{"id":152,"date":"2014-02-13T17:00:36","date_gmt":"2014-02-13T17:00:36","guid":{"rendered":"http:\/\/www.csections.org\/?p=152"},"modified":"2014-02-13T17:39:16","modified_gmt":"2014-02-13T17:39:16","slug":"does-the-caesarean-affect-the-way-we-bond-with-our-babies","status":"publish","type":"post","link":"https:\/\/www.csections.org\/?p=152","title":{"rendered":"Does a caesarean affect the way we bond with our babies?"},"content":{"rendered":"<p>It is often reported in the media that having a caesarean affects a mother\u00e2\u20ac\u2122s ability to bond with her baby.<\/p>\n<p>However, what is frequently missed in such statements is that research actually suggests it is the circumstances around the birth not the caesarean itself which can lead to problems. In fact <span style=\"text-decoration: underline;\"><span style=\"color: #0000ff; text-decoration: underline;\">p<\/span><\/span><span style=\"text-decoration: underline;\"><span style=\"color: #0000ff; text-decoration: underline;\"><a title=\"Psychological impact of emergency cesarean section in comparison with elective cesarean section, instrumental and normal vaginal delivery\" href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9844844\" target=\"_blank\"><span style=\"color: #0000ff; text-decoration: underline;\">lanned caesareans have a better psychological outcome for women than instrumental vaginal births and unplanned caesareans.<\/span><\/a><\/span><\/span><\/p>\n<p>It seems where bonding is affected, negative thoughts and feelings about the birth itself, rather than the practicalities of the caesarean, play a significant role. The following issues are thought to be particularly influencial:<\/p>\n<ul>\n<li><span style=\"text-decoration: underline; color: #0000ff;\"><a title=\"Elective Caesarean Section: A Woman's Right to Choose\" href=\"http:\/\/www.amazon.co.uk\/Progress-Obstetrics-Gynaecology-Vol-14\/dp\/toc\/0443064075\" target=\"_blank\"><span style=\"color: #0000ff; text-decoration: underline;\">severe emotional reactions to birth<\/span><\/a><\/span><\/li>\n<li>longer periods of separation due to illness of either baby or mother<\/li>\n<li><span style=\"text-decoration: underline;\"><span style=\"color: #0000ff; text-decoration: underline;\"><a title=\"Lally 'More in Hope Than Expectiation'\" href=\"http:\/\/www.biomedcentral.com\/1741-7015\/6\/7\/\" target=\"_blank\"><span style=\"color: #0000ff; text-decoration: underline;\">distress from birth plans not going to plan<\/span><\/a><\/span><\/span><\/li>\n<li>lack of support (from others) at home following the birth<\/li>\n<\/ul>\n<p><span style=\"color: #000000;\"><span style=\"color: #000000;\">It is important to understand that<\/span><\/span> <span style=\"text-decoration: underline;\"><span style=\"color: #0000ff; text-decoration: underline;\"><a title=\"Dewey 'Maternal and fetal stress are associated with impaired lactogenesis in humans'\" href=\" Skip to main content  Skip to toolbar      csections.org \u00c2\u00a9 Leigh East 2005-2014\t     391 WordPress Update, 11 Plugin Updates, 27 Theme Updates\t     New\t     View Post\t      Howdy, admin\t  Log Out Help Screen Options WordPress 3.8.1 is available! Please update now.  Edit Post Add New  The backup of this post in your browser is different from the version below. Restore the backup.  Post draft updated. Preview post Enter title here Permalink: http:\/\/www.csections.org\/?p=152 Change Permalinks Text Visual Add Media \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t \t Paragraph\t \t\t\t\t \t \t\t\t\t\t\t\t\t\t\t Path: p Word count: 526 \t  Last edited by admin on February 12, 2014 at 1:38 pm\t  Preview Status: Draft Edit Visibility: Public Edit Publish immediately Edit Move to Trash       All Categories     Most Used      csections commentary     Book     Book reviews     News     Press Releases     Research updates     Uncategorized  + Add New Category  Tags  Separate tags with commas  Choose from the most used tags  Set featured image  Allow comments. Allow trackbacks and pingbacks on this page.  Thank you for creating with WordPress.\t  Get Version 3.8.1\t\" target=\"_blank\"><span style=\"color: #0000ff; text-decoration: underline;\">increased levels of stress may delay milk coming in,<\/span><\/a><\/span><span style=\"color: #0000ff; text-decoration: underline;\"><a title=\"Dewey 'Maternal and fetal stress are associated with impaired lactogenesis in humans'\" href=\" Skip to main content  Skip to toolbar      csections.org \u00c2\u00a9 Leigh East 2005-2014\t     391 WordPress Update, 11 Plugin Updates, 27 Theme Updates\t     New\t     View Post\t      Howdy, admin\t  Log Out Help Screen Options WordPress 3.8.1 is available! Please update now.  Edit Post Add New  The backup of this post in your browser is different from the version below. Restore the backup.  