Risk Factors for Sexual Dysfunction in Postpartum Mothers in Makassar City: Cross Sectional Study

Jamila Kasim; Yulianah Sulaiman; Uchira Uchira; Maryam Jamaluddin

doi:10.55606/ijhs.v6i2.7725

Authors

Jamila Kasim STIKes Bina Bangsa Majene
Yulianah Sulaiman STIKes Bina Bangsa Majene
Uchira Uchira Sekolah Tinggi Ilmu Kesehatan Gema Insan Akademik
Maryam Jamaluddin Institut Nani Hasanuddin

DOI:

https://doi.org/10.55606/ijhs.v6i2.7725

Keywords:

Female Sexual Function Index (FSFI), Postpartum, Pregnancy Complications, Risk Factors, Sexual Dysfunction

Abstract

Postpartum sexual dysfunction remains an under-recognized problem despite its high global prevalence, ranging from 41% to 83% within the first six months after delivery. In Makassar, Indonesia, sociocultural taboos and the exclusive focus of primary postpartum care on uterine involution, wound healing, lactation, and immunization have left sexual function screening largely unaddressed. This study aimed to identify the risk factors associated with sexual dysfunction among postpartum mothers in Makassar City. An analytical observational study with a cross-sectional design was conducted among 117 postpartum mothers selected through consecutive sampling. Sexual function was measured using the Female Sexual Function Index (FSFI), and data were analyzed using Chi-Square followed by multiple logistic regression. The results showed that 82.9% of respondents experienced sexual dysfunction. Pregnancy complications were the only variable significantly associated with sexual dysfunction (p = 0.001; Adjusted OR = 52.63; 95% CI 4.78–500.00), indicating markedly higher odds of sexual dysfunction among mothers with pregnancy complications, while age, parity, education, occupation, income, and residence showed no significant associations. These findings highlight the need for structured sexual function screening and integrated biopsychosocial education in primary postpartum care services.

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References

Ana Isabel Arcos-Romero 1, and C. C. 2. (2023). Sexual Health and Psychological Well-Being of Women: A Systematic Review. Healthcare, 11(23), 1–13. https://www.mdpi.com/2227-9032/11/23/3025

Asmara, E. C., Oktavia, R., Studi, P., Dokter, P., Kesehatan, I., Abdurrab, U., & Abdurrab, U. (2019). Perbedaan Indeks Fungsi Seksual Wanita Pasca Diference of the Female Sexual Function Index In Women With Vaginal Delivery And Caesarean. 2(3).

Blanc, A. (2024). Attitudes toward sexual behaviors: relationship with gender and sexual orientation. Current Psychology, 43(2). https://doi.org/10.1007/s12144-023-04398-3

Eggel, B., Bernasconi, M., Quibel, T., Horsch, A., Vial, Y., Denys, A., & Baud, D. (2021). Gynecological, reproductive and sexual outcomes after uterine artery embolization for post-partum haemorrage. Scientific Reports, 11(1), 1–8. https://doi.org/10.1038/s41598-020-80821-0

Firawati, J. (2023). Analisis manajemen nutrisi menyusui terhadap peningkatan produksi asi di wilayah kerja puskesmas bara – baraya kota makassar. 7(2), 19–25.

Graziottin, A., Di Simone, N., & Guarano, A. (2024a). Postpartum care: Clinical considerations for improving genital and sexual health. European Journal of Obstetrics and Gynecology and Reproductive Biology, 296(November 2023), 250–257. https://doi.org/10.1016/j.ejogrb.2024.02.037

Graziottin, A., Di Simone, N., & Guarano, A. (2024b). Postpartum care: Clinical considerations for improving genital and sexual health. In European Journal of Obstetrics and Gynecology and Reproductive Biology (Vol. 296). https://doi.org/10.1016/j.ejogrb.2024.02.037

Gutzeit, O., Levy, G., & Lowenstein, L. (2020a). Postpartum Female Sexual Function: Risk Factors for Postpartum Sexual Dysfunction. Sexual Medicine, 8(1), 8–13. https://doi.org/10.1016/j.esxm.2019.10.005

Gutzeit, O., Levy, G., & Lowenstein, L. (2020b). Postpartum Female Sexual Function: Risk Factors for Postpartum Sexual Dysfunction. Sexual Medicine, 8(1), 8–13. https://doi.org/10.1016/j.esxm.2019.10.005

Jamila Kasim,Hasifah, R. (2022). Buku Ajar Keperawatan Maternitas. In LPPM AKPER Fatima Parepare. LPPM AKPER Fatima Parepare.

