Phetprapasri Panicha, Chanthasenanont Athita, Prasongvej Pichita, Nuallaong Winitra, Chaitrakulthong Suphachai, Pongrojpaw Densak
Department of Obstetrics and Gynecology, Faculty of Medicine, Thammasat University, Khlong Luang, Pathum Thani, 12120, Thailand.
Department of Psychiatry, Faculty of Medicine, Thammasat University, Khlong Luang, Pathum Thani, 12120, Thailand.
F1000Res. 2024 Dec 23;13:712. doi: 10.12688/f1000research.147840.2. eCollection 2024.
Cesarean section is the most common obstetric procedure performed. This can lead to maternal anxiety, which is a significant contributor to postpartum depression. This can adversely affect pregnant women both mentally and emotionally, negatively impacting their well-being and family bonding. The aim of this study was to evaluate the effect of the addition of an informative cesarean section operative steps video on the maternal anxiety score compared with standard pre-cesarean section care.
This randomized controlled trial was conducted at Thammasat University Hospital, Thailand, between April and September 2023. Pregnant women who underwent their first cesarean section were allocated to two groups: intervention and control groups. Participants in the intervention group were required to watch a 5-minute informative video that elaborately described the process from pre-operative steps until post-operative care on the day scheduled for cesarean delivery. All participants received the same routine pre-operative and post-operative care. The State-Trait Anxiety Inventory (STAI) was used to measure both populations on two occasions: the day of scheduled cesarean delivery and postpartum day 1.
A total of 178 women were recruited. The demographic and obstetric characteristics were similar between the two groups. The pre-operative STAI scores of the intervention and control groups were 42.9 and 44.1 points, respectively, with no significant difference. However, the post-operative anxiety score showed a significant decline in the intervention group compared to that in the control group (p = 0.002). Moreover, most of the participants in the intervention group showed a low level of anxiety after the operation, while half of the control group remained at a moderate to high level score.
The provision of an informative educational video before cesarean delivery is a powerful tool that significantly reduces cesarean operative anxiety and improves health outcomes.Thai Clinical Trials Registry on the 28 March 2023 ( TCTR20230328001).
剖宫产是最常见的产科手术。这可能导致产妇焦虑，而焦虑是产后抑郁的一个重要因素。这会对孕妇的心理和情绪产生不利影响，对她们的幸福感和家庭关系产生负面影响。本研究的目的是评估与标准剖宫产术前护理相比，增加剖宫产手术步骤信息视频对产妇焦虑评分的影响。
本随机对照试验于2023年4月至9月在泰国法政大学医院进行。接受首次剖宫产的孕妇被分为两组：干预组和对照组。干预组的参与者被要求观看一段5分钟的信息视频，该视频详细描述了从术前步骤到剖宫产预定日术后护理的过程。所有参与者都接受相同的常规术前和术后护理。使用状态-特质焦虑量表（STAI）在两个时间点对两组人群进行测量：剖宫产预定日和产后第1天。
共招募了178名女性。两组的人口统计学和产科特征相似。干预组和对照组术前的STAI评分分别为42.9分和44.1分，无显著差异。然而，与对照组相比，干预组术后焦虑评分显著下降（p = 0.002）。此外，干预组的大多数参与者术后焦虑水平较低，而对照组有一半仍处于中度至高度评分。
剖宫产术前提供信息教育视频是一种有力的工具，可显著降低剖宫产手术焦虑并改善健康结局。泰国临床试验注册于2023年3月28日（TCTR20230328001）。
