Comparison of pain, depression and sexual dysfunction following vaginal delivery and caesarean section

Document Type : Original Article

Authors

Obstetrics and Gynecology department, Faculty of Medicine, Beni-Suef University, Egypt.

10.21608/ejmr.2023.186956.1316

Abstract

Objective: To compare of pain, depression, sexual dysfunction following vaginal delivery and caesarean section. Methods: A prospective, observational cohort study in Beni-suef university hospital, consisted of 260 nullipara women. Follow-up questionnaires will be filled at 7 days, 4-6 weeks, 3 and 6 months postpartum. The primary outcome were maternal depressive symptoms, sexual dysfunction and postpartum pain secondary outcomes was tiredness. The data was analyzed by using Chi square (x2) and regarding small sample sizes, Fisher's Exact Test was applied as applicable. Results: Follow-up examination of depressive symptoms, sexual dysfunction and postpartum pain within 7 days, 6 weeks and 6 months showed that Postpartum depression: There is a clinical significance at 7DS as women who gave birth by caesarean section underwent more EPDS compared to women who gave birth by vaginal delivery. There is no clinical significance between EPD after vaginal delivery and caesarean section at 6ws and 6ms. Postpartum sexual dysfunction: There is clinical significance at 6ws as there is sexual dysfunction after vaginal delivery and caesarean section but women who gave birth by vaginal delivery experienced more sexual dysfunction than women who gave birth by caesarean section. There is no clinical significance at 6ms between sexual dysfunction after vaginal delivery and caesarean section. Postpartum pain: There is clinical significance as at time of discharge women who gave birth by caesarean section experienced more pain than women who gave birth by vaginal delivery. Tiredness: There clinical significance as women who gave birth by caesarean section experienced Tiredness more than women who gave birth by vaginal delivery. Conclusions: Postnatal Depression and postpartum sexual dysfunction is highly significant after caesarean section as compared to after vaginal delivery .

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References

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Egyptian Journal of Medical Research
Volume 6, Issue 2
April 2025
Pages 103-116

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