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At least 19 recordsLinked to original sources

Psychiatric symptoms following attempted natural childbirth.

As natural childbirth has become more popular, new prenatal training groups have developed, some of which are committed to only one method of dealing with labour and delivery. This paper describes five women and four men who sought psychiatric treatment within 6 months of attempted natural childbirth that did not proceed as planned. Their symptoms included depression, anxiety, obsessive-compulsive behaviour, phobic symptoms, and marital and sexual problems. Thus, natural childbirth, although undoubtedly beneficial in most instances, is not suitable for all deliveries and may occasionally have adverse effects. Prenatal programs should emphasize an individual, flexible approach to labour and delivery and should present the possibility of the need for analgesia, anesthesia or obstetric intervention in a positive light.

Adult↗

The meaning of natural childbirth.

The term "natural childbirth" encompasses a variety of methods, including the Lamaze, Bradley, and home-birth approaches, which place more or less reliance on medical technology. Aristotle's analysis of three levels of human activity--digestion and reproduction, perception and locomotion, and abstract thinking--and Pellegrino and Thomasma's classification of the "living body," "lived body," and "lived self," provide a principled framework in which each of these childbirth practices can be considered natural.

Female↗

Maternal satisfaction and pain control in women electing natural childbirth.

BACKGROUND AND OBJECTIVES: Many women who choose natural childbirth for labor ultimately request epidural analgesia to control labor pain. Unfortunately, parturients and family members may often be unprepared for epidural anesthesia, which can contribute to disappointment and dissatisfaction with their labor and delivery. This study examines how epidural analgesia for labor influences maternal satisfaction in women who initially choose natural childbirth. METHODS: This study compared pain and maternal satisfaction in women who elected natural childbirth and successfully followed through (n = 23), with those who elected natural childbirth, but requested epidural analgesia during their labor (n = 24). Subjects rated their pain throughout labor and completed pre- and postlabor questionnaires. RESULTS: Women who requested epidural analgesia for pain during labor reported significantly lower pain scores than those women who had natural childbirth (P < .001). However, 88% of women who requested an epidural for pain reported being less satisfied with their childbirth experience than those who did not, despite lower pain intensity. Antenatal survey results suggest that concerns about epidurals and their effect on the baby, greater than anticipated labor pain, perceived failure of requesting an epidural, and longer duration of labor may have accounted for these findings. CONCLUSIONS: This study examined the influence of epidural analgesia in parturients electing natural childbirth. Pain relief alone was not found to improve maternal satisfaction. This study highlights the importance of experience and prelabor expectations on maternal satisfaction with childbirth.

Adult↗

Holistic obstetrics: the origins of "natural childbirth" in Britain.

The term "natural childbirth" denotes an approach to childbirth characterised by a bias towards physical and mental hygiene in the management of pregnancy and labour. It emerged in Britain in the interwar period, partly as a response to the growing interventionism of mainstream obstetrics. Its appeal since then has rested on the belief that it could provide a holistic approach to maternity care, capable of addressing the needs of the "whole" patient. At the same time, "natural childbirth" has provided a means of expressing anxieties about the social, economic and political upheavals of the 20th century. This paper explores this complex set of beliefs and practices by examining the ideas of some British pioneers.

Female↗

Cesarean birth outside the natural childbirth culture.

The meaning of cesarean birth to women who are not typical members of the natural childbirth culture was examined. Fifty women who received obstetric care in a public inner-city hospital serving the medically indigent and who sought minimal preparation for childbirth were interviewed. The findings suggest that the women used distancing behaviors prenatally and postdelivery to cope with the idea and reality of cesarean birth. In addition, the women did not display the psychic wounding following cesarean birth reported by natural childbirth followers.

Adolescent↗

Comparison of the incidence of postpartum low back pain in natural childbirth and cesarean section with spinal anesthesia.

BACKGROUND: Many parturients and their obstetricians believe that spinal anesthesia will cause low back pain (LBP). MATERIALS & METHODS: We studied prospectively a total of 160 parturients; 80 of them had cesarean section (CS) with spinal anesthesia and another 80 who had natural childbirth. Incidence of LBP was investigated and compared in these patients before pregnancy, during pregnancy and postpartum. RESULTS: Our result showed that before pregnancy, about one third (33.1%) of the parturients already had LBP and the incidence of LBP seemed to increase during pregnancy. The incidence of LBP decreased gradually postpartum. There was no difference in the incidence of postpartum LBP between the CS with spinal anesthesia group and the natural childbirth group. CONCLUSIONS: We concluded that postpartum LBP could be related to changes during pregnancy and not related to spinal anesthesia.

Adult↗

Natural childbirth. A review and analysis.

A review and critique of the literature relating to the effectiveness of psychoprophylaxis (natural childbirth) is made. Based on this review, it is concluded that a variety of methodologic errors have confounded the measurement of treatment effects. An outline of these issues is presented, and it is pointed out that an elucidation of the relationship between treatment and outcome cannot occur until researchers become aware of certain factors that are essential to the validity of their experiments. These factors include the following: 1) the use of a random assignment of subjects to treatment and control groups; 2) the inclusion of a group of controls that receive an attention-placebo treatment; 3) the utilization of obstetricians who are unaware of the type of preparation their patients have received; 4) a careful specification of the details of each treatment procedure; and 5) the utilization of psychologic tests that are appropriate for the purpose of measuring pain and anxiety reduction.

Anesthesia, Obstetrical↗