Post draft updated. Preview post Enter title here Permalink: http:\/\/www.csections.org\/?p=152 Change Permalinks Text Visual Add Media \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t \t Paragraph\t \t\t\t\t \t \t\t\t\t\t\t\t\t\t\t Path: p Word count: 526 \t  Last edited by admin on February 12, 2014 at 1:38 pm\t  Preview Status: Draft Edit Visibility: Public Edit Publish immediately Edit Move to Trash       All Categories     Most Used      csections commentary     Book     Book reviews     News     Press Releases     Research updates     Uncategorized  + Add New Category  Tags  Separate tags with commas  Choose from the most used tags  Set featured image  Allow comments. Allow trackbacks and pingbacks on this page.  Thank you for creating with WordPress.\t  Get Version 3.8.1\t\" target=\"_blank\"><span style=\"text-decoration: underline; color: #0000ff;\">\u00c2\u00a0<\/span><\/a><a title=\"Dewey 'Maternal and fetal stress are associated with impaired lactogenesis in humans'\" href=\" Skip to main content  Skip to toolbar      csections.org \u00c2\u00a9 Leigh East 2005-2014\t     391 WordPress Update, 11 Plugin Updates, 27 Theme Updates\t     New\t     View Post\t      Howdy, admin\t  Log Out Help Screen Options WordPress 3.8.1 is available! Please update now.  Edit Post Add New  The backup of this post in your browser is different from the version below. Restore the backup.  Post draft updated. Preview post Enter title here Permalink: http:\/\/www.csections.org\/?p=152 Change Permalinks Text Visual Add Media \t\t\t\t\t\t\t\t\t\t\t\t\t\t\t \t Paragraph\t \t\t\t\t \t \t\t\t\t\t\t\t\t\t\t Path: p Word count: 526 \t  Last edited by admin on February 12, 2014 at 1:38 pm\t  Preview Status: Draft Edit Visibility: Public Edit Publish immediately Edit Move to Trash       All Categories     Most Used      csections commentary     Book     Book reviews     News     Press Releases     Research updates     Uncategorized  + Add New Category  Tags  Separate tags with commas  Choose from the most used tags  Set featured image  Allow comments. Allow trackbacks and pingbacks on this page.  Thank you for creating with WordPress.\t  Get Version 3.8.1\t\" target=\"_blank\"><span style=\"color: #0000ff; text-decoration: underline;\">for some women<\/span><\/a><\/span><\/span> and that for some this can have a knock on affect on how they perceive their bond developing, but for many there is no impact at all.<\/p>\n<p>What is very <span style=\"text-decoration: underline;\"><span style=\"color: #0000ff; text-decoration: underline;\"><a title=\"Fisher 'Adverse Psychological Impact of Operative Obstetric Interventions: A Prospective Longitudinal Study'\" href=\"http:\/\/anp.sagepub.com\/content\/31\/5\/728.short\" target=\"_blank\"><span style=\"color: #0000ff; text-decoration: underline;\">clear<\/span><\/a><\/span><\/span> is <span style=\"text-decoration: underline; color: #0000ff;\"><a title=\"Childbirth Connections ' What Every pregant Woman Needs to Know About Cesarean Section'\" href=\"http:\/\/www.google.co.uk\/url?sa=t&amp;rct=j&amp;q=&amp;esrc=s&amp;source=web&amp;cd=4&amp;ved=0CD8QFjAD&amp;url=http%3A%2F%2Fwww.pqcnc.org%2Fdocuments%2Fsivbdoc%2Fsivbeb%2F9ChildbirthConnectionWhatEveryPregnantWomanNeedstoKnowaboutCesareanSection.pdf&amp;ei=sXj7UtmeJImO7AbPioGwAQ&amp;usg=AFQjCNHBsZvF4OSnnAPzxrICM5JCi0-tYA&amp;sig2=4B7iy7fTGgrzRHyubn8PZg&amp;bvm=bv.61190604,d.ZG4\" target=\"_blank\"><span style=\"text-decoration: underline; color: #0000ff;\"><strong>ANY <\/strong><\/span><\/a><a title=\"Childbirth Connections ' What Every pregant Woman Needs to Know About Cesarean Section'\" href=\"http:\/\/www.google.co.uk\/url?sa=t&amp;rct=j&amp;q=&amp;esrc=s&amp;source=web&amp;cd=4&amp;ved=0CD8QFjAD&amp;url=http%3A%2F%2Fwww.pqcnc.org%2Fdocuments%2Fsivbdoc%2Fsivbeb%2F9ChildbirthConnectionWhatEveryPregnantWomanNeedstoKnowaboutCesareanSection.pdf&amp;ei=sXj7UtmeJImO7AbPioGwAQ&amp;usg=AFQjCNHBsZvF4OSnnAPzxrICM5JCi0-tYA&amp;sig2=4B7iy7fTGgrzRHyubn8PZg&amp;bvm=bv.61190604,d.ZG4\" target=\"_blank\"><span style=\"text-decoration: underline; color: #0000ff;\">birth perceived by mum to be traumatic can produce such an outcome<\/span><\/a><\/span>.<\/p>\n<p>It is simply not true that it will be impossible to look after your baby after a caesarean. You will be encouraged to pick up your baby and carry them as soon as you are out of bed (and you are expected to be up and walking within 12 hours of a caesarean). Unless you or baby are ill there is no reason why your baby cannot be in your arms or next to you for the whole period prior to getting out of bed. Discomfort from little kicking feet over the incision area can be easily managed by resting baby on a small pillow when breastfeeding (sitting or lying) and this does not prevent skin-to-skin contact. Proactive, positive support from midwives should mean that your experience of your baby in the hours following surgery should be no different from that of any other mother.