Cesarean childbirth in sweden: Effects on the mother and father-infant relationship

The effects of Cesarean delivery on father-infant and mother-infant interaction were studied in a sample of 30 Swedish, two-parent families with a full-term healthy first-born infant. Fifteen infants were delivered vaginally, and 15 infants were delivered under full anesthesia by Cesarean section. The infants and parents were observed at home when the infants were 3 and 8 months old. The findings indicate that mothers of infants delivered by Cesarean section reacted less positively when they saw their infants for the first time and encountered more difficulties breastfeeding than did mothers of vaginally delivered infants. At 3 months post-partum, fathers of infants who were Cesarean-delivered participated in a greater amount of caregiving activities. There were no differences between Cesarean and vaginally delivered mothers at 3 months after delivery. At 8 months, there were no differences between the two groups (Cesarean and vaginal) on either the interview questions or on-any of the behavioral measures. Results from this study do not support reports from the USA of long-lasting effects of Cesarean delivery on parent-infant interaction. The results suggest the need to study cultural variations that surround Cesarean section delivery so as to understand in what way the subsequent parent-infant relationship is influenced by this event.