Major Concerns of Women After Cesarean Delivery

Miovech, Susan; Knapp, Helen; Borucki, Lynne C.; Roncoli, Marianne; Arnold, Lauren D.; Brooten, Dorothy

doi:10.1111/j.1552-6909.1994.tb01850.x

Cited by 17 publications

(10 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…At six weeks postpartum, women continued to report positive adaptation responses, including relatively high self-esteem, nearly full functional status, positive feelings about the baby, and positive changes in marital relationship quality. Miovech et al (1994) identified physiologic concerns at two weeks postpartum, including pain, incision problems, activity intolerance, fatigue, gastrointestinal disturbances and breast and nipple problems, which decreased by eight weeks postpartum. The women also reported psychological concerns about changes in activity, mood, family interactions, body image, child care arrangements, healing, fatigue, finances and work or school, which diminished slightly between 2-8 weeks postpartum.…”

Section: Adaptation To Caesarean Birthmentioning

confidence: 99%

“…The focus of nursing interventions in the postpartum period should be maintenance and promotion of care continuity, access to teaching and counselling and monitoring for early detection and treatment for problems (Brooten 1995). Research-based recommendations for nursing interventions to improve responses to caesarean birth include comprehensive antenatal preparation (Fawcett & Burritt 1985), changes in hospital policies to support partner participation and sustained contact with the neonate (Reichert et al 1993) and discharge planning, education and extended home follow-up through the first 2-3 months postpartum (Miovech et al 1994). Burns-Vandenburg and Jones (1999) retrospectively examined nursing interventions identified by student nurses during postpartum home visits, using the Omaha System Intervention Scheme.…”

Section: Interventions For Caesarean-delivered Womenmentioning

confidence: 99%

“…Research‐based recommendations for nursing interventions to improve responses to caesarean birth include comprehensive antenatal preparation (Fawcett & Burritt 1985), changes in hospital policies to support partner participation and sustained contact with the neonate (Reichert et al. 1993) and discharge planning, education and extended home follow‐up through the first 2–3 months postpartum (Miovech et al. 1994).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Adaptation, postpartum concerns, and learning needs in the first two weeks after caesarean birth

Weiss

Fawcett

Aber

2009

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims. The purpose of this Roy Adaptation Model-based study was to describe women's physical, emotional, functional and social adaptation; postpartum concerns; and learning needs during the first two weeks following caesarean birth and identify relevant nursing interventions. Background. Studies of caesarean-delivered women indicated a trend toward normalisation of the caesarean birth experience. Escalating caesarean birth rates mandate continued study of contemporary caesarean-delivered women. Design. Mixed methods (qualitative and quantitative) descriptive research design. Methods. Nursing students collected data from 233 culturally diverse caesarean-delivered women in urban areas of the Midwestern and Northeastern USA between 2002-2004. The focal stimulus was the planned or unplanned caesarean birth; contextual stimuli were cultural identity and parity. Adaptation was measured by open-ended interview questions, fixed choice questionnaires about postpartum concerns and learning needs and nurse assessment of post-discharge problems. Potential interventions were identified using the Omaha System Intervention Scheme. Results. More positive than negative responses were reported for functional and social adaptation than for physical and emotional adaptation. Women with unplanned caesarean births and primiparous women reported less favourable adaptation than planned caesarean mothers and multiparas. Black women reported lower social adaptation, Hispanic women had more role function concerns and Black and Hispanic women had more learning needs than White women. Post-discharge nursing assessments revealed that actual problems accounted for 40% of identified actual or potential problems or needs. Health teaching was the most commonly recommended postpartum intervention strategy followed by case management, treatment and surveillance interventions. Conclusions. Caesarean-delivered women continue to experience some problems with adapting to childbirth. Recommended intervention strategies reflect the importance of health teaching following hospital discharge. Relevance to clinical practice. Women who experience caesarean birth require comprehensive assessment during the early postpartum period. Nurses should devise strategies to continue care services for these women following hospital discharge.

show abstract

Section: Adaptation To Caesarean Birthmentioning

confidence: 99%

Section: Interventions For Caesarean-delivered Womenmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adaptation, postpartum concerns, and learning needs in the first two weeks after caesarean birth

Weiss

Fawcett

Aber

2009

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…19 Seventeen percent reported difficulties with normal activities such as getting out of bed, walking, bending, lifting, and tending the infant at 2 weeks, and 9% continued to experience problems at 8 weeks. • 1% to 6% required a transfusion.…”

Section: Maternal Mortality and Short-term Morbiditymentioning

confidence: 99%

The Case Against Elective Cesarean Section

Goer¹

2001

The Journal of Perinatal & Neonatal Nursing

View full text Add to dashboard Cite

Prominent American and British obstetricians have been advocating for performing more Cesareans. They argue that Cesarean section is as safe or nearly as safe as vaginal birth, eliminates pelvic floor damage and the consequent symptoms caused by vaginal birth, is safer for the infant, and is desired by many women; however, abundant evidence in the medical literature refutes the validity of those claims.

show abstract

“…Distress and depression after caesarean section are common, even when a woman has consented to, or even welcomed, the surgery 1 2 3 4. It is painful to contemplate what an enforced caesarean section would be like, particularly for a woman with paranoid schizophrenia.…”

Section: Commentarymentioning

confidence: 99%