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Professional support in pregnancy influence maternal relation to and feelings for the baby after cesarean birth: an intervention study
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0001-7510-606X
Department of Women’s and Children’s Health, Division of Reproductive and Perinatal Health Care, Karolinska Institutet, Stockholm, Sweden.
School of Life Sciences, University of Skövde, Skövde, Sweden.
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Background

Cesarean birth may negatively affect mother-infant interactions, while professional support may positively affect these interactions. The aim of this study was to evaluate the effects of a process-oriented training program for antenatal midwives and postnatal nurses on first time mothers’ perceptions of professional support and on their relation to and feelings for their baby after a cesarean or a normal birth.

Methods

An intervention through process-oriented training for health professionals regarding professional support in childbearing was conducted between 1999 and 2003. Ten municipalities were paired and within each pair, randomly assigned to intervention (five)or control (five) municipality. Mothers having caesarean (n = 94) or normal birth (n = 301) were included. Mothers received routine care (control group = CG) or care from health professionals having received training (intervention group = IG). The mothers answered questionnaires three days, three and nine months after birth. Factor analysis identified three factors: “Taking in baby,” “Confidence in relation to baby,” and “Feelings for baby.”

Results

Mothers in the IG with cesarean birth reported more positive for the “Taking inbaby” factor (p = 0.002) three days after birth, more positive for the “Confidence inrelation to baby” factor (p = 0.004) and for the “Feelings for baby” factor (p = 0.004) nine months after birth compared to Mothers in the CG. Mothers in the IG reported stronger professional support from health professionals compared to CG.

Trial registrations: ACTRN12611000354987

Keywords [en]
Caesarean birth, health education, mother-infant interaction, parental support, professional support, process-oriented training
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-25765OAI: oai:DiVA.org:oru-25765DiVA, id: diva2:551070
Note

Stina Thorstensson is also affiliated to School of Life Sciences, University of Skövde, Skövde, Sweden

Available from: 2012-09-10 Created: 2012-09-10 Last updated: 2017-10-17Bibliographically approved
In thesis
1. Professional support in childbearing, a challenging act of balance
Open this publication in new window or tab >>Professional support in childbearing, a challenging act of balance
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

As a jpg-attachment to this record.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2012. p. 84
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 39
Keywords
Professional support, social support, education, attitudes, childbearing, motherhood, mother-infant interaction, ceasarean birth, ideology in practice
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-22290 (URN)978-91-7668-874-8 (ISBN)
Public defence
2012-09-26, Portalen, Insikten, plan 1, Högskolan i Skövde, Skövde, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2012-03-29 Created: 2012-03-29 Last updated: 2017-10-17Bibliographically approved

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CiteExportLink to record
Permanent link

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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
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More styles
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  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
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