Journal of Japan Academy of Midwifery
Online ISSN : 1882-4307
Print ISSN : 0917-6357
ISSN-L : 0917-6357
Original articles
A study concerning the feelings of women postpartum for 18 months following an emergency cesarean section
Yuko IMAZAKI
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JOURNAL FREE ACCESS

2006 Volume 20 Issue 1 Pages 1_79-1_88

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Abstract

Purpose
The present study was conducted in order to extract factors contributing to women's feelings for the 18 months following an Emergency Cesarean Section, and to identify more clearly the process involved in the progression of change in feelings.
Method
In-depth interviews, guided by semi-structured questions, were conducted with five primiparas, who had experienced an Emergency Cesarean Section 13-19 months before their interview. Interview data was tape-recorded, and analyzed qualitatively.
Results
The following 7 factors were extracted from the data: 1. panic as a result of the emergency situation; 2. feelings of dissatisfaction and trust regarding medical staff both during and after the birth; 3. self-condemnation for having an Emergency Cesarean Section; 4. discomfort as a mother; 5. a change of feelings toward the Emergency Cesarean Section; 6. ease evoked by the support and comfort from their husband and the people around them; and 7. changes in attitude towards childcare with gradual adaptation from feelings of pain to feelings of joy.
Conclusion
The present results indicate that the feelings of women who experienced an Emergency Cesarean Section are greatly influenced by the women's views towards birth. In addition, women's feelings are influenced by the reaction of the husband to the Emergency Cesarean Section. Regarding nursing, the present results indicate that women feel increased relief and increased understanding consequent to repeated explanations. Furthermore, to determine whether psychological support is necessary, nurses should review and listen to women in order to ascertain their thoughts about childbirth. Finally, the study suggests that we must consider the influence of the shock and reaction of the husband to the Emergency Cesarean Section upon the woman's feelings.

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© 2006 Japan Academy of Midwifery
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