Mediolateral Episiotomy in Nulliparous Women Increases the Risk of Sexual Dysfunction

Batman Training and Research Hospital

Status

Completed

Conditions

Episiotomy; Complications

Treatments

Diagnostic Test: observational analysis of mediolateral episiotomy with arizona sexuel function scoring after 3 months of normal vaginal birth

Study type

Observational

Funder types

Other

Identifiers

NCT05533307

EOkuyan

Details and patient eligibility

About

Postpartum sexual functions may be affected in women who have had a vaginal delivery by performing an episiotomy. The aim of this study is to compare the frequency of sexual dysfunction between women who were delivered with a mediolateral episiotomy and those who were delivered without an episiotomy.

Materials and Methods: A total of 179 women who gave birth in a tertiary center were included in the prospective study. The patients were divided into two groups as women with and without mediolateral episiotomy. The groups were compared in terms of age, body mass index, educational status, and hospitalization time for delivery and Arizona sexual experiences scale (ASEX).

Full description

All patients were called up for a control in 6th month after delivery and sexual funciton was evaluated according to The Arizona Sexual Experience Scale (ASEX). In our study, we used the ASEX test, age, education level, BMI and time spent in hospital for delivery to investigate sexual dysfunction in healthy women who had a vaginal delivery with or without mediolateral episiotomy. The ASEX test is a 5-question survey. In the questionnaire, women were questioned for sexual drive, arousal, vaginal lubrication, ability to reach orgasm, satisfaction from the orgasm. Women gave points from 1 to 6 and their results were recorded.

Enrollment

180 patients

Sex

Female

Ages

18 to 40 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Nulliparous women who gave birth at term
No smoking or alcohol consumption
Chronic illness
Spontaneous labor( The labor was defined as cervical dilatation of at least 2cm with at least 80% of effacement with regular contractions or 4cm dilatation with any effacement with regular contractions or the flow of amniotic fluid.

Exclusion criteria

Exclusion criteria were need of labor induction,
history of any pregnancy complication (gestational diabetes, hypertension, oligohydramnios, any suspicion of infection or chorioamnionitis...etc.),
history of multiparity,
history of sexual dysfunction,
history of vaginal surgery and frequent vaginal infection.