Effect of Perioperative Psychological Interventions on Maternal Outcomes Undergoing Cesarean Delivery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Perioperative Psychology
- Sponsor
- Nanjing Medical University
- Enrollment
- 365
- Locations
- 1
- Primary Endpoint
- Self anxiety assessment scale (SAS)
- Status
- Completed
- Last Updated
- 15 years ago
Overview
Brief Summary
Pregnancy induced psychosis is an essential factor that influencing maternal health postpartum. When gravidas, especially nulliparas, facing labor and delivery, they will undoubtedly encounter burden from their own and surrounding facts. Maternal psychosis takes a large part of women's psychological disorders. No matter which way, either spontaneous or surgical, they would choose, many factors influence their psychological state. Cesarean section poses higher risks for women than vaginal delivery. Therefore, how to seek effective methods to alleviate parturients' psychological stress response possesses pivotal clinical implications. Herein the investigators proposed that different linguistic interventions given pre-, intra- or post-operatively would produce different effect on maternal psychology and internal stress level.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Chinese gravidas
- •Gestational age \>=36 wk
- •Nulliparas
- •Undergoing selective Cesarean section
Exclusion Criteria
- •With recognition problem
- •Used or using centrally acting drugs
- •With chronic pain
- •Refusal participation
- •With existed psychiatric disorders
- •With history of psychological diseases
- •Contraindications for neuraxial anesthesia
Outcomes
Primary Outcomes
Self anxiety assessment scale (SAS)
Time Frame: One day prior surgery
Scorings of SAS evaluation by the patient herself
Secondary Outcomes
- Self depression assessment scale (SDS)(One day prior surgery)
- Visual analog scale of pain (VAS pain)(Five min before surgery (-5 min))
- Saliva cortisol level(30 min postoperation)
- Vital signs(30 min postoperation)
- SAS scorings(30 min postoperation)
- SDS scoring(30 min postoperation)
- VAS pain scoring(3 h after surgery)