Infants delivered by caesarean section and general anesthesia were compared with those delivered vaginally with local-regional or no anesthesia. At birth the caesarean group showed less optimal obstetric medications and complication scores, maternal attitudes to labor and delivery, and maternal and infant blood pressures, but the group did not differ on examiner or mother assessments of neonatal behaviors. At 4 months the vaginal group was more optimal on Denver adaptability, maternal state-trait anxiety, and maternal diastolic blood pressures, but the caesarean section mothers rated their infants more optimally on temperament, expressed more realistic expectations of developmental milestones, and received, along with their infants, more optimal face-to-face and feeding interaction ratings. At 8 months there were no differences on developmental assessments, but whereas blood pressures were higher in caesarean mothers and infants, these mothers again assessed their infants as having more optimal temperaments. These results are discussed in the context of an emergency caesarean altering the mother's perceptions of her infant.
ASJC Scopus subject areas
- Developmental and Educational Psychology