{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:16:20Z","timestamp":1791807380200,"version":"4.3.4"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"01","funder":[{"name":"The U.S. Department of Health and Human Services"},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["3R01HD098178-02S1"],"award-info":[{"award-number":["3R01HD098178-02S1"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>\n            Objective\u2003The experience of an unplanned cesarean birth may be a risk factor for mood disorders and other challenges in the postpartum period, yet qualitative data on the patient experience are limited. We sought to understand individuals' experiences of having an unplanned cesarean birth.<\/jats:p><jats:p>\n            Study Design\u2003This was a secondary analysis of a prospective qualitative investigation among low-income postpartum individuals at a single-, tertiary-care center in which the primary aim was to evaluate patients' postpartum pain experience after a cesarean birth. Participants completed a 60-minute face-to-face interview on postpartum days 2 to 3. Only participants who labored prior to their cesarean birth were included in this analysis. Transcripts were analyzed by two separate authors using the constant comparative method. Themes are illustrated using direct quotes.<\/jats:p><jats:p>\n            Results\u2003A total of 22 individuals were included in this analysis; the majority (n=16, 72.7%) experienced a primary cesarean birth. Over half (n=12, 54.5%) identified as Hispanic and one-third (n=7, 31.8%) identified as non-Hispanic Black race and ethnicity. Four themes regarding the experience of a cesarean birth after labor were identified, including feelings of anguish, belief that vaginal birth is \u201cnormal,\u201d poor experiences with care teams, and feelings of self-efficacy. Subthemes were identified and outlined.<\/jats:p><jats:p>\n            Conclusion\u2003In this cohort, individuals who experienced an unplanned cesarean birth after labor expressed feelings of self-blame, failure, and mistrust. Given the association of unplanned cesarean birth with mood disorders in the postpartum period, efforts to enhance communication and support may offer a means of improving individual experiences.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/a-1877-6138","type":"journal-article","created":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T22:36:47Z","timestamp":1655419007000},"page":"106-109","source":"Crossref","is-referenced-by-count":10,"title":["Individuals' Experiences of Having an Unplanned Cesarean Birth: A Qualitative Analysis"],"prefix":"10.1055","volume":"41","clinical-trial-number":[{"clinical-trial-number":"nct0460124","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Julia D.","family":"DiTosto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karolina","family":"Leziak","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn M.","family":"Yee","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6341-3350","authenticated-orcid":false,"given":"Nevert","family":"Badreldin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,9,2]]},"reference":[{"issue":"20","key":"ref1","doi-asserted-by":"crossref","first-page":"3860","DOI":"10.1080\/14767058.2020.1841163","article-title":"Unplanned Cesarean delivery is associated with risk for postpartum depressive symptoms in the immediate postpartum period","volume":"35","author":"S Smithson","year":"2022","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1186\/s12884-019-2687-7","article-title":"Women's psychosocial outcomes following an emergency caesarean section: a systematic literature review","volume":"19","author":"M Benton","year":"2019","journal-title":"BMC Pregnancy Childbirth"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.wombi.2015.10.009","article-title":"Understanding psychological traumatic birth experiences: a literature review","volume":"29","author":"M Simpson","year":"2016","journal-title":"Women Birth"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1186\/s12884-016-0876-1","article-title":"The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum","volume":"16","author":"A J Hobbs","year":"2016","journal-title":"BMC Pregnancy Childbirth"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1007\/s10995-013-1297-7","article-title":"Views of women and clinicians on postpartum preparation and recovery","volume":"18","author":"A Martin","year":"2014","journal-title":"Matern Child Health J"},{"issue":"42","key":"ref6","doi-asserted-by":"crossref","first-page":"39","DOI":"10.7748\/ns2001.07.15.42.39.c3052","article-title":"Use of constant comparative analysis in qualitative research","volume":"15","author":"J Hewitt-Taylor","year":"2001","journal-title":"Nurs 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Reblin","year":"2008","journal-title":"Curr Opin Psychiatry"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"2780","DOI":"10.3389\/fpsyg.2018.02780","article-title":"Coping with depressive symptoms in young adults: perceived social support protects against depressive symptoms only under moderate levels of stress","volume":"9","author":"M Ioannou","year":"2019","journal-title":"Front Psychol"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1877-6138.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T10:41:39Z","timestamp":1730803299000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1877-6138"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,16]]},"references-count":11,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2024,1,4]]},"published-print":{"date-parts":[[2024,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1877-6138","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,6,16]]},"published":{"date-parts":[[2022,6,16]]}}}