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Biomedical subjects

C R Block

Publications and source records attributed to C R Block.

5 recordsLinked to original sources

Obstetric and psychological effects of psychoprophylactic preparation for childbirth.

Medical records, personal interviews about the childbirth experience, and self-administered attitudinal and socioeconomic data were obtained 1 to 3 days post partum in a large metropolitan hospital, for 249 women, 95 of whom had taken psychoprophylaxis training for childbirth prior to delivery. When controlled by parity, psychoprophylactic preparation was not related to any obstetric differences except for lower levels of anesthesia for both primiparas and multiparas and lower levels of analgesia among multiparas only. Preparation was significantly related to lower levels of pain and higher levels of enjoyment during childbirth, and these psychological benefits did not diminish when controlled for parity, socioeconomic status, and four sets of psychological and attitudinal characteristics.

Adult↗

The second time around: parity and birth experience.

Both patients and professionals generally believe that the easier obstetrical experience of the multipara also characterizes her subjective experiences. Among 249 women, we found that the multiparas had more physical discomfort, but fewer worries, during pregnancy, and that they worried about labor more, but prepared for birth less, than did the primiparas. Although the multiparas had obstetrically easier labors, they received less support from their husbands during labor and there was no significant parity difference in the subjective pain or enjoyment. After birth, the multiparas generally sought less contact with their babies during the hospital stay than did the primiparas. The sample was representative of urban, middle class women. Implications regarding prepared versus nonprepared childbirth were also noted. The findings challenge the conventional emphasis on supportive care mainly for primiparas.

Evaluation Studies as Topic↗