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Anxiety reduction through obstetric consultation combined with ultrasound examination in women after cesarean section
Department of Obstetrics and Gynecology, Skåne University Hospital Malmö, Lund University, Malmö, Lund, Sweden.
Department of Obstetrics and Gynecology, Skåne University Hospital Malmö, Lund University, Malmö, Lund, Sweden.
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).ORCID iD: 0000-0002-7466-5086
2022 (English)In: Journal of Affective Disorders Reports, ISSN 2666-9153, Vol. 8, p. 100342-100342, article id 100342Article in journal (Refereed) Published
Abstract [en]

Background:

Women are at increased risk of developing anxiety or depression disorders after Cesarean section (CS). This study aims to evaluate whether an appointment with a senior obstetrician combined with an ultrasound examination reduces levels of anxiety in women after CS.

Methods:

A prospective observational study was conducted in Sweden. Women underwent an appointment with an obstetrician 6–9 months after their first CS. Before the appointment, women were asked to fill in the state and trait subscales of the Spielberger State-Trait Anxiety Inventory and the Beck's Depression Inventory. The women's experience of the childbirth was discussed and an ultrasound examination of the hysterotomy scar was performed. After the appointment, the participants filled in the state scale again. The women were divided into low trait anxiety (< 40) and high trait anxiety (≥ 40) groups for comparisons.

Results:

147 women were included. Of those, 114 (78%) had lower trait score <40 (mean 29.2 ± 5.4) and 33 (22%) had higher trait score ≥ 40 (mean 47.4 ± 6.5). Mean difference of state score in the low trait anxiety group before and after the examination was 4.8 ± 5.6 (95% CI 7.20 to 11.97, p<0.0001) and in the high trait anxiety group, the mean difference was 9.2 ± 6.5 (95% CI 3.77 to 5.82, p<0.0001).

Limitations:

A clinical examination with a diagnosis of depression in these women was not made by a psychiatrist.

Conclusions:

A supportive obstetric consultation combined with an ultrasound examination of the uterine scar decreased anxiety levels in women after CS, particularly in patients with higher anxiety

Place, publisher, year, edition, pages
Elsevier, 2022. Vol. 8, p. 100342-100342, article id 100342
Keywords [en]
Cesarean section, Ultrasound, Uterine scar, Stai, Postpartum anxiety
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:mau:diva-53994DOI: 10.1016/j.jadr.2022.100342OAI: oai:DiVA.org:mau-53994DiVA, id: diva2:1685126
Available from: 2022-08-01 Created: 2022-08-01 Last updated: 2022-08-01Bibliographically approved

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Sjöström, K

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