Evaluation of the Relationship between Prenatal Anxiety and Intra-cesarean Hemorrhage

Introduction: Anxiety is one of the most common mental disorders during pregnancy that is more prevalent in the first and third trimesters than in the second trimester. One of the most common methods of delivery in the world, especially Iran, is cesarean section, which is an independent agent of anxiety. Because one of the major complications of cesarean section is bleeding, we sought to investigate the relationship between prenatal anxiety and intra-cesarean bleeding. Methods: In this descriptive-analytical study, 90 pregnant mothers who were candidates for cesarean section in June 2019 referred to Allameh Bohlol Hospital in Gonabad, who had a 39-week gestational age and were candidate for normal pregnancy and were candidates for cesarean section with spinal anesthesia. They were included in the study using available method. Then the questionnaire containing demographic and anxiety characteristics of Spielberger was given to the subjects and their vital signs, hemoglobin and hematocrit before and after surgery and the amount of bleeding during cesarean section were measured and recorded and the correlation between anxiety and bleeding was assessed by tests. Statistical analysis and linear regression were calculated. Findings: In the present study, 90 mothers participated in study, mean age of 31.134.01 years, majority had diploma and under diploma (53.3%), mean weight of 73.9210.20 and duration Cesarean section was 56/1812/61. Based on Spielberger s anxiety test, preoperative anxiety level was 48.204.68 and bleeding during cesarean section was 221.3362.8 cc. The Pearson correlation test showed a significant relationship between the amount of bleeding during cesarean section. (P <0.05). Conclusion: Anxiety is present in pregnant women who are candidates for cesarean section and have a significant relationship with bleeding during cesarean section. Therefore, preoperative care to reduce anxiety in pregnant women is recommended for cesarean section.

Keywords:

Cesarean section , Anxiety , Prenatal anxiety , Bleeding