Preoperative anxiety may increase postcesarean delivery pain and analgesic consumption

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dc.contributor.authorGörkem, Ümit
dc.contributor.authorToğrul, Cihan
dc.contributor.authorŞahiner, Yeliz
dc.contributor.authorYazla Asaf, Ece
dc.contributor.authorGüngör, Tayfun
dc.date.accessioned2019-05-13T08:57:22Z
dc.date.available2019-05-13T08:57:22Z
dc.date.issued2016
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractBACKGROUND:The aim of this study was to reveal the relationship between high level of prenatal anxiety and postoperative pain and/or analgesic consumption in women undergoing elective cesarean delivery under spinal anesthesia. METHODS:Eighty women, aged between 18-45 years with minimum 37 week- gestation and received spinal anesthesia during elective cesarean delivery, were included into this observational cohort study. Prenatal anxiety was measured with state anxiety inventory, trait anxiety inventory and somatosensory amplification scale. Visual Analogue Scale (VAS) was used to quantify postoperative pain. Amount of analgesic consumed was recorded at 6th, 12th and 18th postoperative hours. RESULTS:State Anxiety Score was above the threshold level (>45) in 18 women (22.5%). No difference was found between women with and without high state anxiety scores except for significantly higher BMI values in high-score group (P=0.07). In multivariate analysis, high BMI at pregnancy (OR: 1.2, 95% CI; 1.0-1.5, P=0.02) and high State Anxiety Score (OR: 1.1, 95% CI; 1.0-1.2, P=0.01) emerged as independent predictors of higher mean pain scores (VAS >4 cm) within 18 hours after cesarean delivery. Also, high State Anxiety Score was found to be independently associated with higher pethidine consumption after cesarean delivery (OR: 1.1, 95% CI; 1.0-1.2, P=0.006). CONCLUSIONS:State anxiety has a negative effect on postcesarean pain whereas trait anxiety does not seem to produce such effect. The effect seems to be more profound in overweight women. Detection of anxiety level before elective cesarean delivery and therapeutic approach to pregnant women may be useful for postoperative pain control.
dc.identifier.citationGörkem, Ü., Toğrul, C., Şahiner, Y., Yazla, E., Güngör, T. (2016). Preoperative anxiety may increase postcesarean delivery pain and analgesic consumption. Minerva Anestesiologica, 82(9), 974-980.
dc.identifier.endpage980en_US
dc.identifier.issn0375-9393
dc.identifier.issue9en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage974en_US
dc.identifier.urihttps://hdl.handle.net/11491/911
dc.identifier.volume82en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherEdizioni Minerva Medica
dc.relation.ispartofMinerva Anestesiologica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAnalgesiaen_US
dc.subjectAnxietyen_US
dc.subjectCesarean Sectionen_US
dc.subjectPainen_US
dc.titlePreoperative anxiety may increase postcesarean delivery pain and analgesic consumption
dc.typeArticle

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