Autoimagem genital pós parto vaginal e cesariana

Abstract

During the gestational period, the body undergoes numerous changes, especially physical and hormonal, which added to the birth of the baby, as well as breastfeeding and the emotional aspect involved in the puerperium imply major repercussions in the woman's life. Among so many are sexual function and body and especially genital self-image. Given the importance of these aspects for a better quality of life, professional knowledge is fundamental, so that they can guide and conduct the treatment of these women, always thinking about their completeness and satisfaction. The aim of this study was to compare the genital self-image after normal birth and after cesarian birth. For that, a cross-sectional study with observational design has been made, in which evaluated 29 women (13 after normal birth and 16 after cesarian birth), over 18 years old, in the third mont after birth. An active search through the Santa Maria's Primary Health Units was made, followed by phone contact to invitate them to be a part of this study and ask questions if needed. After the permission, it was sent a link for acess to the formulary. an identification form was used, with ginecologic and obstetric data from the mother, as well as infos about the baby and its birth, in addition to the Female Genital Self-Image Scale (FGSIS), aiming to evaluate the genital self-image. The categoric variables were analyzed descriptively by means of simple frequency and percentages, and the numerics by position and dispersion means. The data were considered as non-parametric distribution trough the Shapiro Wilk test. Thus, the Mann Whitney's U-Test, and the square-Q test or Fisher's Exat were used. In all those tests, it was adopted p<0,05. The statistics analysis were made with the SPSS 22.0 software. It hasn't been noticed differences in the groups for genital self-image evaluation by the FGSIS total score, however, it was identified a distinction in the results from the "confort in letting a health professional examin your genitals" item, with inferior results from the post partum. It is not possible to infer about the benefits superiority for the ways of birth relating to the genital self-image, due to the study's low sampling. However, it is possible to correlate this research's findings with the obstetric interventions happening in the current scenarium and, this way, makes the attendance non-personal and disrespectful.