Jamila Kasim. (2019). Mengulas Kontrasepsi IUD terhadap Seksualitas (1st ed.). STIKES Nani Hasanuddin Makassar.

Kasim, J., & Muchtar, A. (2019). Penggunaan Kontrasepsi Iud Terhadap Seksualitas Pada Pasangan Usia Subur. Media Kesehatan Politeknik Kesehatan Makassar, 14(2), 141. https://doi.org/10.32382/medkes.v14i2.1120

Montessori, Y. (2020). Bio Psiko Seksual dan sosial ibu Post Partum dengan riwayat persalinan rupture Perineum. Midwifery Journal: Jurnal Kebidanan UM. Mataram, 5(2). https://doi.org/10.31764/mj.v5i2.1810

Mosca, L., Riemma, G., Braga, A., Frigerio, M., Ruffolo, A. F., Dominoni, M., Munno, G. M., Uccella, S., Serati, M., Raffone, A., Salvatore, S., & Torella, M. (2022). Female Sexual Dysfunctions and Urogynecological Complaints: A Narrative Review. Medicina (Lithuania), 58(8), 1–17. https://doi.org/10.3390/medicina58080981

Munyuzangabo, M., Khalifa, Di. S., Gaffey, M. F., Kamali, M., Siddiqui, F. J., Meteke, S., Shah, S., Jain, R. P., Als, D., Radhakrishnan, A., Ataullahjan, A., & Bhutta, Z. A. (2020). Delivery of sexual and reproductive health interventions in conflict settings: A systematic review. In BMJ Global Health (Vol. 5). https://doi.org/10.1136/bmjgh-2019-002206

Ng, Y. Y., Muhamad, R., & Ahmad, I. (2023). Sexual dysfunction among six months postpartum women in north-eastern Malaysia. PLoS ONE, 18(4 April), 1–13. https://doi.org/10.1371/journal.pone.0284014

Ozerdogan, N., Mizrak Sahin, B., Gursoy, E., & Zeren, F. (2022). Sexual dysfunction in the third trimester of pregnancy and postpartum period: a prospective longitudinal study. Journal of Obstetrics and Gynaecology, 42(7), 2722–2728. https://doi.org/10.1080/01443615.2022.2106830

Ravindran, T. K. S., & Govender, V. (2020). Sexual and reproductive health services in universal health coverage: a review of recent evidence from low- and middle-income countries. Sexual and Reproductive Health Matters, 28(2), 1–22. https://doi.org/10.1080/26410397.2020.1779632

Rezaei, N., Janani, F., Sharifi, N., Omidi, F., & Azadi, A. (2018). Sexual function and quality of life among postpartum women: A cross-sectional study. International Journal of Women’s Health and Reproduction Sciences, 6(3), 307–312. https://doi.org/10.15296/ijwhr.2018.51

Salamon, N., Hashim, S. M., Ahmad, N., & Wahab, S. (2020). Sexual dysfunction among women at four to six months postpartum: A study in a primary care setting. Malaysian Journal of Public Health Medicine, 20(1), 235–243. https://doi.org/10.37268/mjphm/vol.20/no.1/art.569

Suharmi, J. kasim. (2025). Panduan Holistik Pemulihan Kualitas Seksual Pasca Persalianan. 32(3), 167–186.

Tal, S., Tikhonov, E., Aroch, I., Hefetz, L., Turjeman, S., Koren, O., & Kuzi, S. (2021). Developmental intestinal microbiome alterations in canine fading puppy syndrome: a prospective observational study. Npj Biofilms and Microbiomes, 7(1), 1–10. https://doi.org/10.1038/s41522-021-00222-7

Wassenaar, E. L., Lont, F., Verhoeven, C. J., Henrichs, J., Titulaer, L. M. L., Warmelink, J. C., & Geerts, C. C. (2024). Sexual health after childbirth in Dutch women: prevalence, associated factors and perceived need for information: a cross-sectional study. BMC Pregnancy and Childbirth, 24(1). https://doi.org/10.1186/s12884-024-06918-w

Zaky, M. S., Obaid, Z. M., Youssef, A. M., Elmenawy, A. D., & Elsaie, M. L. (2025). Sexual dysfunction in women with genital warts: a cross-sectional study. BMC Women’s Health, 25(1). https://doi.org/10.1186/s12905-025-03691-6