Operative Obstetrics
Poster Session 4
Masho SALOMON, BA
Soroka Medical Center
Beer-Sheva, HaDarom, Israel
zehava Yohay, MHA, RN
Pain Unit, Soroka University Medical Center, Beer Sheva, Israel
Soroka medical center, HaDarom, Israel
Sapir ELLOUK, MD, MPH
Soroka Medical Center
Beer-Sheva, HaDarom, Israel
Yael Baumfeld, MD
Soroka Medical Center
Beer-Sheva, HaDarom, Israel
Alina KOPITMAN, MHA
Soroka Medical Center
Beer-Sheva, HaDarom, Israel
Eyal Sheiner, MD, PhD
Head of department of Obstetrics and Gynecology B, Soroka University Medical Center
Soroka University Medical Center
Beer-Sheva, HaDarom, Israel
Anxiety is a common mental health condition affecting a significant number of individuals, especially pregnant women. Mind-body techniques may be helpful to reduce anxiety before surgeries. Our study aimed to investigate the effect of preoperative music and brief preparatory conversation on anxiety in women undergoing elective cesarean delivery (CD).
Study Design: A prospective study in a tertiary referral hospital was conducted between the years 2022-2023, investigating preoperative anxiety of women undergoing elective CD. All patients attended a preoperative clinic (team consisting of a nurse and physician) with explanations regarding the procedure. In addition, the intervention group received a message with detailed information accompanied by relaxing music and a brief conversation. The State-Trait Anxiety Inventory (STAI) was used to measure the level of anxiety in both groups during the morning before the operation. Multivariable linear analysis was conducted to control for potential confounding variables.
Results:
The analysis included a total of 130 women undergoing elective CD, with 65 women in each group. No significant difference in maternal age, level of education, religion, financial status, parity, previous CD were noted between the groups. Preoperative anxiety and stress levels were significantly lower following the intervention with preoperative music and a brief conversation, compared with patients who underwent preoperative clinic alone (Table). Specifically, women in the intervention group were less anxious and expressed happier feelings as compared to women in the non-intervention group (Table). Two linear regression models were constructed for the prediction of both positive and negative feeling composites, controlling for age, parity, previous CD, education, ethnicity, and financial status. The music intervention significantly improved the positive composite (B=7.23, SD 0.91; p< 0.001) and reduced the negative composite stress outcome (B=-7.07, SD 0.75; p< 0.001).
Conclusion:
Intervention with preoperative music and a brief conversation may reduce anxiety before an elective CD.