Cesarean Delivery on Maternal Request

Visco, Anthony G.; Viswanathan, Meera; Lohr, Kathleen N; Wechter, Mary Ellen; Gartlehner, Gerald; Wu, Jennifer M.; Palmieri, Rachel T.; Funk, Michele Jönsson; Lux, Linda J; Swinson, Tammeka; Hartmann, Katherine E.

doi:10.1097/01.aog.0000241092.79282.87

Cited by 123 publications

(32 citation statements)

References 55 publications

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“…23-26 Almost no data are available to indicate whether parturition influences sexual activity or function in women more than two years postpartum, 24-26 leading consensus panels to call for more high-quality research on this issue. 27,28 …”

Section: Introductionmentioning

confidence: 99%

Childbirth and Female Sexual Function Later in Life

Fehniger

Brown

Creasman

et al. 2013

Obstetrics &Amp; Gynecology

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Objective To examine relationships between parity, mode of delivery, and other parturition-related factors with women's sexual function later in life. Methods Self-administered questionnaires examined sexual desire, activity, satisfaction, and problems in a multiethnic cohort of women aged 40 years and older with at least one past childbirth event. Trained abstractors obtained information on parity, mode of delivery, and other parturition-related factors from archived records. Multivariable regression models examined associations with sexual function, controlling for age, race or ethnicity, partner status, diabetes, and general health. Results Among 1,094 participants, mean (±SD) age was 56.3 (±8.7) years, 568 (43%) were racial or ethnic minorities (214 Black, 171 Asian, and 183 Latina), and 963 (88%) were multiparous. Fifty-six percent (n=601) reported low sexual desire ; 53% (n=577) reported less than monthly sexual activity, and 43% (n=399) reported low overall sexual satisfaction. Greater parity was not associated with increased risk of reporting low sexual desire (adjusted odds ratio [AOR]=1.08, CI=0.96-1.21 per each birth), less than monthly sexual activity (AOR=1.05, CI=0.93-1.20 per each birth), or low sexual satisfaction (AOR=0.96, CI=0.85-1.09 per each birth). Compared to vaginal delivery alone, women with a history of cesarean delivery were not significantly more likely to report low desire (AOR=0.71, CI=0.34-1.47), less than monthly sexual activity (AOR=1.03, CI=0.46-2.32), or low sexual satisfaction (AOR=0.57, CI=0.26-1.22). Women with a history of operative-assisted delivery were more likely to report low desire (AOR=1.38, CI=1.04-1.83). Conclusions Among women with at least one childbirth event, parity and mode of delivery are not major determinants of sexual desire, activity, or satisfaction later in life.

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Section: Introductionmentioning

confidence: 99%

Childbirth and Female Sexual Function Later in Life

Fehniger

Brown

Creasman

et al. 2013

Obstetrics &Amp; Gynecology

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“…The relationship of parity to adaptation to caesarean birth has not been well articulated primarily because of confounding of type of caesarean birth (planned/unplanned) with parity. Most researchers differentiate responses to planned and unplanned caesarean (Visco et al. 2006) but the comparison groups may include primiparas and multiparas.…”

Section: Introductionmentioning

confidence: 99%

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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“…Using this methodology, emergency cesarean sections performed after a woman was in labor would be combined with vaginal births to create a ''planned vaginal delivery'' category since the original intention of the physician and the mother in both cases was presumably to deliver the infant vaginally. The ''planned cesarean delivery'' group would include only those deliveries where a cesarean section was performed without labor (11).…”

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confidence: 99%