Prenatal anxiety and cesarean section with non-medical indication
10.3969/j.issn.1672-7347.2013.10.015
- VernacularTitle:产前焦虑与非医学需要剖宫产的关系
- Author:
Shaoling ZHANG
;
Xin HUANG
;
Hongzhuan TAN
- Publication Type:Journal Article
- Keywords:
caesarean section with non-medical indication;
nested case-control study;
prenatal anxiety;
risk factors
- From:
Journal of Central South University(Medical Sciences)
2013;38(10):1070-1074
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the relationship between prenatal anxiety and cesarean section (c-section) with non-medical indication.
Methods: Nested case-control study was used to analyze the risk factors for c-section with no medical needs: 433 pregnant women with gestational age longer than 24 weeks were enroled in this study. According to the mode of delivery, we divided them into a vaginal delivery group, a c-section group without medical need and a c-section group with medical need.
Results: The c-section rate was 62.1%, 55.8% of which was c-section without medical need at family request. The score of state anxiety (S-AI) and trait anxiety (T-AI) was 42.53±11.04 and
44.40±10.23 respectively, much higher than that of normal population. After the adjustment of maternal social economic status and other prenatal statuses for this pregnancy, the prenatal anxiety was still associated with c-section with non-medical indication. The adjusted odd ratio for prenatal anxiety state, prenatal trait anxiety state and c-section with non-medical indication was 1.41 (95%CI: 1.06-1.87) and 1.23 (95% CI: 1.08-1.40), respectively.
Conclusion: Prenatal anxiety state is a risk factor for c-section with non-medical indication.
