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Changes in attitudes toward cesarean birth

J A Reichert1, M Baron, J Fawcett

  • 1Pennsylvania Hospital, Philadelphia.

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|March 1, 1993
PubMed
Summary
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Women experience happiness and disappointment with cesarean births. Unplanned cesarean births and general anesthesia correlate with fewer adaptive responses, highlighting the need for sensitive maternal care.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Psychological Responses to Childbirth

Background:

  • Cesarean birth is a common delivery method with significant psychological impact on mothers.
  • Understanding women's emotional and adaptive responses to cesarean birth is crucial for improving postpartum care.

Purpose of the Study:

  • To compare women's responses to planned versus unplanned cesarean births across three distinct study periods.
  • To analyze the impact of anesthesia type on maternal adaptation to cesarean delivery.

Main Methods:

  • A descriptive study analyzing qualitative data from open-ended questionnaires.
  • Three cohorts of women (N=212) who underwent cesarean delivery between 1973 and 1990.
  • Data collected via mailed questionnaires post-cesarean delivery.

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Main Results:

  • Dominant responses included joy over the newborn alongside disappointment regarding the cesarean procedure.
  • Women in earlier studies (1973-1980) showed significantly more ineffective responses compared to later cohorts.
  • Unplanned cesarean births and general anesthesia were associated with lower adaptive and higher ineffective responses.

Conclusions:

  • Cesarean birth necessitates ongoing, sensitive care addressing women's needs for information, partner support, and newborn contact.
  • Findings indicate evolving maternal adaptation to cesarean birth over time, potentially influenced by changing obstetric practices.
  • Optimizing care for cesarean births requires acknowledging the emotional complexities and specific needs of mothers.