Cesarean Birth Outside the Natural Childbirth Culture

Sandelowski, Margarete; Bustamante, Rosa

doi:10.1002/nur.4770090203

Cited by 18 publications

(4 citation statements)

References 20 publications

(17 reference statements)

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“…McClain (1990) found that ethnic minority women, including English‐speaking Blacks, Latinas, Asians and Palestinians who had lived in the United States at least five years, had a more positive view of their past caesarean birth experiences than did White counterparts and more ethnic minority women chose elective repeat caesarean deliveries over a trial of labour than did White women. These findings are consistent with findings of more positive reactions to caesarean birth among Black women (Sandelowski & Bustamante 1986) and women of Mexican origin (Cummins et al. 1988) than among White women.…”

Section: Introductionsupporting

confidence: 89%

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

Weiss

Fawcett

Aber

2009

Journal of Clinical Nursing

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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.

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Section: Introductionsupporting

confidence: 89%

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

Weiss

Fawcett

Aber

2009

Journal of Clinical Nursing

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“…This finding recalls a qualitative study one of us conducted of women's experiences of unplanned cesarean birth (Sandelowski & Bustamante, 1986), in which women were asked to sum up their narrative evaluations of this experience from 0 = bad to 10 = good. In this study, no one rated it as 0, even women who had just finished telling highly negative stories about their birth experiences.…”

Section: The Vagaries Of Countingmentioning

confidence: 64%

On Quantitizing

Sandelowski

Voils

Knafl

2009

Journal of Mixed Methods Research

Self Cite

526

452

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Quantitizing, commonly understood to refer to the numerical translation, transformation, or conversion of qualitative data, has become a staple of mixed methods research. Typically glossed are the foundational assumptions, judgments, and compromises involved in converting disparate data sets into each other and whether such conversions advance inquiry. Among these assumptions are that qualitative and quantitative data constitute two kinds of data, that quantitizing constitutes a unidirectional process essentially different from qualitizing, and that counting is an unambiguous process. Among the judgments are deciding what and how to count. Among the compromises are balancing numerical precision with narrative complexity. The standpoints of “conditional complementarity,” “critical remediation,” and “analytic alternation” clarify the added value of converting qualitative data into quantitative form.

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“…Birth rates vary from country to country and the method of delivering children is highly influenced by socio-demographic characteristics, education attainment of the mother, cultural traditions as well as the proper access to health infrastructure (Sandelowski & Bustamante, 1986;Chong & Mongelli, 2003;Fawcett, Pollio, & Tully, 1992;McCourt et al, 2007;Hou et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

A Retrospective Study of Maternal and Neonatal Outcomes Following Conventional and Water Birth in Ecuador

Rosales¹,

Ortíz-Prado²,

Alarcón³

et al. 2016

GJHS

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Objectives: Demonstrate maternal and neonatal complications reported in women giving birth in water birth compared to those conventional land births. Methods:An observational retrospective analysis of the incidence of maternal and neonatal outcomes among 358 women who deliver their newborns throughout conventional vaginal delivery and 308 women giving birth in water during 2013 in Quito, Ecuador. Maternal Age, Educational attainment, Neonatal weight, height, APGAR scores, vaginal tearing and the need to resuscitate a newborn were the variables matched for both groups.Results: Among 308 women who were scheduled to deliver their newborns in water, 73% successfully culminate in water vaginal births while 26 % required a C-section. Among the conventional birth group, only 47% ended their pregnancy vaginally as planned and 53% required a C-section.The use of oxytocin (RR: 12.9 CI 7.9 to 20.9 p<0.0001) and intentional episiotomy (RR: 13.9 CI 5.1 to 37.9 p<0.0001) are much higher among conventional birth, however, the risk to have a vaginal tearing during water labor is 3 times higher than conventional birth (RR: 2.9 CI 2.12 to 4.2 p<0.0001). In the conventional delivery cohort 3 neonatal deaths were reported while water birth no deaths reported, however, no causality of these deaths was explored due to the absence of information. Conclusions:We conclude that water birth is an effective method to deliver children as long as there is an adequate understanding of the risk and benefits of this procedure. Planning a water delivery seems to reduce the risk of using prophylactic uterotonic medication, prophylactic episiotomies and to perform unplanned C-sections. Due to higher incidence of vaginal tears, strict perianal protection during the third stage of labor is recommended.

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Cesarean Birth Outside the Natural Childbirth Culture

Cited by 18 publications

References 20 publications

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

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

On Quantitizing

A Retrospective Study of Maternal and Neonatal Outcomes Following Conventional and Water Birth in Ecuador

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