Background: The cesarean delivery rate has been increasing all over the
world over the last few years. There is a change in mindset due to the change in
women’s role, let alone the perception stating that cesarean delivery can
decrease the risk of having pelvic floor dysfunction and maintain the sexual
functions. Therefore, women think that cesarean delivery is a good choice for
delivery, even it has no indications. This study aimed at analyzing and providing
quantitative data by comparing the dyspareunia based on FSFI scores between
cesarean section and vaginal delivery. Method: The systematic data
search was done in the Medical Database (PUBMED, Google Scholar,
Cochrane) and the archives of RSUD Dr. Soetomo. The inclusion criteria consisted
of (1) observational study with the following keywords “cesarean
section”, “cesarean delivery”, “vaginal birth”,
“vaginal delivery”, “dyspareunia”, “FSFI”, (2)
all included papers could be accessed completely, and the data that had been
obtained could be analyzed accurately. Result: Twelve observational
studies toward 2144 patients had been analyzed. The dyspareunia score after
3-month of delivery between cesarean section and vaginal delivery had a
Mean Difference (MD) of 0.18 and 95% CI of –0.19 to 0.54
(p-value of 0.35). The dyspareunia score after 6-month of delivery
between cesarean section and vaginal delivery had a Mean Difference (MD)
of 0.43 and 95% CI of –0.28 to 1.14 (p-value of 0.23). Meanwhile, the
dyspareunia score after 12-month of delivery between cesarean section and vaginal
delivery had a Mean Difference (MD) of 0.12 and 95% CI of –0.23 to
0.48 (p-value of 0.50). From those three forest plots, all diamonds were
tangent to the vertical line (no effect) and had a p
