Volume 8, Issue 2 (12-2022)                   SJNMP 2022, 8(2): 1-14 | Back to browse issues page

XML Persian Abstract Print


1- Department of Operating Room, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Operating Room, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran , arielalizade@gmail.com
Abstract:   (1125 Views)
Background & Aim: Cesarean section is the most common operation in women's life and Due to the importance of mother's experiences of childbirth, the purpose of this qualitative study is to explain the stress factors according to the experience of mothers during this surgery.
Materials & Methods: In this qualitative study that was conducted using conventional content analysis method, 8 cesarean section nulliparity women were randomly selected in Shahid Akbarabadi hospital, Tehran. Then, in addition to observation and library study, deep and semi-structured interviews were arranged for the participants based on the stressors and anxieties faced during cesarean section in operating room and the data were analyzed by using Graneheim & Lundman method.
Results: After the analysis, 8 sub- themes and 3 themes were obtained. The three themes included mothers' lack of knowledge, staff's communication problems, and mother's psychological needs which are considered to be the main stress-causing factors in cesarean section pregnant mothers.
Conclusion: The results showed that many of the needs of primiparous mothers who come to the operating room for caesarean section are not answered.
Full-Text [PDF 585 kb]   (583 Downloads)    
Type of Study: Qualitative study | Subject: Special
Received: 2022/08/10 | Revised: 2022/12/25 | Accepted: 2022/12/7 | Published: 2022/12/7 | ePublished: 2022/12/7

References
1. Zarei M, Mamashli L, Khachian A, Bozorgnajad M, Mohaddes Ardebili F. The Effect of Non-Pharmacological Self-Care Training on Pain Control in Cesarean Section Surgery. HCjournal. 2020;22(1):34-43. [Persain]
2. Toohill J, Fenwick J, Gamble J, Creedy DK, Buist A, Turkstra E, et al. A randomized controlled trial of a psycho‐education intervention by midwives in reducing childbirth fear in pregnant women. Birth. 2014;41(4):384-94. [DOI:10.1111/birt.12136]
3. Handelzalts JE, Zacks A, Levy S. The association of birth model with resilience variables and birth experience: home versus hospital birth. Midwifery. 2016;36(1):80-85. [DOI:10.1016/j.midw.2016.03.005]
4. Long Q, Kingdon C, Yang F, Renecle MD, Jahanfar S, Bohren MA, et al. Prevalence of and reasons for women's, family members', and health professionals' preferences for cesarean section in China: a mixed-methods systematic review. PLOS Med. 2018;15(10):e1002672. [DOI:10.1371/journal.pmed.1002672]
5. De Mucio B, Serruya S, Aleman A, Castellano G, Sosa CG. A systematic review and meta‐analysis of cesarean delivery and other uterine surgery as risk factors for placenta accreta. Int J Gynecol Obstet. 2019;147(3):281-91. [DOI:10.1002/ijgo.12948]
6. Petrou S, Khan K. An overview of the health economic implications of elective caesarean section. Appl Health Econ Health Policy. 2013;11(6):561-76. [DOI:10.1007/s40258-013-0063-8]
7. Chen H, Tan D. Cesarean section or natural childbirth? cesarean birth may damage your health. Front Psychol. 2019;10(1):351-58. [DOI:10.3389/fpsyg.2019.00351]
8. Benton M, Salter A, Tape N, Wilkinson C, Turnbull D. Women's psychosocial outcomes following an emergency caesarean section: A systematic literature review. BMC Pregnancy Childbirth. 2019;19(1):1-24. [DOI:10.1186/s12884-019-2687-7]
9. Navaee M, Khayat S, Abed ZG. Effect of pre-cesarean foot reflexology massage on anxiety of primiparous women. J Complement Integr Med. 2020;17(3): e20190229. [DOI:10.1515/jcim-2019-0229]
10. Flink IK, Mroczek MZ, Sullivan MJ, Linton SJ. Pain in childbirth and postpartum recovery-The role of catastrophizing. Eur J Pain. 2009;13(3):312-16. [DOI:10.1016/j.ejpain.2008.04.010]
11. Johnson B, Raymond S, Goss J. Perioperative music or headsets to decrease anxiety. J Perianesth Nurs. 2012;27(3):146-54. [DOI:10.1016/j.jopan.2012.03.001]
12. Namujju J, Muhindo R, Mselle LT, Waiswa P, Nankumbi J, Muwanguzi P. Childbirth experiences and their derived meaning: a qualitative study among postnatal mothers in Mbale regional referral hospital, Uganda. Reprod Health. 2018;15(1):1-11. [DOI:10.1186/s12978-018-0628-y]
13. Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277-88. [DOI:10.1177/1049732305276687]
14. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-12. [DOI:10.1016/j.nedt.2003.10.001]
15. Lincoln YS, Guba EG. But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. New Dir Eval. 1986;1986(30):73-84. [DOI:10.1002/ev.1427]
16. Yee LM, Silver R, Haas DM, Parry S, Mercer BM, Wing DA, et al. Association of health literacy among nulliparous individuals and maternal and neonatal outcomes. JAMA Netw Open. 2021;4(9):e2122576. [DOI:10.1001/jamanetworkopen.2021.22576]
17. Morlando M, Buca D, Timor‐Tritsch I, Cali G, Palacios‐Jaraquemada J, Monteagudo A, et al. Reproductive outcome after cesarean scar pregnancy: A systematic review and meta‐analysis. Acta Obstet Gynecol Scand. 2020;99(10):1278-89. [DOI:10.1111/aogs.13918]
18. Ghaffari S, Dehghanpisheh L, Tavakkoli F, Mahmoudi H. The effect of spinal versus general anesthesia on quality of life in women undergoing cesarean delivery on maternal request. Cureus. 2018;10(12): e3715. [DOI:10.7759/cureus.3715]
19. Eslami J, Hatami N, Amiri A, Akbarzadeh M. The potential beneficial effects of education and familiarity with cesarean section procedure and the operating room environment on promotion of anxiety and pain intensity: A randomized controlled clinical trial. J Educ Health Promot. 2020;9(1):240. [DOI:10.4103/jehp.jehp_31_20]
20. Weingarten SJ, Levy AT, Berghella V. The effect of music on anxiety in women undergoing cesarean delivery: a systematic review and meta-analysis. Am J Obstet Gynecol MFM. 2021;3(5):100435. [DOI:10.1016/j.ajogmf.2021.100435]
21. Kirk L, Bahl R. Nontechnical skills and decision making in operative vaginal delivery. Best Pract Res Clin Obstet Gynaecol. 2019;56(1):23-34. [DOI:10.1016/j.bpobgyn.2019.02.001]
22. Xu H, Ding Y, Ma Y, Xin X, Zhang D. Cesarean section and risk of postpartum depression: A meta-analysis. J Psychosom Res. 2017;97(1):118-26. [DOI:10.1016/j.jpsychores.2017.04.016]
23. Gaudernack LC, Michelsen TM, Egeland T, Voldner N, Lukasse M. Does prolonged labor affect the birth experience and subsequent wish for cesarean section among first-time mothers? A quantitative and qualitative analysis of a survey from Norway. BMC Pregnancy Childbirth. 2020;20(1):1-13. [DOI:10.1186/s12884-020-03196-0]

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.