[Cesarean section and spontaneous birth: clinical aspects and maternal psychodynamic impact]

Cesarean delivery was considered a medical saving-operation for a very long time. Few editorials focus on psychological results of cesarean deliver in respect of the mother, the relationship mother-newborn, the Hospital, and family environment. The authors examined psychodynamic effects of cesarean and vaginally deliver puerperas, comparing different experiences of attainment of maternity. An interview was administered to 39 cesarean and 41 vaginally delivered mothers, 4-6 days after birth. All these women were primiparas and similar for social abd educational level, marital status, employment rate, age and gestational age of the birth. Women with malformed babies and obstetric pathologies were excluded. After elaborating these data we can understand that there are many factors interfering with maternal gratification in the era of cesarean delivery. Results underline the main consequences of surgical delivery, focus on the privation of creative onnipotence of vaginally birth. This is reflected on quality of the first contact with the newborn. Therefore, for the medical staff, it is important to reduce the troubles caused by the anaesthesia, the lack of "the first contact" mother-newborn, taking care about puerperas" psychosomatic problems.