Seksualitas Ibu Postpartum dengan Riwayat Persalinan Rupture Perineum : Studi Fenomenologi
Abstract
Pendahuluan, proses persalinan dapat menyebabkan perubahan yang signifikan dalam kehidupan seorang perempuan. Perubahan yang terjadi tidak hanya perubahan fisik tetapi juga perubahan emosional. Perubahan ini dapat berdampak pada seksualitas seorang perempuan. Rupture perineum yang terjadi saat persalinan dapat menyebabkan penurunan kekuatan otot dasar panggul sehingga hal ini dapat mempengaruhi fungsi seksual ibu postpartum. Tujuan, penelitian ini untuk mendapatkan gambaran kondisi seksual ibu postpartum dengan riwayat persalinan rupture perineum. Metode, penelitian ini adalah kualitatif dengan pendekatan fenomenologi. Wawancara semi structured digunakan untuk mewawancarai 9 ibu postpartum 1-3 bulan sebagai informan utama serta 3 suami sebagai informan pendukung. Rekruitmen informan menggunakan strategi purposive sampling. Penelitian ini memunculkan 3 tema yaitu “mengalami dysfungsi seksual”, “tidak mengalami dysfungsi seksual”, dan “hambatan dalam mengakses pelayanan kebidanan”. Kesimpulan, diharapkan bidan mampu meminimalkan kejadian rupture perineum serta mampu memberikan pendampingan secara komprehensif pada ibu postpartum dengan riwayat rupture perineum. Kata kunci : seksualitas, rupture perineum, postpartumDownloads
Download data is not yet available.
References
Chayachinda C, Titapant V, Ungkanungdecha A. Dyspareunia and Sexual Dysfunction after Vaginal Delivery in Thai Primiparous Women with Episiotomy. The Journal of Sexual Medicine. 2015;12(5):1275–82.
Dunn, A. B., Paul, S., Ware, L. Z., & Corwin, E. J. 2015. Perineal Injury During Childbirth Increases Risk of Postpartum Depressive Symptoms and Inflammatory Markers. Journal of Midwifery and Women's Health. https://doi.org/10.1111/jmwh.12294.
Duvall, E., & Miller C. M. 1985. Marriage and family development 6th Ed. New York: Harper & Row Publisher.
Eid, M. A., Sayed, A., & Mostafa, T. (2015). Impact of the mode of delivery on female sexual function after childbirth. International Journal of Impotence Research, 23(3), 118–120. https://doi.org/10.1038/ijir.2015.2.
Khajehei, M., Doherty, M., Tilley, P. J. M., & Sauer, K. (2015). Prevalence and Risk Factors of Sexual Dysfunction in Postpartum. The Journal of Sexual Medicine, 12(6), 1415–1426. https://doi.org/10.1111/jsm.12901.
Lindqvist, M., Persson, M., Nilsson, M., Uustal, E., & Lindberg, I. 2018. ‘A Worse Nightmare Than Expected’-A Swedish Qualitative Study Of Women’s Experiences Two Months After Obstetric Anal Sphincter Muscle Injury. Midwifery. https://doi.org/10.1016/J.Midw.2018.02.015.
Quoc Huy, N.V., Phuc An, L.S., Phuong, L.S., Tam, L.M., 2019. Pelvic Floor and Sexual Dysfunction After Vaginal Birth With Episiotomy in Vietnamese Women. Sexual Medicine. 7, 514–521. https://doi.org/10.1016/j.esxm.2019.09.002.
Sayed Ahmed, W. A., Kishk, E. A., Farhan, R. I., & Khamees, R. E. (2017). Female sexual function following different degrees of perineal tears. International Urogynecology Journal, 28(6), 917–921. https://doi.org/10.1007/s00192-016-3210-6.
Schreiner, L., Crivelatti, I., de Oliveira, J. M., Nygaard, C. C., & dos Santos, T. G. (2018). Systematic review of pelvic floor interventions during pregnancy. International Journal of Gynecology & Obstetrics, 143(1), 10–18. https://doi.org/10.1002/ijgo.12513.
