The effect of delivery mode on maternal and newborn comfort: An analytical study

Aim: This study was conducted to evaluate the effect of delivery mode on maternal and newborn comfort.Material and Methods: It is an analytical study. 60 mothers who had vaginal delivery and 60 mothers who had caesarean sectionand their newborn infants.It was conducted in a State Hospital located in a province in the southern Turkey. The data of the studywere collected with Mother and Newborn Information Form, the Postpartum Comfort Questionnaire, the Newborn Comfort BehaviorScale, and the Breastfeeding Self-Efficacy Scale. Before starting the study, written and verbal permissions were obtained from theinstitution, the ethics committee and the mothers.Results: In this study, it was determined that those who had a caesarean delivery experienced more problems related to sitting onthe bed, standing up, personal hygiene, perineal hygiene, urinary incontinence, flatus, and pain at the operation site compared tothose who had a vaginal delivery (p0.05).The breastfeeding self-efficacy scores did not differ between the two groups (p>0.05).Conclusions: Future studies should evaluate the effect of the method of delivery on maternal and newborn comfort.According tothe literature, women who had vaginal delivery according to cesarean section; postpartum comfort, breastfeeding success andself-efficacy of breastfeeding were reported to be higher. In this study, it was determined that the delivery mode did not affect thematernal and newborn comfort and mother’s breastfeeding self-efficacy.

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1. Boz I, Teskereci G, Akman G. How did you choose a mode of birth? Experiences of nulliparous women from Turkey. Women and Birth 2016;29:359-67.
2. Gu C, Zhu X, Ding Y, et al. A qualitative study of nulliparous women's decision making on mode of delivery under China's two-child policy. Midwifery 2018;62:6-13.
3. Chung WH. Secular trends in caesarean section rates over 20 years in a regional obstetric unit in Hong Kong. Hong Kong Med J 2017;23:340-48.
4. Khan MN, Islam MM, Shariff AA, et al. Sociodemographic predictors and average annual rates of caesarean section in Bangladesh between 2004 and 2014. PloS one 2017;12:0177579.
5. WHO Statement on Caesarean Section Rates [Internet]. 2015. Available from: https://apps.who.int/iris/ bitstream/handle/10665/161442/WHO_RHR_15.02_ tur.pdf?sequence=11
6. Dennis CL. Breastfeeding initiation and duration: A 1990-2000 literature review. J Obstetric, Gynecologic, & Neonatal Nurs 2002;31:12-32.
7. Dennis CL. The breastfeeding self-efficacy scale: Psychometric assessment of the short form. J Obstetric, Gynecologic, & Neonatal Nurs 2003;32: 734-44.
8. Dennis CL. Identifying predictors of breastfeeding self-efficacy in the immediate postpartum period. Research in Nursing & Health 2006;29:256-68.
9. Lai YL, Hung CH, Stocker J, et al. Postpartum fatigue, baby-care activities, and maternal–infant attachment of vaginal and cesarean births following rooming-in. Appl Nurs Res 2015; 28:116-20.
10. Kilci H, Coban A. The correlation between breastfeeding success in the early postpartum period and the perception of self-efficacy in breastfeeding and breast problems in the late postpartum. Breastfeed Med 2016;11:188-95.
11. Kilic M, Ozorhan EY, Apay SE, et al. 2015. Comparison of fatigue levels of postratum women according to the birth method. International JJ Caring Sci 2015;8:124- 31.
12. Kim JI, Lee KJ. Bladder symptoms, fatigue and physical activity in postpartum women. Asian Nurs Res 2017;11:50-5.
13. Ozcan S, Aslan E. Determination of Maternal Satisfaction at Normal and Cesarean Birth. Florence Nightingale J Nursing 2015;23:41-8.
14. Cakmak H, Kuguoglu S. Comparison of the breastfeeding patterns of mothers who delivered their babies per vagina and via cesarean section: an observational study using the LATCH breastfeeding charting system. Int J Nurs Stud 2007;44:1128-37.
15. Capik A, Sakar T, Yildirim N, et al. Determining the Satisfaction Levels of the Mothers According to Their Mode of Birth J Anatolia Nur and Health Sciences 2016; 19: 92-9
16. Pinar, G, Dogan, N, Algier L, et al. Factors that affecting mothers' postnatal comfort. Dicle Med J 2009; 36:184-90.
17. Karakaplan S, Yıldız H. A Study On Developing A Postpartum Comfort Questionnaire. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi 2010;3:55-65.
18. Gungor I, Beji NK. Development and psychometric testing of the scales for measuring maternal satisfaction in normal and caesarean birth. Midwifery 2012;28:348-57.
