[Maternal attitude and psychophysical adaptation of women undergoing primary and secondary cesarean section].
BACKGROUND
The increase of cesarean sections, which is typical of the most industrialised countries, resulted in a higher rate of repeat cesarean sections. The previous CS is the main indication for cesarean delivery. The purpose of this study is to compare women who had a primary cesarean with women who had a repeat cesarean section in order to assess their different emotional reactions as well as their psychophysical consequences.


METHODS
A questionnaire was administered to 36 patients who had a primary cesarean section and to 34 patients who had a repeat cesarean section, 6-12 months after birth. All these women were similar for age and gestational age of the birth.


RESULTS
Results underline that patients are more disposed to accept the operation in repeat cesarean rather than in primary cesarean. Women who have a repeat cesarean section are more likely to accept this kind of delivery since the beginning, with positive effects on their postoperative course. Women who have a repeat cesarean section face more serenely not only prenatal but also post-natal period and show less serious psychophysical sequelae with respect to primary cesarean section because of their previous experience.


CONCLUSIONS
As a result, an appropriate psychological support coupled with adequate information can reduce discomfort in cesarean patients.
Ciolli
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I Istituto di Clinica Ostetrica e Ginecologica, Università degli Studi di Roma La Sapienza, Roma.
Moretti
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Russo
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D000222:Adaptation, Physiological; D000223:Adaptation, Psychological; D000328:Adult; D017604:Cesarean Section, Repeat / Q000523:psychology*; D005260:Female; D005865:Gestational Age; D006801:Humans; D010353:Patient Education as Topic; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011272:Pregnancy, Multiple; D011795:Surveys and Questionnaires
Studio sull'atteggiamento e adattamento psicofisico materno nel primo cesareo e nel ripetuto.