Tingkat Kepuasan Seksual pada Paeisn Plasenta Akreta Pasca Histerektomi

https://doi.org/10.22146/jkr.64055

Ummu Nabilah Matondang(1*), Muhammad Rizki Yaznil(2)

(1) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Universitas Sumatera Utara
(2) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Universitas Sumatera Utara
(*) Corresponding Author

Abstract


Background: Placenta accreta is often used as a general term but is defined by the levels of invasion of chorionic villi into maternal myometrium. Once a rare diagnosis, it is now the leading cause of postpartum hemorrhage and indication for a gravid hysterectomy. Although many advantages of hysterectomy have been known, it is still unknown how it affects the vaginal length and sexual functioning. Studies that discuss specifically about the relationship of sexual satisfaction index of placenta accrete patients after hysterectomy or conservative have not been found.

Objective: To determine the sexual satisfaction index of patients with placenta accreta after hysterectomy.

Method: This study is an observational study with analytical approach, with cross sectional design. The sample is placenta accreta patients in RSUP HAM Medan which fulfill the inlusion and exclusion criteria and taken by total sampling. The data is primary and secondary which taken from RSUP HAM Medan medical report and through interviews by mobile device due the COVID-19 Pandemic, using FSFI (Female Sexual Function Index) questionnaire that has been validated into Indonesian.

Results and Discussion: From 92 placenta accreta patients, the most placenta accreta age is <35 years old (65.2%), the most chosen treatment is hysterectomy (71.7%). From 24 patients the highest PAI total score is >5 (62.5%). Placenta accreta sexual satisfaction with hysterectomy as treatment has FSFI total score ≥ 26.55 (15.0%) and < 26.55 (85%). Placenta accreta sexual satisfaction without hysterectomy as therapy (conservative) has FSFI total score FSFI ≥ 26.55 (0%) and 26.55 (100%). On Fisher Exact Test the p value = 1,000 (p <0.05).

Conclusion: There is no difference between placenta accreta sexual satisfaction with or without hysterectomy (conservative).


Keywords


Placenta Accrete, Hysterectomy, Conservative, FSFI (Female Sexual Function Index) Indonesian Questionnaire.

Full Text:

PDF


References

  1. Goh, William, Ivica Zalud. 2016. Placenta accreta: diagnosis, management and the molecular biology of the morbidity adherent placenta. The Journal of Maternal-Fetal & Neonatal Medicine, UK 2016; 29.
  2. American College of Obstetricians and Gynecologists-Obstetric Care Consensus. 2018. Placenta accreta spectrum. American College of Obstetricians and Gynecologists, Washington D.C 2018; 132(6).
  3. Gelany, S E, et al. 2019. Placenta accreta spectrum (PAS) disorders: incidence, risk factors and outcomes of different management strategies in a tertiary referral hospital in Minia, Egypt: a prospective study. BMC Pregnancy and Childbirth 2019; 19(313).
  4. Zhong, L, et al. 2017. Management of patients with placenta accreta in assciation with fever following vaginal delivery. Medicine, Baltimore 2017; 96(10):e6279.
  5. Hsu-Wei Su, et al. 2016. Maternal outcome after conservative management of abnormally invasive placenta. Taiwanese Journal of Obstetrics & Gynecology, Taiwan 2016; vol. 56: pp. 353-357.
  6. Danesh, M, et al. 2015. The effect of hysterectomy on women’s sexual function: a narrative review. Accessed March, 14, 2020 available at: https://www.ncbi.nlm.nih.gov/pubmed/26843731
  7. Shahhosseini, Z, et al. 2014. A review of affecting factors on sexual satisfaction in women, accessed March, 14, 2020 available at: https://www.ncbi.nlm.nih.gov/pubmed/25685081
  8. Qotrunnada A, Antonius PA, Yusrawati. 2018. Faktor risiko dan luaran maternal plasenta akreta di RSUP Dr. M. Djamil Padang. Obgynia 2018; 1(2).
  9. Fitzpatrick KE, et al. 2012. Incidence and risk factors for placenta accreta/increta/percreta in the UK: A National Case-Control Study. PLoS ONE 2012; 7(12): e52893.
  10. Fauzan et al. 2017. USG untuk deteksi plasenta akreta. Cermin Dunia Kedokteran 2017. CDK-255; 44(8)
  11. Martha, W, et al. 2015. Ultrasound predictors of placental invasion: the placenta accreta index. American Journal of Obstetrics and Gynecology 2015; 2015(212): pp. 343.e1-7.
  12. El Lakwa, Hamed, et al. 2019. Evaluation of placenta accreta index to predict placental invasion in patients with placenta previa. Menoufia Medical Journal 2019; 2019(32): pp. 1359-1364.
  13. Kamara, M, et al. 2013. The risk of placenta accreta following primary elective caesarean delivery: a case control study. BJOG: An International Journal of Obstetric and Gyneacology 2013; 120(7): pp. 879-86.
  14. Subagia, Sekar Ayu LH. 2019. Hubungan antara kejadian plasenta akreta dengan riwayat operasi sesar di RSUD Dr. Soetomo Surabaya tahun 2015-2017. Accessed December, 13, 2020 available at: http://repository.unair.ac.id/84023/
  15. Xiao-Yu, Pan, et al. 2015. A marked increase in obstetric hysterectomy for placenta accreta, Chinese Medical Journal 2015; 128(16).
  16. Peiffer, S, J. Reinhard, A. Reitter, F. Louwen. 2012. Conservative managemenet of placenta accreta/increta after vaginal birth. Thieme Geburtsh Fraunheilk 2012; 72: pp: 940-944.
  17. Boehmer U, et al. 2012. Applying the female sexual functioning index to sexual minority women. Journal of Women’s Health 2012; 21(4).
  18. Sutyarso, Kanedi M, 2013. Kualitas fungsi seksual guru perempuan sekolah dasar di Bandar Lampung. Jurnal Fakultas MIPA UNILA 2013; 1(1)



DOI: https://doi.org/10.22146/jkr.64055

Article Metrics

Abstract views : 1361 | views : 1775

Refbacks



Copyright (c) 2022 The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Kesehatan Reproduksi Indexed by:

 

 



SEKRETARIAT JURNAL KESEHATAN REPRODUKSI
Departemen Obstetri dan Ginekologi, FK-KMK, UGM/RS Dr. Sardjito
Jl. Kesehatan No. 1, Sekip Utara, Yogyakarta 55281
Tlp: (0274) 511329 / Faks: (0274) 544003
Email: jurnal.kesehatanreproduksi@ugm.ac.id
Cp: Dwi Astuti +6281802698043