New mothers’ feelings of disappointment and failure after cesarean delivery
Background Childbirth is an important life event and how women feel in retrospect about their first childbirth may have long‐term effects on the mother, child, and family. In this study, we investigated the association between mode of delivery at first childbirth and birth experience, using a new sc...
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| Veröffentlicht in: | Birth (Berkeley, Calif.) Calif.), 2018-03, Vol.45 (1), p.19-27 |
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| creator | Kjerulff, Kristen H. Brubaker, Laura H. |
| description | Background
Childbirth is an important life event and how women feel in retrospect about their first childbirth may have long‐term effects on the mother, child, and family. In this study, we investigated the association between mode of delivery at first childbirth and birth experience, using a new scale developed specifically to measure women's affective response.
Methods
This was a prospective cohort study of 3006 women who were interviewed during pregnancy and 1‐month postpartum. The First Baby Study Birth Experience Scale was used to measure the association between mode of delivery and women's postpartum feelings about their childbirth, taking into account relevant confounders, including maternal age, race, education, pregnancy intendedness, depression, social support, and maternal and newborn complications by way of linear and logistic regression models.
Results
Women who had unplanned cesarean delivery had the least positive feelings overall about their first childbirth, in comparison to those whose deliveries were spontaneous vaginal (P |
| doi_str_mv | 10.1111/birt.12315 |
| format | Article |
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Childbirth is an important life event and how women feel in retrospect about their first childbirth may have long‐term effects on the mother, child, and family. In this study, we investigated the association between mode of delivery at first childbirth and birth experience, using a new scale developed specifically to measure women's affective response.
Methods
This was a prospective cohort study of 3006 women who were interviewed during pregnancy and 1‐month postpartum. The First Baby Study Birth Experience Scale was used to measure the association between mode of delivery and women's postpartum feelings about their childbirth, taking into account relevant confounders, including maternal age, race, education, pregnancy intendedness, depression, social support, and maternal and newborn complications by way of linear and logistic regression models.
Results
Women who had unplanned cesarean delivery had the least positive feelings overall about their first childbirth, in comparison to those whose deliveries were spontaneous vaginal (P < .001), instrumental vaginal (P = .001), and planned cesarean (P < .001). In addition, those who delivered by unplanned cesarean were more likely to feel disappointed (adjusted odds ratio [OR] 6.21 [95% confidence interval (CI) 4.62‐8.35]) and like a failure (adjusted OR 5.09 [95% CI 3.65‐7.09]) in comparison to women who had spontaneous vaginal delivery; and less likely to feel extremely or quite a bit proud of themselves (adjusted OR 2.70 [95% CI 2.20‐3.30]).
Conclusions
Delivering by unplanned cesarean delivery adversely affects how women feel about their first childbirth in retrospect, and their self‐esteem.</description><identifier>ISSN: 0730-7659</identifier><identifier>EISSN: 1523-536X</identifier><identifier>DOI: 10.1111/birt.12315</identifier><identifier>PMID: 29052265</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Adult ; birth experience ; Birth experiences ; cesarean delivery ; Cesarean section ; Cesarean Section - psychology ; Childbirth & labor ; Cohort analysis ; Confidence intervals ; Demographics ; Disappointment ; Emotional responses ; Emotions ; Female ; Health risk assessment ; Humans ; Infants ; Life events ; Linear Models ; Logistic Models ; Long term ; Longitudinal Studies ; Maternal depression ; Mental depression ; Mental health ; Mothers ; Mothers - psychology ; Multivariate Analysis ; Natural Childbirth - psychology ; Postpartum depression ; Postpartum period ; Postpartum Period - psychology ; Postpartum women ; Pregnancy ; Prospective Studies ; Race ; Self Concept ; Self esteem ; Social support ; Womens health ; Young Adult</subject><ispartof>Birth (Berkeley, Calif.), 2018-03, Vol.45 (1), p.19-27</ispartof><rights>2017 Wiley Periodicals, Inc.</rights><rights>Copyright © 2018 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3935-5c9641e383f8e2e428f46ee841f86f22d8fb67afc1a00a50afd708450965840a3</citedby><cites>FETCH-LOGICAL-c3935-5c9641e383f8e2e428f46ee841f86f22d8fb67afc1a00a50afd708450965840a3</cites><orcidid>0000-0002-5376-2581</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fbirt.12315$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fbirt.12315$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29052265$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kjerulff, Kristen H.</creatorcontrib><creatorcontrib>Brubaker, Laura H.</creatorcontrib><title>New mothers’ feelings of disappointment and failure after cesarean delivery</title><title>Birth (Berkeley, Calif.)</title><addtitle>Birth</addtitle><description>Background
Childbirth is an important life event and how women feel in retrospect about their first childbirth may have long‐term effects on the mother, child, and family. In this study, we investigated the association between mode of delivery at first childbirth and birth experience, using a new scale developed specifically to measure women's affective response.
