Quality of Postpartum Recovery Period, in Women Who have Experienced an Elective, Emergency or Semi-Elective Cesarean Birth

2.50
Hdl Handle:
http://hdl.handle.net/10755/151017
Type:
Presentation
Title:
Quality of Postpartum Recovery Period, in Women Who have Experienced an Elective, Emergency or Semi-Elective Cesarean Birth
Abstract:
Quality of Postpartum Recovery Period, in Women Who have Experienced an Elective, Emergency or Semi-Elective Cesarean Birth
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Shoham, Ann, RN, MSN
P.I. Institution Name:Sheba Medical Center
Title:Clinical Coordinator
[Evidence-based Practice Session Presentation] Purpose:  To examine the quality of the postpartum recovery period in women who have experienced an elective, emergency and semi elective cesarean birth and identify ways to improve   nursing care. Since 2001 there has been an increase of 30% in the number of women who delivered by cesarean birth, with a current cesarean birth rate of 24.4% (2,405 women) at Sheba Medical Center. Fifty two percent of those women experienced an elective cesarean birth. Over 60% of all women who experienced a cesarean birth visited the Preoperative Clinic managed by a midwife and physician, receiving   preoperative instruction.  Women who experienced an emergency or semi emergency cesarean birth lack this preparation and may experience a more difficult recovery period. Methods: Prospective research study, was conducted including women over 18 who experienced elective, semi-elective and emergency cesarean birth. A self report questionnaire was distributed 40 hours postoperatively, a second telephone questionnaire 6 weeks postpartum. A total of 131 questionnaires were distributed, with 82 women completing participation, a (68%) response rate. Results: Substantially more women (84%) who experienced an emergency cesarean birth participated in the study as opposed to 53% who experienced an elective cesarean birth. Significantly more women who experienced an elective cesarean birth received pre-operative instruction and   preparation, compared to women who experienced an emergency? (6.37) P>.001. Conclusion: Women who experienced an elective cesarean birth, experienced less anxiety, more satisfaction with a cesarean birth, initiated earlier infant contact and breast feeding, experienced an easier recovery period, than women who experienced an emergency or semi elective cesarean birth.  Women who experienced an emergency cesarean birth expressed a need to "debrief" with the nursing staff post partum,   therefore new nursing intervention is needed. Women from all the groups needed further teaching in timely and adequate post operative pain relief.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleQuality of Postpartum Recovery Period, in Women Who have Experienced an Elective, Emergency or Semi-Elective Cesarean Birthen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151017-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Quality of Postpartum Recovery Period,&nbsp;in Women Who have Experienced an Elective, Emergency or Semi-Elective Cesarean Birth</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Shoham, Ann, RN, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Sheba Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Coordinator</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">anns@inter.net.il</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Practice Session Presentation] Purpose:&nbsp; To examine the quality of the postpartum recovery period in women who have experienced an elective, emergency and semi elective cesarean birth and identify ways to improve &nbsp;&nbsp;nursing care. Since 2001 there has been an increase of 30% in the number of women who delivered by cesarean birth, with a current cesarean birth rate of 24.4% (2,405 women) at Sheba Medical Center. Fifty two percent of those women experienced an elective cesarean birth. Over 60% of all women who experienced a cesarean birth visited the Preoperative Clinic managed by a midwife and physician, receiving &nbsp;&nbsp;preoperative instruction. &nbsp;Women who experienced an emergency or semi emergency cesarean birth lack this preparation and may experience a more difficult recovery period. Methods:&nbsp;Prospective research study, was conducted including women over 18 who experienced elective, semi-elective and emergency cesarean birth. A self report questionnaire was distributed 40 hours postoperatively, a second telephone questionnaire 6 weeks postpartum. A total of 131 questionnaires were distributed, with 82 women completing participation, a (68%) response rate. Results: Substantially more women (84%) who experienced an emergency cesarean birth participated in the study as opposed to 53% who experienced an elective cesarean birth. Significantly more women who experienced an elective cesarean birth received pre-operative instruction and&nbsp;&nbsp; preparation, compared to women who experienced an emergency? (6.37) P&gt;.001. Conclusion: Women who experienced an elective cesarean birth, experienced less anxiety, more satisfaction with a cesarean birth, initiated earlier infant contact and breast feeding, experienced an easier recovery period, than women who experienced an emergency or semi elective cesarean birth. &nbsp;Women who experienced an emergency cesarean birth expressed a need to &quot;debrief&quot; with the nursing staff post partum,&nbsp; &nbsp;therefore new nursing intervention is needed. Women from all the groups needed further teaching in timely and adequate post operative pain relief.</td></tr></table>en_GB
dc.date.available2011-10-26T10:49:27Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:49:27Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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