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"Metode: Pasien HIV yang melahirkan di RSUPNCM dan RSPI Sulianti Saroso periode Oktober 2012 hingga Maret 2013 masuk sebagai subyek penelitian. Subyek dilakukan skrining depresi dengan EPDS dan untuk mengukur dukungan sosial yang diberikan dengan KDS. Analisis statistik menggunakan uji Fisher, Chi-Square dan uji T tidak berpasangan.Hasil: Sebanyak 34,1% subyek yang mengalami depresi pascapersalinan. Dimana didapatkan bahwa 40% yang mengalami depresi pascapersalinan tersebut tidak mendapatkan dukungan sosial yang baik. Dari karakteristik subyek yang mengalami depresi tersebut, 70% dari kelompok umur 20-35 tahun. Berdasarkan tingkat pendidikan, 56.7% subyek yang mengalami depresi pendidikannya rendah. Dari status paritas didapatkan 70% yang mengalami depresi pascapersalinan yaitu primipara.Kesimpulan: Dukungan sosial merupakan efek protektif terhadap terjadinya depresi pascapersalinan pada pasien HIV

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Objective : this study aim to evaluate the relation between social support given to HIV patients with the incidence rate of postpartum depression among them.

Methods : All HIV patients who was having delivery in RSUPNCM and Sulianti Saroso the period October 2012 to March 2013 entered as research subjects. We performed depression screening with the EPDS and to measure the social support provided by KDS. Statistical analysis was using Fisher's exact test, Chi-square and unpaired t test.

Results : We found total of 34.1% of subjects experienced postpartum depression, in which 40% did not received proper social support. By demographics characteristics of the subjects who experienced depression, 70% was in group of age 20-35 years, 56.7% of subjects with low education level and 70% was primiparous patients."

"Perdarahan Pascapersalinan (PPP) adalah peristiwa kehilangan darah dengan jumlah kumulatif lebih besar dari 1000 mL serta disertai adanya gejala dan tanda hypovolemia setelah 24 jam proses kelahiran dan menjadi penyebab pertama kematian ibu di Indonesia pada tahun 2019. Penelitian ini bertujuan untuk meneliti hubungan antara anemia dengan kejadian perdarahan pascapersalinan pada ibu melahirkan di Kabupaten Brebes. Penelitian ini merupakan penelitian jenis kuantitatif dengan desain studi case control pada ibu melahirkan di Kabupaten Brebes pada tahun 2020-2021. Penelitian ini menggunakan data primer yang diambil dari rekam medis di RSUD Kabupaten Brebes dengan menggunakan metode consecutive sampling. Analisis bivariat yang digunakan adalah uji Fisher dan uji Chi-square dengan nilai kemaknaan p<0,05. Jumlah sampel yang diinklusi pada penelitian ini adalah sejumlah 50 ibu melahirkan. Uji bivariat menunjukan adanya hubungan yang bermakna antara anemia dengan kejadian perdarahan pascapersalinan dengan nilai p=0,01 (OR 5,63; 95%CI 1,648-19,232).

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Postpartum hemorrhage (PPH) is a term to describe heavy bleeding with the cumulative amount of blood loss being more than 1000 mL, which causes the signs and symptoms of hypovolemia, 24 hours after delivery and it becomes the leading cause of maternal mortality in Indonesia in 2019. The purpose of this study is to determine the association between anemia and the prevalence of PPH in postpartum women in Kabupaten Brebes. This study is a quantitative research and it is counducted with case-control study on postpartum women in Kabupaten Brebes within year 2020-2021. This study used the data from the medical records in RSUD Kabupaten Brebes that were collected with consecutive sampling method. The association between anemia and postpartum hemorrhage was analyzed using Fisher and Chi-square test with a significance value p<0,05. There were 50 postpartum women that were included in this study. The Chi-square test showed a significant association between anemia and postpartum hemorrhage (p=0,01; OR 5,63; 95%CI 1,648-19,232)"