Sobhgol, S. S., Priddis, H., Smith, C. A., & Dahlen, H. G. (2019). Evaluation of the effect of an antenatal pelvic floor muscle exercise programme on female sexual function during pregnancy and the first 3 months following birth: Study protocol for a pragmatic randomised controlled trial. Trials, 20(1), 144. https://doi.org/10.1186/s13063-019-3226-6.
Subalidinata, R.S. 1968. Sarining Kepustakaan Djawa. Yogyakarta : PR. Jaker.
Woolhouse, H., Mcdonald, E., & Brown, S. 2012. Women’s experiences of sex and intimacy after childbirth : making the adjustment to motherhood. Journal of Psychosomatic Obstetrics & Gynecology, 33(4), 185–190. https://doi.org/10.3109/0167482X.2012.720314.
World Health Ogranization. 2013. Postpartum care of the mother and newborn: a practical guide. Diakses di https://www.who.int pada tanggal 1 Mei 2020.
Dunn, A. B., Paul, S., Ware, L. Z., & Corwin, E. J. 2015. Perineal Injury During Childbirth Increases Risk of Postpartum Depressive Symptoms and Inflammatory Markers. Journal of Midwifery and Women's Health. https://doi.org/10.1111/jmwh.12294.
Duvall, E., & Miller C. M. 1985. Marriage and family development 6th Ed. New York: Harper & Row Publisher.
Eid, M. A., Sayed, A., & Mostafa, T. (2015). Impact of the mode of delivery on female sexual function after childbirth. International Journal of Impotence Research, 23(3), 118–120. https://doi.org/10.1038/ijir.2015.2.
Khajehei, M., Doherty, M., Tilley, P. J. M., & Sauer, K. (2015). Prevalence and Risk Factors of Sexual Dysfunction in Postpartum. The Journal of Sexual Medicine, 12(6), 1415–1426. https://doi.org/10.1111/jsm.12901.
Lindqvist, M., Persson, M., Nilsson, M., Uustal, E., & Lindberg, I. 2018. ‘A Worse Nightmare Than Expected’-A Swedish Qualitative Study Of Women’s Experiences Two Months After Obstetric Anal Sphincter Muscle Injury. Midwifery. https://doi.org/10.1016/J.Midw.2018.02.015.
Quoc Huy, N.V., Phuc An, L.S., Phuong, L.S., Tam, L.M., 2019. Pelvic Floor and Sexual Dysfunction After Vaginal Birth With Episiotomy in Vietnamese Women. Sexual Medicine. 7, 514–521. https://doi.org/10.1016/j.esxm.2019.09.002.
Sayed Ahmed, W. A., Kishk, E. A., Farhan, R. I., & Khamees, R. E. (2017). Female sexual function following different degrees of perineal tears. International Urogynecology Journal, 28(6), 917–921. https://doi.org/10.1007/s00192-016-3210-6.
Schreiner, L., Crivelatti, I., de Oliveira, J. M., Nygaard, C. C., & dos Santos, T. G. (2018). Systematic review of pelvic floor interventions during pregnancy. International Journal of Gynecology & Obstetrics, 143(1), 10–18. https://doi.org/10.1002/ijgo.12513.
Sobhgol, S. S., Priddis, H., Smith, C. A., & Dahlen, H. G. (2019). Evaluation of the effect of an antenatal pelvic floor muscle exercise programme on female sexual function during pregnancy and the first 3 months following birth: Study protocol for a pragmatic randomised controlled trial. Trials, 20(1), 144. https://doi.org/10.1186/s13063-019-3226-6.
Subalidinata, R.S. 1968. Sarining Kepustakaan Djawa. Yogyakarta : PR. Jaker.
Woolhouse, H., Mcdonald, E., & Brown, S. 2012. Women’s experiences of sex and intimacy after childbirth : making the adjustment to motherhood. Journal of Psychosomatic Obstetrics & Gynecology, 33(4), 185–190. https://doi.org/10.3109/0167482X.2012.720314.
World Health Ogranization. 2013. Postpartum care of the mother and newborn: a practical guide. Diakses di https://www.who.int pada tanggal 1 Mei 2020.
Published
2020-09-18
Section
Articles
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
