Comparative Study on Well-Being (Feel-Good) in Natural Childbirth and Cesarean Section

Document Type : Original Article (s)

Authors

1 Professor, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Student of Medicine, School of Medicine AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

3 Resident, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: The importance of the topic well-being in modern psychology and science regarding the importance of mental health of postpartum mothers and its effect on family health and on the mental health of children and the community is proven. The mother’s satisfaction after delivery has an important effect on the next selection of method of delivery for herself and her family, too. This study aimed to determine the impact of method of delivery on the feeling of well-being.Methods: In a prospective cohort study, 100 pregnant women candidates for natural childbirth and 100 pregnant woman candidates for caesarian section were interviewed before and after delivery using well-being standardized questionnaire. The influence of the method of delivery and pregnancy and related variables on the feeling of well-being after childbirth was investigated.Findings: Before the delivery, the mean score of well-being was 65.40 ± 17.88 and 66.24 ± 14.86 in cesarean section and natural childbirth groups, respectively; after the delivery, the mean score was 63.11 ± 26.82 and 64.52 ± 22.24 in the groups, respectively. There were no significant differences between the two groups before and after the delivery. Based on linear regression test, to predict the amount of well-being after childbirth, history of child death and the amount of well-being before the delivery were the only variables that prophesied the amount of well-being after the childbirth; other variables including age, sex, unwanted pregnancy, baby ranks, history of ectopic pregnancy, history of miscarriage and the number of the children were alive and were not  score predictions.Conclusion: According to the results, type of the delivery has no significant influence on the feeling of well-being after childbirth. History of child death and amount of well-being before the delivery are the only variables that prophecies the amount of well-being after childbirth.

Keywords

References

  1. Sadock BJ, Sadock VA. Kaplan and Sadock's concise textbook of clinical psychiatry. Philadelphia, PA: Lippincott Williams and Wilkins; 2008. p. 406-7.
  2. Spinelli MG. Antepartum and postpartum depression. J Gend Specif Med 1998; 1(2): 33-6.
  3. Cunningham F, Leveno K, Bloom S, Hauth J, Rouse D, Spong C. Williams obstetrics. 23th ed. New York, NY: McGraw Hill Professional, 2009. p. 655-6, 1176.
  4. Morris-Rush JK, Freda MC, Bernstein PS. Screening for postpartum depression in an inner-city population. Am J Obstet Gynecol 2003; 188(5): 1217-9.
  5. O'Hara MW, Schlechte JA, Lewis DA, Wright EJ. Prospective study of postpartum blues. Biologic and psychosocial factors. Arch Gen Psychiatry 1991; 48(9): 801-6.
  6. Llewellyn AM, Stowe ZN, Nemeroff CB. Depression during pregnancy and the puerperium. J Clin Psychiatry 1997; 58(Suppl 15): 26-32.
  7. Gitlin MJ, Pasnau RO. Psychiatric syndromes linked to reproductive function in women: a review of current knowledge. Am J Psychiatry 1989; 146(11): 1413-22.
  8. Gale S, Harlow BL. Postpartum mood disorders: a review of clinical and epidemiological factors. J Psychosom Obstet Gynaecol 2003; 24(4): 257-66.
  9. Pariser SF, Nasrallah HA, Gardner DK. Postpartum mood disorders: clinical perspectives. J Womens Health 1997; 6(4): 421-34.
  10. Rowlands IJ, Redshaw M. Mode of birth and women's psychological and physical wellbeing in the postnatal period. BMC Pregnancy and Childbirth 2012; 12: 138.
  11. Farajzadegan Z, Koosha P, Sufi GJ, Keshvari M. The relationship between family function and women's well-being. Iran J Nurs Midwifery Res 2013; 18(1): 9-13.
  12. Gheissari A, Farajzadegan Z, Heidary M, Salehi F, Masaeli A, Mazrooei A, et al. Validation of Persian version of PedsQL™ 4.0™ generic core scales in toddlers and children. Int J Prev Med 2012; 3(5): 341-50.
  13. DiMatteo MR, Morton SC, Lepper HS, Damush TM, Carney MF, Pearson M, et al. Cesarean childbirth and psychosocial outcomes: a meta-analysis. Health Psychol 1996; 15(4): 303-14.
  14. Hannah ME, Hannah WJ, Hewson SA, Hodnett ED, Saigal S, Willan AR. Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial. Term Breech Trial Collaborative Group. Lancet 2000; 356(9239): 1375-83.
  15. Porter M, van Teijlingen E, Chi Ying YL, Bhattacharya S. Satisfaction with cesarean section: qualitative analysis of open-ended questions in a large postal survey. Birth 2007; 34(2): 148-54.
Journal of Isfahan Medical School
Volume 33, Issue 330 - Serial Number 330
March and April 2015
Pages 495-504

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History

  • Receive Date: 17 July 2014
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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