Evaluation of psychosocial and biological parameters in women seeking for a caesarean section and women who are aiming for vaginal delivery: a cross-sectional study

摘要: PURPOSE To investigate psychosocial and biological parameters that may influence decision-making concerning the mode of delivery in women with caesarean section on maternal request (CSMR). METHODS Two hundred two were enrolled prospectively. The study sample (n = 93) consisted who aimed for CSMR, control seeked vaginal (n = 109). Parturients both samples during pre-birth counselling at room University Medical Centre Mannheim, Heidelberg, Germany. Women completed standardised questionnaires regarding burden (SCL-R 90), fear childbirth (W-DEQ) anxiety (STAI), personality structure (HEXACO-Pi-R), ambiguity tolerance (PFI, PNS, NFC), social support (F-SozU) as well one questionnaire assessing demographic further factors potentially influencing their choice delivery. Hair cortisol concentration a marker chronic psychological stress pressure pain threshold algometer was assessed. RESULTS CSMR had less (F-SozU: 2.99 ± 0.52 vs. 3.12 ± 0.32; p = 0.043) educated (high school or university degree: 37 71%, p = 0.001) compared to parturients sample. underwent open-minded (HEXACO-Pi-R: 3.08 ± 0.57 3.26 ± 0.50; p = 0.016) extroverted 3.34 ± 0.36 3.46 ± 0.41; p = 0.041). collective showed higher scores negative appraisal birth ('W-DEQ-negative appraisal': 2.5 ± 0.8 2.2 ± 0.9; p = 0.006), whereas "lack positive anticipation" ('W-DEQ-lack anticipation': 3.2 ± 1.2 2.8 ± 0.8; p = 0.015). values (5.07 ± 2.06 4.35 ± 1.38; p = 0.007), while no significant differences observed hair comparing groups (5.0 ± 11.4 4.9 ± 8.3; p = 0.426). majority (80%) chosen route before pregnancy, only 21% decided undergo conception. advice sources including medical non-medical aspects rated important sample, indicating lower relevance counsel from friends (p = 0.002) midwives (p < 0.001). CONCLUSION inquired support, educated, more anxious, sensitivity physical seeking spontaneous This should be considered when requiring could leverage points intervene reduce continuously increasing rate.