Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives · 2009
Contact between mother, child and partner and attitudes towards breastfeeding in relation to mode of delivery.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Carlander Anna-Karin Klint, Edman Gunnar, Christensson Kyllike, Andolf Ellika, Wiklund Ingela
Аннотация
OBJECTIVE: To investigate contact between mothers and their newborn child and study if there are differences between those who requested an elective caesarean section compared to women who had a vaginal birth and those who underwent an elective caesarean section due to obstetrical indication. The psychometric properties of a scale that measure the contact between mother and child were also investigated.
DESIGN: A prospective cohort study.
SETTING: Danderyd Hospital, Stockholm, Sweden.
SAMPLE: 510 primiparas from three groups: women undergoing caesarean section on maternal request (n=96), women undergoing caesarean section on obstetrical indication (n=116) and women planning a vaginal delivery (n=198). The later were further divided into subgroups; women who underwent assisted vaginal delivery (n=35) and women who had an emergency caesarean section (n=65).
METHODS: The instrument used was the Alliance Scale.
MAIN OUTCOME MEASURE: The contact between mother and child in relation to mode of delivery.
RESULTS: The contact with the child was rated as positive on all occasions: there were no significant differences between the groups. The relation to the partner was rated as positive at all occasions. Mothers with a vaginal delivery experienced breastfeeding less stressful than the mothers with a caesarean delivery. Three and nine months after delivery the mothers with a caesarean delivery on request reported more breastfeeding problems than mothers in the other groups. Mothers with a vaginal delivery rated less sadness at every occasion.
CONCLUSION: Mode of delivery does not seem to affect how mothers experience their contact towards the newborn child.
DESIGN: A prospective cohort study.
SETTING: Danderyd Hospital, Stockholm, Sweden.
SAMPLE: 510 primiparas from three groups: women undergoing caesarean section on maternal request (n=96), women undergoing caesarean section on obstetrical indication (n=116) and women planning a vaginal delivery (n=198). The later were further divided into subgroups; women who underwent assisted vaginal delivery (n=35) and women who had an emergency caesarean section (n=65).
METHODS: The instrument used was the Alliance Scale.
MAIN OUTCOME MEASURE: The contact between mother and child in relation to mode of delivery.
RESULTS: The contact with the child was rated as positive on all occasions: there were no significant differences between the groups. The relation to the partner was rated as positive at all occasions. Mothers with a vaginal delivery experienced breastfeeding less stressful than the mothers with a caesarean delivery. Three and nine months after delivery the mothers with a caesarean delivery on request reported more breastfeeding problems than mothers in the other groups. Mothers with a vaginal delivery rated less sadness at every occasion.
CONCLUSION: Mode of delivery does not seem to affect how mothers experience their contact towards the newborn child.