Obstetric and Gynecology Department, Parc Taulí University Hospital, Consorci Corporació Sanitària Parc Taulí, Parc del Taulí, 1, 08208, Sabadell, Barcelona, Spain.
Departament of Public Health, Mental Health and Child and Maternal Nursing, University of Barcelona, Barcelona, Spain.
Matern Child Health J. 2023 Aug;27(8):1352-1360. doi: 10.1007/s10995-023-03677-6. Epub 2023 May 25.
In Spain, allowing women to be accompanied by their partners during cesarean deliveries is a poorly consolidated practice. Going through this experience alone, not only deprives women from the opportunity of sharing the birth with their partners, but also, forces them to face, on their own, one of the most stressful experiences during pregnancy.
To analyze whether significant differences exist in levels of anxiety of women who receive an elective cesarean delivery, according to whether they are allowed to be accompanied by their partners.
Quasi-experimental, longitudinal, prospective study, comparing a group of 31 women receiving elective cesarean deliveries, without the presence of their partners, with a group of 33 women with elective cesarean deliveries who were accompanied by their partners. Anxiety levels were assessed using the STAI-State/Trait scale. Participants were given a questionnaire to assess their level of satisfaction with the care received.
Anxiety measured via total scores on the STAI-S scale was significantly lower (p < 0.004) among the women who were accompanied by their partners during the elective cesarean delivery (median = 25), compared to the group who were not (median = 50). The differences were also significant (p < 0.003) considering the impact of accompaniment upon the group with high scores in the STAI-S (> 31) and continue to be significant when using the cut-off point of very high scores on the STAI-S (> 45).
Presence of partners during elective cesareans is a key factor for decreasing the anxiety caused by the surgery and for improving the overall experience of cesarean deliveries.
在西班牙，允许女性在剖宫产时由伴侣陪伴是一项尚未得到充分巩固的做法。独自经历这一过程，不仅剥夺了女性与伴侣分享分娩的机会，还迫使她们独自面对怀孕过程中最具压力的经历之一。
分析在允许或不允许伴侣陪伴的情况下，接受选择性剖宫产的女性的焦虑程度是否存在显著差异。
准实验、纵向、前瞻性研究，比较了一组 31 名接受选择性剖宫产且伴侣不在场的女性，以及一组 33 名接受选择性剖宫产且有伴侣陪伴的女性。使用 STAI-State/Trait 量表评估焦虑水平。通过问卷调查评估参与者对所接受护理的满意度。
通过 STAI-S 量表总分评估的焦虑程度在接受选择性剖宫产时有伴侣陪伴的女性中显著降低（p<0.004）（中位数=25），而没有伴侣陪伴的女性则升高（中位数=50）。对于 STAI-S 高分组（>31），以及在使用 STAI-S 非常高分组（>45）的截断点时，差异也具有统计学意义（p<0.003）。
伴侣在选择性剖宫产时的陪伴是降低手术引起的焦虑和改善剖宫产整体体验的关键因素。