"Telah dilakukan penelitian tentang keanekaragaman tumbuhan obat pascapersalinan di pekarangan masyarakat Sunda Desa Ciburial, Banten. Tujuan pertama penelitian yaitu untuk mengetahui keanekaragaman tumbuhan obat pascapersalinan, berdasarkan pengetahuan lokal masyarakat Sunda Desa Ciburial. Metode penelitian dilakukan dengan pendekatan etnobotani melalui wawancara. Tujuan kedua yaitu mengetahui Indeks Nilai Penting tumbuhan obat pascapersalinan di pekarangan masyarakat Sunda Desa Ciburial. Metode penelitian yang dilakukan yaitu analisis vegetasi dengan kuadrat ganda. Tumbuhan obat yang dimanfaatkan masyarakat Sunda Desa Ciburial untuk pengobatan pascapersalinan mencapai 46 spesies. Terdapat tiga spesies tumbuhan obat yang memiliki intensitas pemanfaatan tertinggi yaitu Jahe Zingiber officinale, Cikur Kaempferia galanga dan Koneng Curcuma domestica. Hasil analisis vegetasi menunjukan bahwa sebanyak 36 spesies tumbuhan obat pascapersalinan diperoleh dari pekarangan. Tumbuhan obat di pekarangan yang memiliki Indeks Nilai Penting INP tertinggi pada kelompok liana yaitu areuy hatta Lygodium circinatum , terna yaitu nampong Siegesbeckia orientalis , perdu yaitu harendong Melastoma malabathricum , dan pohon yaitu kalapa Cocos nucifera.

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Research regarding plants diversity on post partum recovery medical used in sundanese community forecourts in ciburial village, Banten has been conducted. This research was aimed to find out plants diversity on post partum recovery medical used, based on sundanese community perspectives. Research methods used ethnobotany perspectives interview. Another aim is to find out importance value indeks of plants used to post partum recovery medical in sundanese community forecourts. Research methods used vegetation analysis with double quadrate. Medicinal plants used by the sundanese community to reach up to 46 species. These three medicinal plants have the highest intensity in utilization, ginger Zingiber officinale , cikur Kaempferia galanga and koneng Curcuma domestica . Vegetation analysis results showed that 36 medicinal plant species obtained from forecourts. Medicinal plants in forecourts which had highest importance value index in liana group was areuy hatta Lygodium circinatum , in terna group was nampong Siegesbeckia orientalis , in perdu group was harendong Melastoma malabathricum and in tree group was kalapa Cocos nucifera."

"Pandemi COVID-19 telah berdampak pada semua aspek kehidupan. Masalah psikologis dapat terjadi pada ibu nifas. Stres akibat pandemi bisa menjadi stres tambahan bagi ibu dan cenderung memicu depresi pascapersalinan. Penelitian ini bertujuan untuk menganalisis hubungan antara stres pandemi COVID-19 dengan kejadian depresi postpartum pada ibu postpartum. Desain penelitian ini adalah cross-sectional dengan sampel 115 ibu pascamelahirkan. Alat ukur yang digunakan adalah kuesioner Pandemic-Related Pregnancy Stress Scale (PREPS) dan Edinburgh Postpartum Depression Scale (EPDS). Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan antara stres pandemi COVID-19 dengan kejadian depresi postpartum (p = 0,000). Perawat diharapkan menyoroti kebutuhan mendesak untuk menilai kesehatan mental ibu untuk mencegah depresi postpartum pada ibu yang melahirkan selama pandemi COVID-19.

