Department of Experimental Psychology, Heinrich-Heine-University, Düsseldorf, Germany.
Clinic for Gynecology and Obstetrics, Heinrich-Heine-University, Düsseldorf, Germany.
Women Birth. 2020 May;33(3):280-285. doi: 10.1016/j.wombi.2019.05.011. Epub 2019 Jun 6.
Around 30% of births are through caesarean section and repetition rates for receiving a caesarean section are high.
The aim of the prospective study was to compare the course of anxiety in women undergoing their first caesarean section and women experiencing a repeated caesarean section.
304 women with an indication for an elective caesarean section took part. 155 received their first caesarean section and 149 received a repeated caesarean section.
In order to measure the course of anxiety on the day of the caesarean section subjective anxiety levels were measured and saliva samples for cortisol determination were taken at admission, during skin closure and two hours after the surgery. Blood pressure and heart rate were documented at skin incision and skin closure.
Women experiencing their first caesarean section displayed significantly higher anxiety levels compared to women with a repeated caesarean section. Scores of the STAI-State and visual analogue scale for anxiety differed significantly at admission (p=.006 and p<.001) and heart rate and alpha amylase levels were significantly higher at skin closure (p=.027 and p=.029).
The results show that previous experience with a caesarean section has a soothing effect. The study aims to sensitize surgeons, anesthetists, nurses and midwives when treating women receiving a caesarean section and encourage them to incorporate soothing interventions, especially for women receiving their first caesarean section to reduce anxiety levels and consequently improve postoperative recovery and patients' satisfaction.
大约 30%的分娩是通过剖宫产进行的，而且剖宫产的重复率很高。
本前瞻性研究旨在比较首次剖宫产和重复剖宫产妇女的焦虑过程。
304 名有选择性剖宫产指征的妇女参加了研究。其中 155 名妇女接受了首次剖宫产，149 名妇女接受了重复剖宫产。
为了测量剖宫产当天的焦虑过程，在入院时、皮肤缝合时和手术后两小时测量主观焦虑水平，并采集皮质醇测定的唾液样本。在皮肤切开和皮肤缝合时记录血压和心率。
首次剖宫产的妇女比重复剖宫产的妇女表现出更高的焦虑水平。入院时 STAI-State 和焦虑视觉模拟评分差异显著（p=.006 和 p<.001），皮肤缝合时心率和α-淀粉酶水平显著升高（p=.027 和 p=.029）。
研究结果表明，以前有剖宫产经历有舒缓作用。该研究旨在提醒外科医生、麻醉师、护士和助产士在治疗接受剖宫产的妇女时，鼓励他们采用舒缓干预措施，特别是对接受首次剖宫产的妇女，以降低焦虑水平，从而改善术后恢复和患者满意度。
