Ciolli P, Caserta D, Giordanelli E, Russo R
I Istituto di Clinica Ostetrica e Ginecologica, Università degli studi di Roma La Sapienza.
Minerva Ginecol. 1995 Jun;47(6):263-7.
Cesarean delivery was considered a medical saving-operation for a very long time. Few editorials focus on psychological results of cesarean deliver in respect of the mother, the relationship mother-newborn, the Hospital, and family environment. The authors examined psychodynamic effects of cesarean and vaginally deliver puerperas, comparing different experiences of attainment of maternity. An interview was administered to 39 cesarean and 41 vaginally delivered mothers, 4-6 days after birth. All these women were primiparas and similar for social abd educational level, marital status, employment rate, age and gestational age of the birth. Women with malformed babies and obstetric pathologies were excluded. After elaborating these data we can understand that there are many factors interfering with maternal gratification in the era of cesarean delivery. Results underline the main consequences of surgical delivery, focus on the privation of creative onnipotence of vaginally birth. This is reflected on quality of the first contact with the newborn. Therefore, for the medical staff, it is important to reduce the troubles caused by the anaesthesia, the lack of "the first contact" mother-newborn, taking care about puerperas" psychosomatic problems.
很长一段时间以来，剖宫产都被视为一种医疗救助手术。很少有社论关注剖宫产对于母亲、母婴关系、医院及家庭环境的心理影响。作者研究了剖宫产和顺产产妇的心理动力学效应，比较了不同的生育体验。在产后4至6天，对39名剖宫产产妇和41名顺产产妇进行了访谈。所有这些女性均为初产妇，在社会和教育水平、婚姻状况、就业率、年龄及分娩孕周方面相似。患有畸形婴儿和产科疾病的女性被排除在外。在对这些数据进行分析后我们可以了解到，在剖宫产时代，有许多因素会干扰母亲的满足感。结果强调了手术分娩的主要后果，聚焦于顺产所带来的创造性全能感的缺失。这反映在与新生儿的首次接触质量上。因此，对于医护人员来说，减少麻醉带来的困扰、母婴“首次接触”的缺失，并关注产妇的身心问题非常重要。