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The COVID-19 pandemic has impacted all aspects of life. Psychological problems can occur in postpartum mothers. Stress due to pandemic can be an additional stress for mother and tends to trigger postpartum depression. This study aims to analyze the correlation between COVID-19 pandemic stress and postpartum depression events among postpartum mothers. The design of this study was cross-sectional with a sample of 115 postpartum mothers. This measuring instrument used was the Pandemic-Related Pregnancy Stress Scale (PREPS) and Edinburgh Postpartum Depression Scale (EPDS) questionnaire. The results showed that there is a significant relationship between the COVID-19 pandemic stress and the postpartum depression events (p = 0.000). Nurses are expected to highlight the urgent need to assess maternal mental health to prevent postpartum depression among mothers who are giving birth during COVID-19 pandemic. "

"[ABSTRAKTesis ini membahas pelaksanaan program KB pascapersalinan danpascakeguguran di Provinsi DKI Jakarta yang diatur dalam Peraturan KepalaBKKBN Nomor : 146 Tahun 2009 dilihat dari Komunikasi, Sumber Daya danSikap Pengelola dan Pelaksana Program KB.Penelitian ini merupakan penelitian kualitatif dengan desain penelitian deskriptifanalitik.Penelitian ini menemukan bahwa komunikasi dari tingkat pengelola masih belummemiliki jalur koordinasi yang terprogram, selain itu perubahan kebijakan dariJampersal ke JKN sangat mempengaruhi komitmen pelaksana program. Masihkurangnya tenaga bidan dan dokter terlatih sehingga program belum dapatdilaksanakan secara optimal. Disamping itu edukasi yang disampaikan kepadamasyarakat belum fokus pada pelayanan KB MKJP. Belum adanya PeraturanDaerah tentang pelayanan KB MKJP pascapersalinan dan pascakeguguran di DKIJakarta. Sebab masih kurangnya komitmen dari pengelola dan pelaksana programdalam memprioritaskan KB MKJP pascapersalinan/pascakeguguran di DKIJakarta.Oleh karena itu, perlu adanya komitmen yang kuat dari pemerintah daerah untukmenjadikan Program KB MKJP pascapersalinan/ pascakeguguran menjadiprogram prioritas di Provinsi DKI Jakarta.

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ABSTRACT"This thesis discussed about the implementation of postpartum and post abortion""family planning programs in DKI Jakarta Province based on The Head of National Family Planning Board (BKKBN) Regulation Number : 146/2009, focusing on communications, resources and attitudes of Family Planning (FP) Program Managers and Implementers.""This study was a qualitative research with descriptive analytic study design.""The study found that the communication from the management level still has no programmed coordination. In addition, policy changes from Jampersal to National Health Insurance (JKN) greatly affected the commitment of the program managers. There were still a lot of midwives and doctors not trained yet so that the program can not be implemented optimally. In addition, public education submitted was not focused on Long Acting Methods (LAM) family planning program. The absence of a Local Regulation on postpartum and post abotion LAM family planning services in Jakarta, was caused by a lack of commitment from Program Managers and Implementers in prioritizing Postpartum and Post Abortion LAM Program in DKI Jakarta.""Therefore, a strong commitment from the government is needed to make the postpartum and post abortion LAM FP Program be a priority program in DKI Jakarta.";"This thesis discussed about the implementation of postpartum and post abortion""family planning programs in DKI Jakarta Province based on The Head of National Family Planning Board (BKKBN) Regulation Number : 146/2009, focusing on communications, resources and attitudes of Family Planning (FP) Program Managers and Implementers.""This study was a qualitative research with descriptive analytic study design.""The study found that the communication from the management level still has no programmed coordination. In addition, policy changes from Jampersal to National Health Insurance (JKN) greatly affected the commitment of the program managers. There were still a lot of midwives and doctors not trained yet so that the program can not be implemented optimally. In addition, public education submitted was not focused on Long Acting Methods (LAM) family planning program. The absence of a Local Regulation on postpartum and post abotion LAM family planning services in Jakarta, was caused by a lack of commitment from Program Managers and Implementers in prioritizing Postpartum and Post Abortion LAM Program in DKI Jakarta.""Therefore, a strong commitment from the government is needed to make the postpartum and post abortion LAM FP Program be a priority program in DKI Jakarta.", "This thesis discussed about the implementation of postpartum and post abortion""family planning programs in DKI Jakarta Province based on The Head of National Family Planning Board (BKKBN) Regulation Number : 146/2009, focusing on communications, resources and attitudes of Family Planning (FP) Program Managers and Implementers.""This study was a qualitative research with descriptive analytic study design.""The study found that the communication from the management level still has no programmed coordination. In addition, policy changes from Jampersal to National Health Insurance (JKN) greatly affected the commitment of the program managers. There were still a lot of midwives and doctors not trained yet so that the program can not be implemented optimally. In addition, public education submitted was not focused on Long Acting Methods (LAM) family planning program. The absence of a Local Regulation on postpartum and post abotion LAM family planning services in Jakarta, was caused by a lack of commitment from Program Managers and Implementers in prioritizing Postpartum and Post Abortion LAM Program in DKI Jakarta.""Therefore, a strong commitment from the government is needed to make the postpartum and post abortion LAM FP Program be a priority program in DKI Jakarta."]"

