Geburtshilfe Frauenheilkd 2018; 78(10): 227
DOI: 10.1055/s-0038-1671445
Poster
Freitag, 02.11.2018
Pränatal- und Geburtsmedizin IV
Georg Thieme Verlag KG Stuttgart · New York

Comparing the course of anxiety in women receiving their first compared to repeated caesarean section: a prospective study

, MAGIC-Group
NK Schaal
1  Heinrich-Heine-University Düsseldorf, Department of Experimental Psychology, Düsseldorf, Deutschland
,
T Fehm
2  Clinic for Gynecology and Obstetrics, Heinrich-Heine-University, Düsseldorf, Deutschland
,
OT Wolf
3  Faculty of Psychology, Ruhr-University Bochum, Bochum, Deutschland
,
P Gielen
1  Heinrich-Heine-University Düsseldorf, Department of Experimental Psychology, Düsseldorf, Deutschland
,
C Hagenbeck
2  Clinic for Gynecology and Obstetrics, Heinrich-Heine-University, Düsseldorf, Deutschland
,
M Heil
1  Heinrich-Heine-University Düsseldorf, Department of Experimental Psychology, Düsseldorf, Deutschland
,
M Fleisch
4  Clinic for Gynecology and Obstetrics, HELIOS University Clinic, Wuppertal, Deutschland
,
P Hepp
4  Clinic for Gynecology and Obstetrics, HELIOS University Clinic, Wuppertal, Deutschland
› Author Affiliations
Further Information

Publication History

Publication Date:
20 September 2018 (online)

 

Aim:

To compare the course of anxiety between women receiving their first caesarean section and women with a repeated caesarean section.

Methods:

304 women with an indication for a planned 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 (STAI-State, Visual Analogue Scale for Anxiety (VAS-A)) were measured and saliva samples were taken in order to determine cortisol and amylase levels at admission, during skin closure and two hours after the surgery. Blood pressure and heart rate were documented at skin incision and skin closure.

Results:

Women experiencing their first caesarean section displayed higher anxiety levels compared to women with a repeated caesarean section. STAI-State and VAS-A differed significantly at admission (p= 0.006 and p < 0.001) and heart rate and alpha amylase levels were significantly higher at skin closure (p= 0.027 and p= 0.029).

Conclusion:

Previous experience with caesarean section has a soothing effect on anxiety levels of the woman. The results should sensitive surgeons, nurses and midwife when treating women receiving a caesarean section and encourage them to integrate soothing interventions especially in women receiving their first caesarean section in order to reduce anxiety levels and consequently improve postoperative recovery and patient's satisfaction.