High Anxiety Levels before Elective Cesarean Section Can Negatively Affect the Mother and Fetus.

IF 0.7 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Nigerian Journal of Clinical Practice Pub Date : 2024-04-01 Epub Date: 2024-04-29 DOI:10.4103/njcp.njcp_868_23

F Tosun, M Bülbül, C Ç Yıldız, Ö Özen, F Özerdem

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引用次数: 0

Abstract

Background: Both pregnancy and surgery cause anxiety. This situation may negatively affect the health of the mother and baby.

Aim: The effect of anxiety level before cesarean section (CS) on feto-maternal outcomes was investigated.

Methods: The preoperative anxiety score was determined with the State-Trait Anxiety Inventory (STAI) in 224 pregnant women who were planned for elective CS.

Results: Among patients, 33.5% were in the low anxiety group, 27.2% in the moderate, and 39.3% in the high anxiety group. The average birth weight in the low anxiety group was noticeably higher than that of the high anxiety group (P = 0.018). The mean heart rate at postop 1st and 24th hour in the high anxiety group was higher than the moderate anxiety group (P < 0.028). In addition, diastolic blood pressure (DBP) at the sixth hour in the low anxiety group was found to be lower than in the moderate anxiety group (P < 0.05).

Conclusion: According to these results, it was found that an increased anxiety score before CS is associated with low birth weight in the baby, higher heart rate, and DBP in the mother.

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选择性剖腹产前的高度焦虑会对母亲和胎儿产生负面影响。

背景：怀孕和手术都会引起焦虑。目的：研究剖宫产术（CS）前焦虑水平对胎儿-产妇结局的影响：方法：采用状态-特质焦虑量表（STAI）对224名计划进行择期剖宫产的孕妇进行术前焦虑评分：在患者中，低焦虑组占 33.5%，中度焦虑组占 27.2%，高度焦虑组占 39.3%。低焦虑组的平均出生体重明显高于高焦虑组（P = 0.018）。高度焦虑组在术后第 1 小时和第 24 小时的平均心率高于中度焦虑组（P < 0.028）。此外，低焦虑组在术后第 6 小时的舒张压（DBP）低于中度焦虑组（P < 0.05）：根据上述结果发现，分娩前焦虑评分增加与婴儿出生体重低、母亲心率和舒张压升高有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nigerian Journal of Clinical Practice MEDICINE, GENERAL & INTERNAL-

CiteScore

1.40

自引率

0.00%

发文量

275

审稿时长

4-8 weeks

期刊介绍： The Nigerian Journal of Clinical Practice is a Monthly peer-reviewed international journal published by the Medical and Dental Consultants’ Association of Nigeria. The journal’s full text is available online at www.njcponline.com. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal makes a token charge for submission, processing and publication of manuscripts including color reproduction of photographs.