Epiziotomijski poseg in ženska spolna funkcija : diplomsko delo

Rebernik, Marija (avtor), Starc, Andrej (mentor), Gošnak Dahmane, Raja (komentor), Boc, Anja (recenzent)

Uvod: Spolnost po porodu predstavlja pomemben, a pogosto prezrt vidik ženskega zdravja. Med porodom lahko pride do poškodb presredka, med njimi tudi epiziotomije, kar lahko vpliva na telesno in čustveno doživljanje spolnosti. Namen: Namen diplomske naloge je bil preučiti, kako epiziotomijska rana po porodu vpliva na žensko spolnost, predvsem na spolno zadovoljstvo, prisotnost bolečine med spolnim odnosom, zmožnost doseganja orgazma ter psihološke vidike spolnega doživljanja. Metode dela: Diplomsko delo obsega teoretični in empirični del. V teoretičnem delu je bil izveden sistematični pregled strokovne in znanstvene literature. Empirični del temelji na kvantitativni raziskavi, izvedeni s spletnim anketnim vprašalnikom, ki ga je izpolnilo 1609 žensk. Zbrane podatke smo analizirali z enosmerno analizo variance (ANOVA) ter s Pearsonovim korelacijskim koeficientom. Rezultati: Več kot polovica anketiranih žensk je med porodom imela epiziotomijo, ki je bila povezana s pogostejšo bolečino med ali po spolnem odnosu ter zmanjšanim spolnim užitkom. Porod pomembno vpliva na spolno funkcijo, pri čemer so ključne poškodbe presredka in epiziotomija, ki lahko podaljšata celjenje in povečata tveganje za disparevnijo. Na spolnost po porodu vplivajo tudi psihološki dejavniki, kot so psihična izčrpanost, strah in znižana samozavest. Razprava in zaključek: Epiziotomija je pogostejša pri starejših in višje izobraženih ženskah, manjše poškodbe pa pri mnogorodnicah, vendar na tveganje vplivajo tudi individualne anatomske značilnosti in porodna obravnava. Vaginalni porod prinaša tako telesne kot čustvene spremembe; orgazmična funkcija ostaja pri večini žensk ohranjena, a se pojavijo bolečina, suhost nožnice in slabša vzdraženost, medtem ko carski rez ne preprečuje drugih spolnih težav. Spolno zadovoljstvo po porodu je tesno povezano s partnersko dinamiko, čustveno bližino in psihološko stabilnostjo, kar poudarja potrebo po celostni in individualizirani poporodni obravnavi.

• Jezik: Slovenski jezik
• Ključne besede: diplomska dela, babištvo, epiziotomija, ženska spolnost, poporodno obdobje, orgazem, disparevnija, psihološki dejavniki
• Vrsta gradiva: Diplomsko delo/naloga
• Tipologija: 2.11 - Diplomsko delo
• Organizacija: ZF - Zdravstvena fakulteta
• Kraj izida: Ljubljana
• Založnik: [M. Rebernik]
• Leto izida: 2026
• Št. strani: X, 71 str., [8] str. pril.
• PID: 20.500.12556/RUL-182527
• UDK: 618.2/.7
• COBISS.SI-ID: 278228995
• Datum objave v RUL: 15.05.2026

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: Episiotomy procedure and female sexual function : diploma work

Izvleček

Introduction: Postpartum sexuality represents an important yet often overlooked aspect of women’s health. Childbirth can lead to perineal injuries, including episiotomy, which may affect both the physical and emotional experience of sexuality. Purpose: The purpose of this thesis was to examine how an episiotomy wound after childbirth influences women’s sexuality, particularly sexual satisfaction, the presence of pain, the ability to achieve orgasm, and the psychological aspects of sexual experience. Methods The thesis consists of a theoretical and an empirical part. The theoretical section includes a systematic review of professional and scientific literature. The empirical part is based on a quantitative study conducted through an online questionnaire, completed by 1609 women. The collected data were analysed using one-way analysis of variance (ANOVA) and Pearson’s correlation coefficient. Results: More than half of the surveyed women underwent an episiotomy during childbirth, which was associated with more frequent pain during or after sexual intercourse and reduced sexual pleasure. Childbirth significantly affects sexual function, with perineal injuries and episiotomy playing a key role, as they can prolong healing and increase the risk of dyspareunia. Psychological factors, such as mental exhaustion, fear, and reduced self-confidence, also influence sexuality after childbirth. Discussion and conclusion: Episiotomy is more common in older and higher-educated women, while minor perineal injuries are more frequent in multiparous women, with individual anatomical characteristics and obstetric management also influencing the risk. Vaginal delivery brings both physical and emotional changes; orgasmic function remains preserved in most women, but pain, vaginal dryness, and reduced arousal may occur, whereas cesarean section does not prevent other sexual difficulties. Sexual satisfaction after childbirth is closely linked to partner dynamics, emotional intimacy, and psychological stability, highlighting the need for comprehensive and individualized postpartum care.

• Ključne besede: diploma theses, midwifery, episiotomy, female sexuality, postpartum period, orgasm, dyspareunia, psychological factors