ArticlePloS one2019
Pregnancy-specific anxiety and elective cesarean section in primiparas: A cohort study in China.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05570201 (Effects of Planned Training and Music Listened to Before a Cesarean Section on Surgical Fear, Anxiety and Depression), which is not on this map. Cited by 13 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of Planned Training and Music Listened to Before a Cesarean Section on Surgical Fear, Anxiety and Depression
Who cites it
13 citing papers in PubMed.
- Heterogeneous effects of sleep and psychological health on pregnancy outcomes in donor insemination: a prospective cohort study.Frontiers in public health · 2026Article
- Assessment of emotional status and risk factors in early pregnancy using multidimensional data: a cross-sectional study.BMC pregnancy and childbirth · 2025Article
- Article
- Exploring shared and unique benefits of passive and active prenatal intervention protocols on maternal wellbeing and neonatal outcomes: a combined quali-quantitative approach.Frontiers in psychology · 2025Article
- A Higher Maternal Education Level Could Be a Critical Factor in the Exceeded Cesarean Section Delivery in Indonesia.Iranian journal of public health · 2024Article
- Study protocol for improving mental health during pregnancy: a randomized controlled low-intensity m-health intervention by midwives at primary care centers.BMC nursing · 2023Article
- Perceptions of Obstetrics/Gynecology Surgeons on Non-medically Indicated Cesarean Sections: A Cross-Sectional Study.Cureus · 2023Article
- Maternal pregnancy-related anxiety and children's physical growth: the Ma'anshan birth cohort study.BMC pregnancy and childbirth · 2023Article
- Discharge readiness and its associated factors among first-time mothers undergoing cesarean section in China.Belitung nursing journal · 2022Article
- Effects of Benson Relaxation Technique and Music Therapy on the Anxiety of Primiparous Women Prior to Cesarean Section: A Randomized Controlled Trial.Anesthesiology research and practice · 2022Article
- Non-linear Relationship of Maternal Age With Risk of Spontaneous Abortion: A Case-Control Study in the China Birth Cohort.Frontiers in public health · 2022Article
- Is Primary Cesarean Section a Cause of Increasing Cesarean Section Rates in Greece?Materia socio-medica · 2020Article
- Pregnancy termination and determinant factors among women of reproductive age in Kenya, evidence from Kenyan Demographic and Health Survey 2022: Multilevel analysis.Women's health (London, England)Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The purpose of this study was to investigate the association between pregnancy-specific anxiety and elective cesarean section, and identify the critical period in which pregnancy-specific anxiety will affect the elective cesarean section. Primiparous women in the 1st trimester of pregnancy were invited to participate in the cohort. General information on maternal socio-demographic characteristics and environmental exposure were collected using questionnaires. Pregnancy-specific anxiety was assessed by using pregnancy-specific anxiety questionnaire in the 1st, 2nd and 3rd trimester, respectively. Delivery modes and pregnancy complications were abstracted from medical notes. Structural equation modeling (SEM) was adopted to examine the relationship between pregnancy-specific anxiety and elective cesarean section. Results indicated the overall elective cesarean section rate in this study was 45%. Among 1 874 pregnant women, 30.9% women experienced anxiety at least once during pregnancy, and 6.9% women suffered from anxiety in all three trimesters. Anxiety in the 2nd trimester was a significant predictor for elective cesarean section. Young maternal age and low educational level had indirect effects on women's choice of elective caesarean section through affecting pregnancy-specific anxiety. More attention should be paid to maternal psychological problems, and professional counseling needs to be strengthened to protect women from pregnancy-specific anxiety.
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