"Latar Belakang: Pemeriksaan volume urine kala III merupakan salah satu komponen dalam skor Suskhan guna memprediksi retensio urine pasca persalinan. Selama ini pemeriksaan dilakukan dengan kateter urine yang berhubungan dengan peningkatan risiko infeksi saluran kemih. Ultrasonografi (USG) Dietz merupakan alternatif metode pemeriksaan volume urine. Namun, belum terdapat perbandingan antara USG Dietz dan kateter dalam pemeriksaan volume urine kala III.Metode: Penelitian analitik korelasional dengan metode potong lintang dilakukan terhadap 30 orang ibu yang menjalani persalinan normal pervaginam di Rumah Sakit Cipto Mangunkusumo dan Rumah Sakit Umum Kota Tangerang pada Oktober 2020 hingga Desember 2021. Pasien dengan riwayat retensi urine atau memiliki indikasi pemasangan kateter kontinu dieksklusi dari penelitian. Pemeriksaan volume urine kala III dengan USG Dietz dilakukan dengan rumus volume = tinggi (cm) x lebar (cm) x 5,6. Pemasangan kateter urine dilakukan segera setelah pemeriksaan dengan USG Dietz.Hasil: Sebanyak 30 orang subjek mengikuti penelitian ini. Didapatkan korelasi sangat kuat antara hasil pemeriksaan USG Dietz dan kateter (r = 0,788, p < 0,001). Didapatkan korelasi terbaik pada kelompok subjek dengan volume urine < 50 cc (r = 0,842, p <0,001). Didapatkan selisih antar pemeriksaan yang tidak bermakna secara statistik (p =0,133).Kesimpulan: Hasil pemeriksaan volume urine kala III dengan USG Dietz memiliki korelasi positif kuat terhadap pemeriksaan dengan kateter urine.

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Background: Examination of the third stage of labor urine volume is one of vital components in the Suskhan score to predict postpartum urinary retention. So far, the examination is done with a urinary catheter, which is associated with increased risk of urinary tract infection. Ultrasonography (USG) Dietz is an alternative method of measuring urine volume. However, there is no comparison between Dietz ultrasound andcatheter in the third stage labor urine volume examination.

Methods: A cross-sectional correlational analytic study was conducted on 30 mothers who underwent normal vaginal delivery at Cipto Mangunkusumo Hospital and Tangerang City General Hospital from October 2020 to December 2021. Patients with a history of urinary retention or indications for continuous catheter insertion were excluded

from the study. study. Examination of the third stage of urine volume with USG Dietz was carried out with the formula volume = height (cm) x width (cm) x 5.6. Urinary catheter insertion was performed immediately after examination with Ultrasound Dietz.

Results: A total of 30 subjects participated in this study. There was a very strong correlation between the results of the Dietz ultrasound examination and the catheter (r =0.788, p < 0.001). The best correlation was found in the group of subjects with urine volume < 50 cc (r = 0.842, p < 0.001). The difference between examinations was not statistically significant (p = 0.133).

