Comparison of the Effects of Vaginal and Cesarean Delivery History on Anxiety Level in a Current Pregnancy-Case Control Study
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Abstract
Objective: This study aims to compare the effects of vaginal delivery (VD) and cesarean section (CS) on anxiety experienced in the subsequent pregnancy.
Methods: It was held in Aydın Adnan Menderes University Hospital between 01.06.2013-01.06.2014. Our study is a case-control study. 172 pregnant women were included in the study. The patients were divided into two groups CS and VD, according to the type of delivery that occurred in their previous pregnancy. The Beck Anxiety Inventory (BAI) was applied to each patient. The data of the research were evaluated in SPSS v.15 and Minitab v.13.0 package programs.
Results: A total of 172 patients were included in our study, including 86 pregnant women who gave birth with CS in their previous pregnancy and 86 pregnant women who had VD. The average age of pregnant women is 28.23. According to BAI results, 50 (29.1%) of 172 patients had mild anxiety, 40 (23.3%) had moderate anxiety, and 14 (8.1%) had severe anxiety. The number of those who did not show any symptoms is 68. According to BAI, the most common finding in patients was irritability (1.0412) and a sense of bad things will happen (1.0765). When examining whether there is a significant relationship between the previous delivery method and BAI scores, a statistically significant relationship was not found in the relationship study performed with the T-Test (p>0.05).
Conclusion: Giving birth with a VD or CS does not affect current pregnancy and birth anxiety.
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References
I. Robertson E, Grace S, Wallington T, Stewart DE. Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry.2004;26(4):289-295. https://doi.org/10.1016/j.genhosppsych.2004.02.006
II. Meijer JL, Bockting CL, Beijers C, et al. PRegnancy Outcomes after a Maternity Intervention for Stressful EmotionS (PROMISES): study protocol for a randomised controlled trial. Trials. 2011;12:157. Published 2011 Jun 20. https://doi.org/10.1186/1745-6215-12-157
III. Rini CK, Dunkel-Schetter C, Wadhwa PD, Sandman CA. Psychological adaptation and birth outcomes: the role of personal resources, stress, and sociocultural context in pregnancy. Health Psychol. 1999;18(4):333-345.
https://doi.org/10.1037//0278-6133.18.4.333
IV. Sandman CA, Wadhwa PD, Chicz-DeMet A, Dunkel-Schetter C, Porto M. Maternal stress, HPA activity, and fetal/infant outcome. Ann N Y Acad Sci.1997;814:266-275. https://doi.org/10.1111/j.1749-6632.1997.tb46162.x
V. Hosseini SM, Biglan MW, Larkby C, Brooks MM, Gorin MB, Day NL. Trait anxiety in pregnant women predicts offspring birth outcomes. Paediatr Perinat Epidemiol. 2009;23(6):557-566. https://doi.org/10.1111/j.1365-3016.2009.01065.x
VI. Rowlands IJ, Redshaw M. Mode of birth and women's psychological and physical wellbeing in the postnatal period. BMC Pregnancy Childbirth. 2012;12:138. Published 2012 Nov 28.
https://doi.org/10.1186/1471-2393-12-138
VII. Pang MW, Leung TN, Lau TK, Hang Chung TK. Impact of first childbirth on changes in women's preference for mode of delivery: follow-up of a longitudinal observational study. Birth.
;35(2):121-128. https://doi.org/10.1111/j.1523-536X.2008.00225.x
VIII. Ukpong DI, Owolabi AT. Psychiatric morbidity associated with caesarean section: a study from Wesley Guild Hospital, Ilesa, Nigeria. J Obstet Gynaecol.2004;24(8):891-894. https://doi.org/10.1080/01443610400018726
IX. Heron J, O'Connor TG, Evans J, Golding J, Glover V; ALSPAC Study Team. The course of anxiety and depression through pregnancy and the postpartum in a community sample. J Affect Disord.2004;80(1):65-73. https://doi.org/10.1016/j.jad.2003.08.004
X. Eberhard-Gran M, Tambs K, Opjordsmoen S, Skrondal A, Eskild A. A comparison of anxiety and depressive symptomatology in postpartum and non-postpartum mothers. Soc Psychiatry Psychiatr Epidemiol. 2003;38(10):551-556. https://doi.org/10.1007/s00127-003-0679-3