Wiklund Ingela, Edman Gunnar, Larsson Christina, Andolf Ellika
Division of Obstetrics and Gynaecology, R&D Section, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Acta Obstet Gynecol Scand. 2006;85(10):1225-30. doi: 10.1080/00016340600839833.
Women's rights to request an elective cesarean section without a specific medical indication has been intensively debated during the last decade among healthcare professionals. The aim of this study was to investigate if women requesting a cesarean section differ in their personality from those who plan a vaginal delivery. The aim was also to study differences between the groups in age, perceived health, and place of birth, IVF treatment, and family size planning.
Three hundred and twenty-eight pregnant women from two different groups, "cesarean section on maternal request" (n=84), and "vaginal delivery group" (n=242) completed the self-report inventory Karolinska Scales of Personality at 37-39 gestational weeks in pregnancy.
A significant difference in age was found between the cesarean and the vaginal group (mean age 33.9 years versus 30.8, p<0.001). Analysis of covariance of personality traits showed that the subscales Monotony avoidance (p<0.003) and Socialization (p<0.002) differed significantly between women requesting cesarean section and women planning a vaginal delivery. There were no differences between the groups in variables concerning the anxiety proneness scale.
Personality traits such as Socialization and Monotony avoidance differ significantly before birth between mothers who request a cesarean section and those who do not.
在过去十年中，医护人员对女性在无特定医学指征情况下要求选择性剖宫产的权利进行了激烈辩论。本研究的目的是调查要求剖宫产的女性与计划顺产的女性在性格上是否存在差异。研究目的还包括探讨两组在年龄、自我感知健康状况、出生地、体外受精治疗以及家庭规模计划方面的差异。
来自两个不同组别的328名孕妇，即“产妇要求剖宫产组”（n = 84）和“顺产组”（n = 242），在妊娠37 - 39周时完成了卡罗林斯卡个性量表的自我报告清单。
剖宫产组和顺产组在年龄上存在显著差异（平均年龄分别为33.9岁和30.8岁，p < 0.001）。人格特质的协方差分析表明，要求剖宫产的女性和计划顺产的女性在单调回避量表（p < 0.003）和社交化量表（p < 0.002）上存在显著差异。两组在焦虑倾向量表相关变量上没有差异。
要求剖宫产的母亲和不要求剖宫产的母亲在产前的社交化和单调回避等人格特质存在显著差异。
