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Anxiety reduction through obstetric consultation combined with ultrasound examination in women after cesarean section

Vikhareva, O. LU ; Nedopekina, E. LU and Sjöström, K. LU (2022) In Journal of Affective Disorders Reports 8.
Abstract

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,... (More)

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

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cesarean section, Postpartum anxiety, Stai, Ultrasound, Uterine scar
in
Journal of Affective Disorders Reports
volume
8
article number
100342
publisher
Elsevier
external identifiers
  • scopus:85127161621
ISSN
2666-9153
DOI
10.1016/j.jadr.2022.100342
language
English
LU publication?
yes
id
8ce1d3a1-5f94-4155-be12-5ed64540f778
date added to LUP
2022-05-04 14:21:47
date last changed
2022-05-04 14:21:47
@article{8ce1d3a1-5f94-4155-be12-5ed64540f778,
  abstract     = {{<p>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 (&lt; 40) and high trait anxiety (≥ 40) groups for comparisons. Results: 147 women were included. Of those, 114 (78%) had lower trait score &lt;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&lt;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&lt;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</p>}},
  author       = {{Vikhareva, O. and Nedopekina, E. and Sjöström, K.}},
  issn         = {{2666-9153}},
  keywords     = {{Cesarean section; Postpartum anxiety; Stai; Ultrasound; Uterine scar}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Affective Disorders Reports}},
  title        = {{Anxiety reduction through obstetric consultation combined with ultrasound examination in women after cesarean section}},
  url          = {{http://dx.doi.org/10.1016/j.jadr.2022.100342}},
  doi          = {{10.1016/j.jadr.2022.100342}},
  volume       = {{8}},
  year         = {{2022}},
}