19. Herguner S, Cicek E, Annagur A. Association of Delivery Type with Postpartum Depression, Perceived Social Support and Maternal Attachment. J Psychiatry and Neurological Sciences 2014;27:15-20.
20. Cetisli NE, Arkan G, Top ED. Maternal attachment and breastfeeding behaviors according to type of delivery in the immediate postpartum period. Rev Assoc Med Bras 2018;64:164-9.
21. Betrán AP, Ye J, Moller AB, et al. The increasing trend in caesarean section rates: global, regional and national estimates: 1990-2014. PloS one 2016;11:0148343.
22. Souza, JP, Betran AP, Dumont, A, et al. A global reference for caesarean section rates (C-Model): a multicountry cross-sectional study. BJOG: An International J Obstetrics & Gynaecology 2016;123:427-36.
23. Offermann H, Gebauer C, Pulzer F, et al. Cesarean section increases the risk of respiratory adaptive disorders in healthy late preterm and two groups of mature newborns. Z Geburtshilfe Neonatol 2015;219:259-65.
24. Celebi MY, Alan S, Kahvecioglu D. Impact of prophylactic continuous positive airway pressure on transient tachypnea of the newborn and neonatal intensive care admission in newborns delivered by elective cesarean section. Am J Perinatol 2016;2: 99- 106.
25. Kuguoglu S. Turkish Version of the General Comfort Questionaire. Florence Nightingale J Nursing 2008;16:16-23.
26. Van Dijk M, Roofthooft DW, Anand KJ, et al. Taking up the challenge of measuring prolonged pain in (premature) neonates: the COMFORT neo scale seems promising. The Clinical J Pain 2009;25:607-16.
27. Ambuel B, Hamlett KW, Marx CM, et al. Assessing distress in pediatric intensive care environments: the COMFORT scale. J Pediatric Psychology 1992;17:95- 109.
28. Kahraman A, Basbakkal Z, Yalaz M. Turkısh Valıdıty and Relıabılıty of Comfortneo Scale. International Refereed J Nurs Researc 2014;1: 1-11.
29. Taskin L. Doğum ve Kadın Sağlığı Hemşireliği. 8. Baskı. Ankara. Sistem Ofset Matbaacılık 2014;275-94.
30. Erkaya R, Turk R, Sakar T. Determining Comfort Levels of Postpartum Women after Vaginal and Caesarean Birth. Procedia-Social and Behavioral Sciences 2017; 237:1526-32.
31. Pereira TR, De Souza FG, Beleza AC. Implications of pain in functional activities in immediate postpartum period according to the mode of delivery and parity: an observational study. Brazilian J Physical Therapy 2017;21:37-43.
32. Bagci S, Altuntug K. Problems experienced by mothers in postpartum period and their associations with quality of life. J Human Sci 2017;13:3266-79.
33. Werner-Bierwisch T, Pinkert C, Niessen K, et al. Mothers’ and fathers’ sense of security in the context of pregnancy, childbirth and the postnatal period: an integrative literature review. BMC Pregnancy and Childbirth 2018;18; 473.
34. Elella RA, Adalaty H, Koay YN, et al. The efficacy of the COMFORT score and pain management protocol in ventilated pediatric patients following cardiac surgery. International J Pediatrics and Adolescent Med 2015; 2;123-27.
35. Haug S, Farooqi S, Wilson CG, et al. Survey on Neonatal End-of-Life Comfort Care Guidelines Across America. J Pain and Symptom Management 2018;55:979-84.
36. Eidelman AI, Schanler RJ. Breastfeeding and the use of human milk. Pediatrics 2012;129:827-41.
37. Türkiye Nüfus ve Sağlık Araştırması. [Internet]. 2013. Available from: http://www.hips.hacettepe.edu.tr/ tnsa2013/rapor/TNSA_2013_ana_rapor.pdf
38. Alus Tokat M, Serçekus P, Yenal K, et al.Early Postpartum Breast-Feeding Outcomes and BreastFeeding Self-Efficacy in T urkish Mothers Undergoing Vaginal Birth or Cesarean Birth with Different Types of Anesthesia. International J Nursing Knowledge 2015; 26:73-9.
39. Sahin BM, Ozerdogan N. Nursing care ınitiatives based on theories of social cognition and breastfeeding selfeffi cacy for successful breastfeeding. J Nurs Res 2014;11:11-5.
40. Ince T, Aktas G, Aktepe N, et al. Evaluation of the factors affecting mothers’ breastfeeding self-efficacy and breastfeeding success. J Dr Behçet Uz Children’s Hospital 2017;7:183-90.