Abstract
The purpose of this study is to find the contents of loss and their causing factors and to identify the process of primiparous mother who delivered under cesarean delivery.
Sixteen primiparass who were planned in advance to have cesarean birth were selected as a cesarean group, and sixteen primiparass who expected to have vaginal delivery were selected as a control group.
Eight categories of loss suspected to be experienced by those pregnant mothers were losses of (1) maintaining life, (2) feeling of health, (3) control of body function, (4) ability to deliver normally, (5) expectation in terms of childbirth, (6) expected maternal roletaking, (7) body image (8) control over self and situation.
Cesaran mothers were interviewed at least five times, namely informed, on admission, after operation, on removal of suture. Vaginally-delivered mothers were also interviewed.
As a result, it was found that the cesarean mothers have experienced certain established categories of loss, and more losses in relation to following categories satistically than vaginally-delivered mothers, expected maternal roletaking, ability to deliver normally, both expected maternal roletaking and expectation in terms of childbirth.
Cesarean group tended to grieve for a longer time than vaginal group. In loss expectation in terms of childbirth, it was revealed satistically that whether or no cesarean group expressed their feelings for their husband or their mother, a usual supporter, after operation, affected the duration of grief, and no expression of their feelings prolonged the duration of griref. Anticipatory grief served as a saveguard against the impact of a real loss. Therefore it will be suggested that grief work was important.
