Key result
Cesarean section did not negatively impact lactation, infant care, or maternal psychological status compared to vaginal delivery, as negative feelings were primarily associated with birth complications and prematurity.
Why the study?
Does the method of delivery (vaginal vs cesarean) impact maternal psychological status early after puerperium in primiparous women?
Cohort (n=148)
No
Does the method of delivery (vaginal vs cesarean) impact maternal psychological status early after puerperium in primiparous women?
The method of delivery does not significantly impact early postpartum psychological status, infant care, or lactation, which are instead influenced by prematurity and birth complications.
Delivery mode should not yet guide postpartum counseling in primiparas; leaves open prematurity and complications as primary drivers for prospective study.
The aim of this study was to identify how the method of delivery and birth experience interfere with maternal psychological status early after puerperium. We conducted a prospective study on 148 women after puerperium from November 2017 to January 2018 in Bucur Maternity Hospital. Women that delivered vaginally mobilized in the first 6 hours in 73.7% of the cases, but for cesarean section after 12–24 hours in 43.6% of the cases. Women described good support from the obstetrician in 58.1% of the cases. 90.5% of the women reported that the method of delivery did not have an impact on infant care and 73% had no lactation problems. The majority described little trauma, in 32.4% of the cases. 70.3% of the patients reported that they wanted to have more children and 59.5% of them desired the same method of delivery. Negative feelings, lactation, and taking care of the baby were not influenced in this study by the method of delivery, but by prematurity of birth and the complications that women experienced at birth.
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Pleș et al. (2018) conducted a cohort in Primiparous women after puerperium (n=148). Cesarean section vs. Vaginal delivery was evaluated on Psychosocial impact (difficulty of birth, lactation, infant care, negative feelings). Cesarean section did not negatively impact lactation, infant care, or maternal psychological status compared to vaginal delivery, as negative feelings were primarily associated with birth complications and prematurity.
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