Conclusion: The results of the third stage labor urine volume examination with USG Dietz had a strong positive correlation with the examination with a urinary catheter."

"ABSTRAKInisiasi Menyusu Dini (IMD) merupakan salah satu langkah dalamSepuluh Langkah Menuju Keberhasilan Menyusui dalam program Rumah SakitSayang Ibu dan Bayi (RSSIB). Rumah sakit X telah dikenal sebagai rumah sakityang mendukung program IMD. Ketidakseragaman pelaksanaan IMDpascapersalinan caesar oleh dokter spesialis merupakan hal penting untukditangani oleh manajemen RS X sebagai RSSIB. Didapatkan data bahwakontribusi operasi caesar dalam tidak terlaksananya IMD di RS X terusmeningkat, yaitu dari 58% pada tahun 2010 meningkat menjadi 72% pada tahun2013. Oleh karena itu, analisis perilaku dokter spesialis pada pelaksanaan IMDpascapersalinan caesar perlu dilakukan karena dokter spesialis adalah penentukeputusan pelaksanaan IMD tersebut.Tujuan penelitian kualitatif ini untuk mengetahui faktor internal daneksternal yang mempengaruhi perilaku dokter spesialis pada pelaksanaan IMDpascapersalinan caesar di RS X. Pada penelitian ini digunakan modifikasi theoryof planned behaviour dan teori perilaku Gibson, Informan penelitian berjumlah 18informan yang ditentukan menggunakan prinsip adequacy dan appropriateness.Teknik analisis yang digunakan adalah dengan content analysis. Dari hasilanalisis dengan wawancara mendalam, observasi dan telaah dokumendisimpulkan bahwa norma subjektif dokter spesialis, kepemimpinan manajemendan sumber daya rumah sakit adalah yang paling mempengaruhi perilaku dokterspesialis. Perlu upaya untuk melakukan peninjauan lebih lanjut mengenai StandarProsedur Operasional IMD pascapersalinan caesar agar pelaksanaannya bisaberjalan dengan lebih baik, sehingga berdampak positif bagi kepuasan pasien danjuga kinerja dokter spesialis terkait pelaksanaan IMD ke depannya.

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ABSTRACTEarly Initiation of Breastfeeding (EIB) is one step in the Ten Steps toSuccesful Breastfeeding which is form the basis of The Mother-Baby FriendlyHospitals Initiative (MBFI). Hospital X has been known as a hospital thatsupports the EIB program. Variability from the implementation of EIB aftercesarean procedure by specialists is important to be handled by the hospitalmanagement as MBFI. The data obtained that the contribution of caesareanprocedure to the non-performance of EIB in X hospital continues to increase,from 58 % in 2010 increased to 72 % in 2013. Therefore, the analysis of thebehavior of specialists in the implementation of EIB after cesarean procedureneeds to be done because the specialists are the decision makers.The purpose of this qualitative study is to determine the internal andexternal factors that influence the behavior of specialists in the implementation ofEIB after caesarean procedure in X hospital. This study used a modified theory ofplanned behavior and the theory of behavior Gibson. Research informants were 18informants that determined using the principles of adequacy and appropriateness.The analysis technique used is the content analysis. From the analysis with indepthinterviews, observation and document review concluded that the subjectivenorm of specialists, leadership of hospital management and hospital resources areinfluencing the behavior of specialists. Hospital needs an effort to conduct furtherreview of the Standard Operating Procedures of the implementation of EIB, sothat there will be a positive impact on patient satisfaction and also on specialistsperformance related to the implementation of EIB."

