol 2013; 78(6): 584-588
Category: Original Article


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.

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

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 questionnare Female sexua lfunction index (FSFI) was used for the purspose of measuring sexuality. The questionnare evaluates 6 domain sof fiale sexual functioning: desire, arousal, lubrication, orgasm, satisfaction and pain. The surfy was carriedout in 3 private gynekologists.

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.

The mode of delivery affects sexual function of women specially in the adenceand degrese 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.

sexuality – woman – the mode of delivery – Female Sexual Function Index – FSFI


1. Abdool, Z., Thakar, R., Sultan AH. Pospartum female sexual function. Eur J Obstet Gyn Reprod Biol, 2009, 149(2), p. 133–137.

2. Barrett, G., et al. Women‘s sexual health after childbirth. Intern J Obstet Gynaec, 2000, 107 (2), p. 186–195.

3. Baytur, et al. Mode of delivery and pelvic floor muscle strength and sexual function after childbirth. Intern J Gyn Obstet, 2005, 88(3), p. 276–280.

4. Brown, S., Lumley, J. Maternal health after childbirth: results of an Australian population based survey. Intern J Obstet Gynaec, 1998, 105(2), p. 156–161.

5. Buhling, KJ., et al. Rate o dyspareunia after delivery in primipare according to mode of delivery. Eur J Obstet Gyn Reprod Biol, 2006, 124(1), p. 42–46.

6. Glazener, CMA. Sexual function after childbirth: women‘s experiences, persistent morbidity and lack of professional recognition. Intern J Obstet Gynaec, 1997, 104(3), p. 330–335.

7. Griffiths, A., et al. Female genital tract morbidity and sexual function following vaginal delivery or lower segment caesarean section. J Obstet Gyn, 2006, 26(7), p. 645–649.

8. Handa, VL. Sexual function and childbirth. Seminars in perinatology, 2006, 30, p. 253–256.

9. Hicks, TL., et al. Postpartum sexual functioning and method of delivery: summary of the evidence. American College of Nurse-Midwives, 2004, 49, p. 430–436.

10. Klein, K., et al. Does the mode of delivery influence sexual function after childbirth? J Women’s Health, 2009, 18(8), p. 1227–1231.

11. Olsson, A., et al. Women‘s thoughts about sexual life after childbirth: focus group discussions with women after childbirth. Scand J Caring Sci, 2005, 19(4), p. 381–387.

12. Ratislavová, K. Aplikovaná psychologie porodnictví. 1. vyd. Praha: Area, 2008, 106 s.

13. Rosen, R., et al. The female sexual function index (FSFI): A multidimensional self-report instrument for the assessmen to female sexual function. J Sex Marital Ther, 2000, 2, p. 191–208.

14. Safarinejad, MR., Kolahi, AA., Hosseini, L. The effect of the mode of delivery on the quality of life, sexual function, and sexual satisfaction in primiparous women and their husbands. J Sexual Med, 2009, 6(6), p. 1645–1667.

15. Sayasneh, A., Pandeva, I. Postpartum sexual dysfunction: A literature review of risk factors and role of mode of delivery. Brit J Med Practicioners, 2010, 3(2), p. 316–320.

16. Shirvani, MA., Nesami, MB., Bavand, M. Maternal sexuality after childbirth among Iranian woman. Pakistan J Biol Sci, 2010, 13(8), p. 385–389.

17. Singnorello, LB., et al. Postpartum sexual functioning and its relationship to perineal trauma: A retrospective cohort study of primiparous women. Amer J Obstet Gyn, 2001, 184(5), p. 881–890.

18. Sydow, K. Sexuality during pregnancy and after childbirth: A metacontent analysis of 59 studies. J Psychosomat Res, 1999, 147(1), p. 27–49.

Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

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Czech Gynaecology

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2013 Issue 6

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