Psychosocial Influences on Women’s Experience of Planned Elective Cesarean Section

Bibliographic Data

ID19301702
AuthorsEdmund Keogh (0000-0002-4188-3968, University of Bath, corresponding author), Shelley Hughes, Deborah Ellery, Clare Daniel (0000-0002-5360-599X), D Clin Psy (corresponding author), Anita Holdcroft
Year2006
Volume68
Issue1
Pages167-174
Publication date2006-01-01
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/01.psy.0000197742.50988.9e
PMID16449428
OpenAlexW2083456019
LanguageEN
Citations received2
References cited34

OBJECTIVE: The successful management of pain from normal or interventional delivery is an important part of women's experience of childbirth. Our objective was to examine psychosocial factors (expectations, control beliefs, anxiety sensitivity) as measured in mothers and birth partners before an elective cesarean section. We focused on the impact that these variables have on maternal fear and pain during and after delivery. METHODS: Sixty-five women booked for an awake cesarean section with a regional nerve block and their birth partners were recruited. Data were collected at three time points for the mothers, before, during the cesarean section and after delivery on the postnatal ward, and at two time points for the birth partners (before and during the cesarean section). RESULTS: Maternal fear responses varied during the operation, in that fear was greatest at the point of administration of the nerve block. Within mothers, preoperative negative expectations were related to fear experiences during delivery, which was in turn related to their postoperative pain. Maternal anxiety sensitivity was found to mediate the relationship between negative expectations and fear, whereas birth partner's fear mediated between maternal fear and postoperative pain. Mothers' prenatal perceptions of control over drugs predicted their postoperative pain. CONCLUSIONS: Maternal fear during cesarean section not only fluctuates, but may be influenced by psychosocial factors, including their birth partner. Psychosocial factors were also important predictors of postoperative experiences. Interventions that appropriately manage psychological and social factors during cesarean delivery may facilitate a more positive experience for mothers

Anxiety · Anxiety sensitivity · Childbirth · Elective cesarean section · Labor pain · Obstetrics · Pregnancy · Psychiatry · Psychological intervention · Psychosocial · Anesthesia and Pain Management · Clinical Psychology · Maternal and Perinatal Health Interventions · Medicine · Music Therapy and Health · Psychology

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