"ABSTRAKLatar Belakang. Hubungan seks pasca persalinan juga dipengaruhi oleh faktor sosial, ekonomi dan budaya setempat. Hal ini juga dipengaruhi oleh pendidikan dan wilayah. Tujuan. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan dan wilayah terhadap periode kembali berhubungan seks pasca persalinan menurut regional di Indonesia tahun 2012. Metodologi. Analisis stratifikasi dengan data sekunder dari SDKI tahun 2012. Hasil analisis ditemukan adanya pengaruh pendidikan dan wilayah terhadap periode kembali berhubungan seks pasca persalinan di Sumatera, Kalimantan, Maluku dan Papua. Hasil. Ada variasi pengaruh pendidikan dan wilayah. Pada Sumatera dan Kalimantan, untuk pendidikan lebih rendah dari SMA dan di kota 1,3 kali lebih cepat kembali berhubungan seks dibandingkan yang di desa. Di Maluku, untuk pendidikan lebih tinggi dari SMA dan di desa 1,2 kali lebih cepat kembali berhubungan seks dibandingkan pendidikan lebih rendah dari SMA. Di Papua, untuk pendidikan lebih rendah dari SMA dan di kota, 3,1 kali lebih cepat kembali berhubungan seks dibandingkan yang di desa. Pendidikan lebih tinggi dari SMA dan di kota, 2,2 kali lebih cepat kembali berhubungan seks dibandingkan yang di desa. Pada yang tinggal di desa dan pendidikan lebih tinggi dari SMA, 1,5 kali lebih cepat kembali berhubungan seks dibandingkan pendidikan lebih rendah dari SMA. Simpulan. Ditemukan adanya variasi pengaruh pendidikan dan wilayah terhadap periode kembali berhubungan seks pasca persalinan di Sumatera, Kalimantan, Maluku dan Papua. Papua merupakan regional yang lebih lambat untuk kembali berhubungan seks pasca persalinan.

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ABSTRACTIntroduction. Sex resumption after childbirth was influenced by social, economic and culture factors, where the women live. It was influenced by education and residence. Objective. The study aims on explore the effects of woman’s education and residence on sex resumption after childbirth by region in Indonesia 2012 Method. Stratified analysis with secondary data of the Indonesia Demographic Health Survey (IDHS) 2012. The results shows the effects of woman’s education and residence on sex resumption after childbirth in Sumatera, Kalimantan, Maluku and Papua. Results. There are variation in the effects of education and residence. In Sumatera and Kalimantan, effect of higher education in urban area is 1.3 times faster on sex resumption than rural area. In Maluku, effect of living in rural area for higher education is 1.2 times faster on sex resumption than lower education. In Papua, effect of lower education in urban area is 3.1 times faster on sex resumption than rural area. The effect of higher education in urban area is 2.2 times faster on sex resumption than rural area. The effect of living in rural area for higher education is 1.5 times faster on sex resumption than lower education. Conclusion. There are variation in the effects of education and residence on sex resumption after childbirth in Sumatera, Kalimantan, Maluku dan Papua. Papua have the long abstinence after childbirth than other regions."

