2.50
Hdl Handle:
http://hdl.handle.net/10755/152289
Type:
Presentation
Title:
Adaptation to Cesarean Birth: The First 2 Weeks Post-Discharge
Abstract:
Adaptation to Cesarean Birth: The First 2 Weeks Post-Discharge
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Weiss, Marianne, RN, DNSc
P.I. Institution Name:Marquette University
Title:Associate Professor
Co-Authors:Jacqueline Fawcett, RN, PhD, FAAN; Cynthia Aber, EdD, RN
The purpose of the study was to describe post-discharge adaptation to planned and unplanned cesarean birth for contemporary women of diverse cultures. Guided by the Roy Adaptation Model, a cross-sectional design used qualitative and quantitative methods to obtain study data between 1 and 2 weeks post-discharge after cesarean birth.  Study instruments included a Background Data Sheet, the Post-Cesarean Adaptation Interview Schedule (qualitative data on 4 adaptation modes coded as effective or ineffective), Maternal Concerns Questionnaire-MCQ (items recategorized into 4 adaptation modes), and student nurse assessment of adaptation problems. The sample consisted of 241 postpartum mothers: mean age 31.3 (SD=5.6); 67% White, 17% Black, 11% Latina; 82% married; 57% primiparous; 77% with > high school education; and 44% unplanned cesarean birth.  Overall, postpartum cesarean mothers reported more adaptive (mean=4.5) than ineffective (mean = 2.8) responses. MCQ mean item scores indicated ?little concern?. Unplanned cesarean births mothers reported more total, role function, and interdependence ineffective responses and higher MCQ (indicating greater concern) self-concept scores than planned cesarean mothers. Black mothers more frequently reported ineffective interdependence responses and Latina mothers had higher MCQ role function subscale scores than mothers of other cultures. Adaptation problems were identified by student nurses in 42.2% of mothers. 52.3% of problems were classified physiologic, 11.4% self-concept, 18.9% role function, and 17.4% interdependence.  Percentage of mothers reporting ineffective adaptation responses was 73.8% for physiologic mode, 55.4% for self-concept mode, 36.6% for role function mode, and 24.1% for interdependence mode.  Cesarean birth, especially when unplanned, is a stimulus to which the new mother may adapt ineffectively.  Mothers consistently reported more ineffective responses than students identified. Responses to the open-ended question and standardized questionnaire formats identified different areas of ineffective adaptation across cultural groups, emphasizing the importance of multi-method assessment of post-cesarean adaptation.
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.titleAdaptation to Cesarean Birth: The First 2 Weeks Post-Dischargeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152289-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Adaptation to Cesarean Birth: The First 2 Weeks Post-Discharge</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">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Weiss, Marianne, RN, DNSc</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Marquette University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">marianne.weiss@marquette.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Jacqueline Fawcett, RN, PhD, FAAN; Cynthia Aber, EdD, RN</td></tr><tr><td colspan="2" class="item-abstract">The purpose of the study was to describe post-discharge adaptation to planned and unplanned cesarean birth for contemporary women of diverse cultures. Guided by the Roy Adaptation Model, a cross-sectional design used qualitative and quantitative methods to obtain study data between 1 and 2 weeks post-discharge after cesarean birth.&nbsp; Study instruments included a Background Data Sheet, the Post-Cesarean Adaptation Interview Schedule (qualitative data on 4 adaptation modes coded as effective or ineffective), Maternal Concerns Questionnaire-MCQ (items recategorized into 4 adaptation modes), and student nurse assessment of adaptation problems. The sample consisted of 241 postpartum mothers: mean age 31.3 (SD=5.6); 67% White, 17% Black, 11% Latina; 82% married; 57% primiparous; 77% with &gt; high school education; and 44% unplanned cesarean birth.&nbsp; Overall, postpartum cesarean mothers reported more adaptive (mean=4.5) than ineffective (mean = 2.8) responses. MCQ mean item scores indicated ?little concern?. Unplanned cesarean births mothers reported more total, role function, and interdependence ineffective responses and higher MCQ (indicating greater concern) self-concept scores than planned cesarean mothers. Black mothers more frequently reported ineffective interdependence responses and Latina mothers had higher MCQ role function subscale scores than mothers of other cultures. Adaptation problems were identified by student nurses in 42.2% of mothers. 52.3% of problems were classified physiologic, 11.4% self-concept, 18.9% role function, and 17.4% interdependence.&nbsp; Percentage of mothers reporting ineffective adaptation responses was 73.8% for physiologic mode, 55.4% for self-concept mode, 36.6% for role function mode, and 24.1% for interdependence mode.&nbsp; Cesarean birth, especially when unplanned, is a stimulus to which the new mother may adapt ineffectively.&nbsp; Mothers consistently reported more ineffective responses than students identified. Responses to the open-ended question and standardized questionnaire formats identified different areas of ineffective adaptation across cultural groups, emphasizing the importance of multi-method assessment of post-cesarean adaptation.</td></tr></table>en_GB
dc.date.available2011-10-26T11:30:42Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:30:42Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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