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The cesarean birth experience: implications for nursing

J S Marut, R T Mercer

    Birth Defects Original Article Series
    |January 1, 1981
    PubMed
    Summary
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    Emergency cesarean births led to less positive childbirth experiences for first-time mothers compared to vaginal births. Cesarean delivery was associated with feelings of weakness and reduced maternal confidence.

    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Child Health
    • Psychological Aspects of Childbirth

    Background:

    • Cesarean delivery is a common surgical procedure for childbirth.
    • Understanding maternal perceptions of childbirth experiences is crucial for postpartum care and support.
    • Previous research has explored various factors influencing childbirth satisfaction, but nuanced qualitative data on cesarean experiences is still developing.

    Purpose of the Study:

    • To compare the childbirth experience perceptions of primiparas undergoing emergency cesarean delivery versus vaginal birth.
    • To identify specific ways in which cesarean delivery impacts a woman's perception of her childbirth experience.
    • To explore the psychological and emotional impact of cesarean birth on maternal self-esteem and early mothering behaviors.

    Main Methods:

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    • A comparative field study employing both quantitative (29-item questionnaire) and qualitative data collection.
    • Participants included 20 primiparas with emergency cesarean births and 30 primiparas with vaginal births.
    • Data were collected within 48 hours postpartum to capture immediate perceptions.

    Main Results:

    • Emergency cesarean birth was associated with significantly less positive perceptions compared to vaginal birth (p < .01).
    • Women with cesarean deliveries were significantly less likely to have named their infants (p < .005).
    • Cesarean births under general anesthesia resulted in less positive perceptions than those under regional anesthesia (p < .05).

    Conclusions:

    • Cesarean delivery can negatively impact maternal self-esteem, potentially linked to unfulfilled expectations and loss of control.
    • Women experiencing cesarean births may perceive weakness and a sense of failure, affecting their early maternal bonding and energy for mothering.
    • Further research is recommended, particularly regarding the role of support persons during cesarean surgery.