Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Am J Perinatol. 2024 Jan;41(1):106-109. doi: 10.1055/a-1877-6138. Epub 2022 Jun 16.
The experience of an unplanned cesarean birth may be a risk factor for mood disorders and other challenges in the postpartum period, yet qualitative data on the patient experience are limited. We sought to understand individuals' experiences of having an unplanned cesarean birth.
This was a secondary analysis of a prospective qualitative investigation among low-income postpartum individuals at a single-, tertiary-care center in which the primary aim was to evaluate patients' postpartum pain experience after a cesarean birth. Participants completed a 60-minute face-to-face interview on postpartum days 2 to 3. Only participants who labored prior to their cesarean birth were included in this analysis. Transcripts were analyzed by two separate authors using the constant comparative method. Themes are illustrated using direct quotes.
A total of 22 individuals were included in this analysis; the majority (=16, 72.7%) experienced a primary cesarean birth. Over half (=12, 54.5%) identified as Hispanic and one-third (=7, 31.8%) identified as non-Hispanic Black race and ethnicity. Four themes regarding the experience of a cesarean birth after labor were identified, including feelings of anguish, belief that vaginal birth is "normal," poor experiences with care teams, and feelings of self-efficacy. Subthemes were identified and outlined.
In this cohort, individuals who experienced an unplanned cesarean birth after labor expressed feelings of self-blame, failure, and mistrust. Given the association of unplanned cesarean birth with mood disorders in the postpartum period, efforts to enhance communication and support may offer a means of improving individual experiences.
· In this cohort, many individuals expressed negative feelings after an unplanned cesarean birth.. · Conversely, positive themes related to feelings of self-efficacy were identified.. · Efforts to enhance communication and support after an unplanned cesarean birth are warranted..
非计划性剖宫产分娩的经历可能是产后情绪障碍和其他挑战的一个风险因素，但有关患者体验的定性数据有限。我们旨在了解个体非计划性剖宫产分娩的经历。
这是一项针对单一三级保健中心的低收入产后个体的前瞻性定性研究的二次分析，主要目的是评估剖宫产产后患者的产后疼痛体验。参与者在剖宫产产后第 2 至 3 天完成了 60 分钟的面对面访谈。仅纳入在剖宫产前有过产程的参与者进行本分析。两名独立作者使用恒定性比较方法对转录本进行分析。使用直接引语说明主题。
共有 22 名个体纳入本分析，其中大多数（16 名，72.7%）经历过初次剖宫产。超过一半（12 名，54.5%）自认为是西班牙裔，三分之一（7 名，31.8%）是非西班牙裔黑人种族和民族。在经历了产程后的剖宫产分娩方面，确定了四个主题，包括痛苦的感觉、相信阴道分娩是“正常的”、对医护团队的体验不佳，以及自我效能感。确定并概述了子主题。
在这个队列中，经历过产程后的非计划性剖宫产分娩的个体表达了自责、失败和不信任的感觉。鉴于非计划性剖宫产分娩与产后情绪障碍有关，因此努力加强沟通和支持可能是改善个体体验的一种手段。
· 在这个队列中，许多个体在经历了非计划性剖宫产分娩后表达了负面情绪。· 相反，确定了与自我效能感相关的积极主题。· 有必要在非计划性剖宫产分娩后加强沟通和支持。
