Analysis of risk factors of postpartum anxiety in women undergoing cesarean section

Abstract

Objective To explore the incidence and risk factors of postpartum anxiety in women undergoing cesarean section after comprehensive implementation of the second child policy. Methods A total of 154 women undergoing elective cesarean section were selected. Maternal clinical data were collected at preoperative 1 d， postoperative 2 d and 6 weeks. Self-Rating Anxiety Scale （SAS） and Edinburgh Postpartum Depression Scale （EPDS） were investigated at preoperative 1 d and postoperative 6 weeks. All parturients were divided into the anxiety group and normal group according to the SAS score at postoperative 6 weeks. Univariate and multivariate Logistic regression analyses were used to explore the risk factors of postpartum anxiety. Results The activity pain at postoperative 24 h，the time of first offbed activity after operation， the time of catheter removal， the length of hospital stay， maternal total dissatisfaction with postpartum recuperation period （doing the month） were significantly associated with postpartum anxiety （all P < 0.05）. Multivariable logistic regression analysis showed that the total dissatisfaction with postpartum recuperation period （doing the month） （OR=7.741， 95%CI： 3.612-16.591， P < 0.001） was an independent risk factor for postpartum anxiety at 6 weeks after cesarean section. Conclusions The incidence of postpartum anxiety at postoperative 6 weeks is high in women undergoing cesarean section. Increasing maternal satisfaction with postpartum recuperation period can reduce the incidence of postpartum anxiety.

Keywords

• cesarean section|postpartum anxiety|maternal satisfaction during the postpartum recuperation period|risk factor