Methods
This was a prospective cohort study of 3006 women who were interviewed during pregnancy and 1‐month postpartum. The First Baby Study Birth Experience Scale was used to measure the association between mode of delivery and women's postpartum feelings about their childbirth, taking into account relevant confounders, including maternal age, race, education, pregnancy intendedness, depression, social support, and maternal and newborn complications by way of linear and logistic regression models.
Results
Women who had unplanned cesarean delivery had the least positive feelings overall about their first childbirth, in comparison to those whose deliveries were spontaneous vaginal (P < .001), instrumental vaginal (P = .001), and planned cesarean (P < .001). In addition, those who delivered by unplanned cesarean were more likely to feel disappointed (adjusted odds ratio [OR] 6.21 [95% confidence interval (CI) 4.62‐8.35]) and like a failure (adjusted OR 5.09 [95% CI 3.65‐7.09]) in comparison to women who had spontaneous vaginal delivery; and less likely to feel extremely or quite a bit proud of themselves (adjusted OR 2.70 [95% CI 2.20‐3.30]).
Conclusions
Delivering by unplanned cesarean delivery adversely affects how women feel about their first childbirth in retrospect, and their self‐esteem.</description><subject>Adolescent</subject><subject>Adult</subject><subject>birth experience</subject><subject>Birth experiences</subject><subject>cesarean delivery</subject><subject>Cesarean section</subject><subject>Cesarean Section - psychology</subject><subject>Childbirth & labor</subject><subject>Cohort analysis</subject><subject>Confidence intervals</subject><subject>Demographics</subject><subject>Disappointment</subject><subject>Emotional responses</subject><subject>Emotions</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Infants</subject><subject>Life events</subject><subject>Linear Models</subject><subject>Logistic Models</subject><subject>Long term</subject><subject>Longitudinal Studies</subject><subject>Maternal depression</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Mothers</subject><subject>Mothers - psychology</subject><subject>Multivariate Analysis</subject><subject>Natural Childbirth - psychology</subject><subject>Postpartum depression</subject><subject>Postpartum period</subject><subject>Postpartum Period - psychology</subject><subject>Postpartum women</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Race</subject><subject>Self Concept</subject><subject>Self esteem</subject><subject>Social support</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>0730-7659</issn><issn>1523-536X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kMlKxEAQQBtRdFwufoA0eBEhWr0mOergBi4gCt6anqRaI1nG7kSZm7_h7_klto568GBd6vLqUTxCNhnssTj7k8r3e4wLphbIiCkuEiX03SIZQSogSbXKV8hqCI8AkEqpl8kKz0FxrtWIXFziC226_gF9eH99ow6xrtr7QDtHyyrY6bSr2r7Btqe2LamzVT14pNb16GmBwXq0LS3j0TP62TpZcrYOuPG918jt8dHN-DQ5vzo5Gx-cJ4XIhUpUkWvJUGTCZchR8sxJjZhJ5jLtOC8zN9GpdQWzAFaBdWUKmVSQa5VJsGKN7My9U989DRh601ShwLq2LXZDMCxXEnQKLI_o9h_0sRt8G78zHIDHXDFcpHbnVOG7EDw6M_VVY_3MMDCfkc1nZPMVOcJb38ph0mD5i_5UjQCbAy9VjbN_VObw7PpmLv0Ay2eHCg</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Kjerulff, Kristen H.</creator><creator>Brubaker, Laura H.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5376-2581</orcidid></search><sort><creationdate>201803</creationdate><title>New mothers’ feelings of disappointment and failure after cesarean delivery</title><author>Kjerulff, Kristen H. ; Brubaker, Laura H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3935-5c9641e383f8e2e428f46ee841f86f22d8fb67afc1a00a50afd708450965840a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>birth experience</topic><topic>Birth experiences</topic><topic>cesarean delivery</topic><topic>Cesarean section</topic><topic>Cesarean Section - psychology</topic><topic>Childbirth & labor</topic><topic>Cohort analysis</topic><topic>Confidence intervals</topic><topic>Demographics</topic><topic>Disappointment</topic><topic>Emotional responses</topic><topic>Emotions</topic><topic>Female</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Infants</topic><topic>Life events</topic><topic>Linear