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Professional Support in Pregnancy Influence Maternal Relation to and Feelings for the Baby after Cesarean Birth: An Intervention Study
University of Skövde, School of Life Sciences.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.
University of Skövde, School of Life Sciences.ORCID iD: 0000-0002-2261-0112
2012 (English)In: Journal of Nursing and Care, ISSN 2167-1168, Vol. 1, no 4, 112- p.Article in journal (Refereed) Published
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 in baby” factor (p=0.002) three days after birth, more positive for the “Confidence in relation 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. Conclusion: Our result suggests that improved professional support during pregnancy may buffer negative effects of caesarean birth for first-time mothers in relation to and feelings for the baby.

Place, publisher, year, edition, pages
OMICS Publishing Group , 2012. Vol. 1, no 4, 112- p.
Keyword [en]
Caesarean birth, Health education, Mother-infant interaction, Parental support, Professional support, Process-oriented training
National Category
Health Sciences
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-7009DOI: 10.4172/2167-1168.1000112OAI: oai:DiVA.org:his-7009DiVA: diva2:587309
Available from: 2013-01-14 Created: 2013-01-14 Last updated: 2015-11-03Bibliographically 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]

The overall aim was to contribute to the development of optimal quality care in childbearing through exploring how professionals learn to act and how they act in support of women and their partners and what supportive needs women and their partners have during childbearing, as well as how professional support influences parents' experience during childbearing and their relation to the baby. I) Diaries from student midwives (n=11), about offering continuous support during childbirth, analysed with qualitative analysis. II) An observation and interview study during childbirth with midwives (n=7), women (n=7) and their partner (n=7), analysed with hermeneutic text interpretation. III) First-time mothers (n=10) were interviewed three days after birth, as a step in the validation process of the "Mother to Infant Relation and Feelings" (MIRF) scale, analysed with qualitative content analysis. IV) A random longitudinal intervention study including a process-oriented training program for midwives and postnatal nurses. First time mothers with a caesarean or a normal birth (n=395) answered questionnaires at three days, three and nine months postpartum about professional support and their relation to and feelings for the baby, analysed statistically. Result: I) Offering continuous support made students aware of the importance to establish rapport, but needing reassurance could hamper their efforts to establish rapport. Experiencing a lack of confidence made students focus more strongly on their medical skills. II) Which ideology midwives adopted during childbirth influenced if the individual supportive needs of women and their partners were met. III) The MIRF scale appears valid to use in research and in dialogue with new mothers to support mother-to-infant interactions. IV) Trained professionals strengthened mothers' perception of professional support which may buffer negative effects of caesarean birth in relation to the baby. Conclusion: Professional support in childbearing is a challenging act of balance which can strengthen women's sense of ability in meeting the needs of the baby even in the additional challenge of caesarean birth. Training in support and reflection about one's attitudes and ideology in practice improve supportive skills.

Place, publisher, year, edition, pages
Örebro universitet, 2012. 180 p.
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 39
Keyword
Professional support, social support, education, attitudes, childbearing, motherhood, mother-infant interaction, caesarean birth, ideology in practice
National Category
Health Sciences
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-6547 (URN)978-91-7668-874-8 (ISBN)
Public defence
2012-09-26, Hörsal Insikten, Portalen, Högskolan i Skövde, Skövde, 13:00
Opponent
Supervisors
Note

Ett av fyra delarbeten (övriga se rubriken Delarbeten)

Study II) Thorstensson, S., Ekström, A., Lundgren, I., & Hertfelt Wahn, E. (2012). Exploring midwives' professional support during labour; an observation and interview study. Manuscript

Available from: 2012-10-18 Created: 2012-10-18 Last updated: 2014-10-31Bibliographically approved

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