"Latar belakang: Perubahan fungsi seksual perempuan pascapersalinan berkisar 23% - 86% dan mempunyai dampak yang signifikan dalam keharmonisan keluarga. Berbagai studi dan penelitian tentang fungsi seksual perempuan pascapersalinan banyak dilakukan dengan hasil yang berbeda karena adanya perbedaan alat ukur, waktu pengukuran serta pengontrolan variabel perancu. Penelitian ini sebagai konfirmasi dari penelitian sebelumnya serta belum adanya data yang pasti terutama di Jakarta dan Indonesia umumnya. Tujuan: mengetahui perbandingan dorongan, bangkitan, orgasme, nyeri dan kepuasan fungsi seksual perempuan 3 bulan pascapersalinan spontan dengan seksio sesaria di Rumah Sakit Cipto Mangunkusumo Jakarta. Metode: Penelitian observasional, subyek kelompok persalinan spontan dan seksio sesaria, pengukuran fungsi seksualnya 3 bulan pascapersalinan menggunakan kuisioner Female Sexual Function Index (FSFI) desain penelitian cross sectional (potong lintang), pengambilan sampel consecutive sampling. Analisis komparatif katagorik tidak berpasangan dengan chi square atau uji fisher. Analisis variabel perancu dilakukan analisis multivariat regresi logistik. Hasil: Dari 150 responden 3 bulan pascapersalinan spontan dan seksio sesaria didapatkan 43,3% disfungsi seksual dengan 52 % spontan dan 34 % seksio sesaria. Analisa bivariat terjadinya disfungsi seksual 3 bulan pascapersalinan spontan 1,5 kali lebih besar (IK 95% 1,02-3,19) dibandingkan seksio sesaria. Gangguan hasrat/dorongan seksual 2 kali lebih besar (IK 95% 1,17-3,40) dibandingkan seksio sesaria, sedangkan gangguan orgasme 8 kali lebih besar (IK 95% 1,90-3,58) dengan variable perancu adanya robekan perineum. Gangguan bangkitan seksual, lubrikasi, kepuasan seksual dan nyeri tidak berbeda secara bermakna pada persalinan spontan dengan seksio sesaria. Analisa multivariat variabel persalinan spontan bermakna secara statistik untuk disfungsi seksual pasien 3 bulan pascapersalinan pada variabel disfungsi dorongan seksual dan pencapaian orgasme, dengan nilai p=0,008, RR 2,716 dan p=0,031 RR 6,952, sedangkan variabel usia lebih dari 30 tahun bermakna secara statistik pada disfungsi seksual pada variabel bangkitan seksual dengan p=0,021 dan RR 2,601. Kesimpulan: persalinan spontan bermakna secara statistik untuk terjadinya disfungsi seksual 3 bulan pascapersalinan, terutama variabel dorongan seksual dan tercapainya orgasme. Sedangkan variabel usia lebih dari 30 tahun merupakan variabel yang berpengaruh pada disfungsi seksual terutama pada variabel bangkitan seksual.

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Background: The alteration of postpartum sexual function on female is about 23%-86% and has a significant impact in a family?s tranquility. Many studies and research regarding postpartum sexual function on female were performed by various comparison variables such as Glasner, Barret, Thomson and Rochelle with different results because of the difference of measuring instruments, time of measurement and the control of confounding variables.

Objective: To know the comparison of encouragement, stimuli, orgasm, pain and satisfaction of female sexual function at 3 months post partum between spontaneous and cesarean section in Cipto Mangunkusumo National General Hospital in Jakarta.

Methods: This was an observational research involving subjects starting from identification of spontaneous and cesarean section group, and then their sexual function was measured at three months postpartum with Female Sexual Function Index (FSFI) questionnaire. The study design used was cross sectional with consecutive sampling. Analysis for non-paired of category comparative were chi square or fisher analysis. Analysis for confounding variables with multivariate logistic regression.

Results: From 75 respondents of spontaneous and Cesarean Section 43,3% have sexual dysfunction with 52% of spontaneous and 34% of cesarean section. Bivariate analysis of happening of sexual dysfunction at three months spontaneous was 1.5 times higher (IPK 95% 1,02-3,19) compared with cesarean section. Sexual encouragement shows a twice higher value (IPK 95% 1,17-3,40) compared to cesarean section. However, orgasm disturbance was 8 times higher (IPK 95% 1,90-3,58) with confounding variable of perineum rupture. Disturbance of sexual stimuli, satisfaction and pain were not significantly different between spontaneous and cesarean section. Multivariate analysis of vaginal labor was statistically significant for sexual dysfunction at three months postpartum in patient with sexual encouragement dysfunction and orgasm accession, with value of p=0,008, RR 2,716 and p=0,031 RR 6,952. However, more than 30 years old of age variable was statistically significant in sexual dysfunction variable with value of p=0,021 and RR=2,60.

Conclusion: Spontaneous labor is statistically significant for sexual dysfunction at three months postpartum, especially for sexual encouragement variable and orgasm accession. Meanwhile, the variables with the age of 30 years old or older."