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. 2023 Jul 11;9(7):e18143.
doi: 10.1016/j.heliyon.2023.e18143. eCollection 2023 Jul.

Correlates of higher anxiety scores reported by women admitted for elective caesarean section

Fida Asali  1 , Ismaiel Abu Mahfouz  2 , Lujain Al-Marabhah  3 , Shirin Alatoom  3 , Lana Al Takriti  3 , Zeina Abu Eisheh  4 , Oqba Al Kuran  5 , Hatim Jaber  6
Affiliations

Correlates of higher anxiety scores reported by women admitted for elective caesarean section

Fida Asali et al. Heliyon. .

Abstract

Background: An elective caesarean section (CS) has been associated with high anxiety scores, and there are associations between higher anxiety scores and younger age, primigravidae, higher educational level, and previous experience with anaesthesia. In this study, the aim is to measure anxiety scores associated with an elective CS using two measuring scales and identify women's characteristics and obstetrics variables that are associated with higher scores.

Methods: A cross-sectional study was conducted between Nov 15, 2019 and Nov 15, 2020. Women were included if they were 18 years of age or more, had viable pregnancies, and were admitted for an elective CS. Anxiety scores were measured on admission using the visual analogue scale for anxiety (VASA) and then the State-Trait Anxiety Inventory (STAI-Y). Associated factors were studied using logistic regression analyses.

Results: Three hundred women were recruited. Means (SD) for the participant's age and gestation age were 30.5 (5.7) years and 37.6 (1.4) weeks, respectively. Additionally, 29.3% of the participants having a CS were primigravidae and 62.3% were for maternal indications. Furthermore, 55%, 59%, and 61% of the women had scores above the means of VASA and STAI-S components 1 and 2, respectively.Variables that showed statistically significant associations with higher anxiety scores were that the woman's age was 25-34, the CS was for foetal indications, the choice of anaesthesia was general, and the source of information for the choice of anaesthesia was a layperson.

Conclusion: Higher anxiety scores are prevalent among women admitted for an elective CS. STAI-Y and VASA correlated well, and the short VASA may replace the lengthy STAI-Y in clinical practice. Identification of women with risk factors may help in implementing strategies to reduce anxiety.

Keywords: Anxiety; Elective caesarean section; Pregnancy; State-trait anxiety inventory; Visual analogue scale for anxiety.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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