Women’s Self-Transcendence Levels After a Cesarean Birth and Its Contributing Variables

Abstract

Background: A Cesarean birth has significant implications for women’s physical and psychological health. However, limited studies have explored self-transcendence, as a measure of well-being, and its contributing variables during the postpartum period. Purpose: This study aimed to determine the levels of self-transcendence among women after a Cesarean birth and to explore the contribution of demographic and obstetric variables. Methods: This descriptive correlational study used a convenient sample of 232 women (aged 19-49 years) who completed questionnaires in teaching and private hospitals. Results: Overall, 55% (n=128) of women had high levels of self-transcendence, with a mean score of 45.8 (SD=6.1) out of 60. Self-transcendence was negatively correlated with the number of Cesarean births (r=-0.21, p < 0.001). Higher self-transcendence levels were found among women who gave birth at private hospitals (rpb= 0.41, p < 0.001). Conclusion: A Cesarean birth can be an opportunity for self-transcendence and psychological well-being for women, depending on demographic and obstetric variables. Implications for Nursing: The findings of this study may inform healthcare professionals, especially maternity nurses, in understanding psychological dimensions associated with Cesarean birth. © 2025 Elsevier B.V., All rights reserved.