Abstract

Introduction The phenomenon of has held man's interest from earliest times. Poets and philosophers, from the beginning of history, have mused about the arcane nature of the event. More recently, the experience has been considered from the perspective of psychoanalytic psychiatry. Rank 8 has stressed the trauma of birth as the primal experience of anxiety. Greenacre 2 has similarly theorized that the process provides the prototype of the individual's later experiences of anxiety by organizing diffuse, somatic, preanxiety reactions into a definite pattern. Since uterine separation occurs by definition in all births, its effects cannot be isolated for study. However, operational, testable hypotheses can be formulated regarding the different effects of various modes of bringing about the uterine separation. A comparison af vaginally and cesarean delivered individuals would seem to offer the opportunity to determine the postpartum consequences chiefly attributable to passage through

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