Models</topic><topic>Logistic Models</topic><topic>Long term</topic><topic>Longitudinal Studies</topic><topic>Maternal depression</topic><topic>Mental depression</topic><topic>Mental health</topic><topic>Mothers</topic><topic>Mothers - psychology</topic><topic>Multivariate Analysis</topic><topic>Natural Childbirth - psychology</topic><topic>Postpartum depression</topic><topic>Postpartum period</topic><topic>Postpartum Period - psychology</topic><topic>Postpartum women</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><topic>Race</topic><topic>Self Concept</topic><topic>Self esteem</topic><topic>Social support</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kjerulff, Kristen H.</creatorcontrib><creatorcontrib>Brubaker, Laura H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Birth (Berkeley, Calif.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kjerulff, Kristen H.</au><au>Brubaker, Laura H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>New mothers’ feelings of disappointment and failure after cesarean delivery</atitle><jtitle>Birth (Berkeley, Calif.)</jtitle><addtitle>Birth</addtitle><date>2018-03</date><risdate>2018</risdate><volume>45</volume><issue>1</issue><spage>19</spage><epage>27</epage><pages>19-27</pages><issn>0730-7659</issn><eissn>1523-536X</eissn><abstract>Background
Childbirth is an important life event and how women feel in retrospect about their first childbirth may have long‐term effects on the mother, child, and family. In this study, we investigated the association between mode of delivery at first childbirth and birth experience, using a new scale developed specifically to measure women's affective response.
Methods
This was a prospective cohort study of 3006 women who were interviewed during pregnancy and 1‐month postpartum. The First Baby Study Birth Experience Scale was used to measure the association between mode of delivery and women's postpartum feelings about their childbirth, taking into account relevant confounders, including maternal age, race, education, pregnancy intendedness, depression, social support, and maternal and newborn complications by way of linear and logistic regression models.
Results
Women who had unplanned cesarean delivery had the least positive feelings overall about their first childbirth, in comparison to those whose deliveries were spontaneous vaginal (P < .001), instrumental vaginal (P = .001), and planned cesarean (P < .001). In addition, those who delivered by unplanned cesarean were more likely to feel disappointed (adjusted odds ratio [OR] 6.21 [95% confidence interval (CI) 4.62‐8.35]) and like a failure (adjusted OR 5.09 [95% CI 3.65‐7.09]) in comparison to women who had spontaneous vaginal delivery; and less likely to feel extremely or quite a bit proud of themselves (adjusted OR 2.70 [95% CI 2.20‐3.30]).
Conclusions
Delivering by unplanned cesarean delivery adversely affects how women feel about their first childbirth in retrospect, and their self‐esteem.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29052265</pmid><doi>10.1111/birt.12315</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5376-2581</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Birth (Berkeley, Calif.), 2018-03, Vol.45 (1), p.19-27 |
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| source | MEDLINE; Wiley Journals; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adolescent Adult birth experience Birth experiences cesarean delivery Cesarean section Cesarean Section - psychology Childbirth & labor Cohort analysis Confidence intervals Demographics Disappointment Emotional responses Emotions Female Health risk assessment Humans Infants Life events Linear Models Logistic Models Long term Longitudinal Studies Maternal depression Mental depression Mental health Mothers Mothers - psychology Multivariate Analysis Natural Childbirth - psychology Postpartum depression Postpartum period Postpartum Period - psychology Postpartum women Pregnancy Prospective Studies Race Self Concept Self esteem Social support Womens health Young Adult |
| title | New mothers’ feelings of disappointment and failure after cesarean delivery |
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