<\/p>\n<p>Such sweeping statements from health care professionals and the media lead to misunderstandings and cause women to fear caesareans, setting them up for difficulties post-operatively. It is such unnecessary negativity and fear mongering that contributed to my desire to write <span style=\"text-decoration: underline;\"><span style=\"color: #0000ff;\"><a title=\"Caesarean Birth: A positive approach to preparation and recovery\" href=\"Historically talk about 1950s...  There has been a lot of campaign work now for many years that has been trying to take the focus away from medicalised birth. This has been an incredibly important and positive thing to have been focusing on. However it has also had the unfortunate side effect that interventions of any sort are not discussed.  I have been given a variety of reasons why it is not discussed from:  &quot;We don't want to frighten women&quot;  &quot;Not all women will experience these things, so why worry them unnecessarily?&quot;  We do talk about it, we tell them about epidurals and who will be with them in surgery&quot;  perhaps most disappointingly &quot;We don't know what the positive messages are&quot;     All answers to my mind are inadequate on so many levels...   \" target=\"_blank\"><span style=\"color: #0000ff; text-decoration: underline;\">Caesarean Birth: A positive approach to preparation and recovery<\/span><\/a><\/span><\/span>. I wanted to improve women&#8217;s understanding of caesarean birth so it is more likely to be viewed purely as another way baby arrives and not something to be feared. Unfortunately antenatal education rarely talks about caesarean birth in anything like a balanced and informative manner so many women go into their birth knowing next to nothing about caesareans.<\/p>\n<p>Ways to improve your bonding experience:<\/p>\n<ul>\n<li>Skin-to-skin contact as soon as possible, in theatre if you and baby are both well enough (put your gown on backwards before you go in so it opens at the front)<\/li>\n<li>Focusing on feeding, with <span style=\"text-decoration: underline;\"><span style=\"color: #0000ff;\"><a title=\"Moore - &quot;Early skin-to-skin contact for mothers and their healthy newborn infants&quot;\" href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/17636727\" target=\"_blank\"><span style=\"color: #0000ff; text-decoration: underline;\">full eye contact and skin-to-skin contact<\/span><\/a><\/span><\/span> ensures valuable one to one time with your baby is protected<\/li>\n<li><span style=\"text-decoration: underline;\"><span style=\"color: #0000ff; text-decoration: underline;\"><a title=\"Murphy 'Women's views on the impact of operative delivery in the second stage of labour: qualitative interview study'\" href=\"http:\/\/www.bmj.com\/content\/327\/7424\/1132\" target=\"_blank\"><span style=\"color: #0000ff; text-decoration: underline;\">Re-visit your birth <\/span><\/a><\/span><\/span>and where necessary, seek support in coming to terms with any negatives thoughts about the birth itself<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>It is often reported in the media that having a caesarean affects a mother\u00e2\u20ac\u2122s ability to bond with her baby. However, what is frequently missed in such statements is that research actually suggests it is the circumstances around the birth not the caesarean itself which can lead to problems. In fact planned caesareans have a &hellip; <a href=\"https:\/\/www.csections.org\/?p=152\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Does a caesarean affect the way we bond with our babies?&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[6],"tags":[],"_links":{"self":[{"href":"https:\/\/www.csections.org\/index.php?rest_route=\/wp\/v2\/posts\/152"}],"collection":[{"href":"https:\/\/www.csections.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.csections.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.csections.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.csections.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=152"}],"version-history":[{"count":0,"href":"https:\/\/www.csections.org\/index.php?rest_route=\/wp\/v2\/posts\/152\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.csections.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=152"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.csections.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=152"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.csections.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=152"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}