Abstract
Objective: To describe the anxiety status of cesarean section pregnant women and identify associated factors at the Obstetrics and Gynecology Center, Vinmec Times City International General Hospital in 2025.
Methods: A cross-sectional descriptive study was conducted on 248 pregnant women scheduled for cesarean section at the Obstetrics Department of Vinmec Times City Hospital. Anxiety levels were assessed using medical records and the STAI-T (State-Trait Anxiety Inventory) scale. Data were analyzed using SPSS 25.0, with frequency tables and percentage descriptions. The Chi-square test was used to analyze related factors.
Results: The average age was 31.88 ± 4.14 years. Nearly 90% of participants worked as office staff or civil servants. The majority were married and lived close to their husbands (96.8%). About 90.7% had reached at least 38 weeks of pregnancy; 42.7% were pregnant for the first time, and 57.3% had been pregnant more than once. The prevalence of anxiety among participants was 10.1%. Factors associated with anxiety included living with extended family, having one or more children, family gender preference, unwanted changes, and the relationship with in-laws.
Conclusion: The rate of anxiety before cesarean section was 10.1%. There were associations between maternal anxiety before delivery and factors such as living arrangements, number of children, family gender expectations, unwanted changes, and relationships with parents-in-law.
Keywords
References
Fisher J, Tran T, Tran TD, et al. Prevalence and risk factors for symptoms of common mental disorders in early and late pregnancy in Vietnamese women: a prospective population-based study. Journal of affective disorders. 2013;146(2):213-219. doi: 10.1016/j.jad.2012.09.007.
Nazzari S, Grumi S, Villa M, et al. Sex-dependent association between variability in infants’ OXTR methylation at birth and negative affectivity at 3 months. Psychoneuroendocrinology. 2022;145:105920. doi: 10.1016/j.psyneuen.2022.105920.
Dương Linh, Thạch Hào, Bùi Quang Nghĩa và cộng sự. Tình hình trầm cảm sau sinh ở sản phụ có thai kỳ nguy cơ cao tại Bệnh viện Đa khoa Trung Ương Cần Thơ. Tạp chí Y Dược học Cần Thơ. 2022(55):108-114. https://doi.org/10.58490/ctump.2022i55.388.
Fawcett EJ, Fairbrother N, Cox M, White IR, Fawcett JM. The Prevalence of Anxiety Disorders During Pregnancy and the Postpartum Period: A Multivariate Bayesian Meta-Analysis. The Journal of clinical psychiatry. 2019;80 4. doi: 10.4088/JCP.18r12527.
Đinh Việt Hùng, Phạm Ngọc Thảo. Nghiên cứu đặc điểm lâm sàng ở trầm cảm sau sinh. Tạp chí Y học Việt Nam. 2022;511(2). https://doi.org/10.51298/vmj.v511i2.2122.
Nazzari S, Grumi S, Biasucci G, et al. Maternal pandemic-related stress during pregnancy associates with infants’ socio-cognitive development at 12 months: A longitudinal multi-centric study. Plos one. 2023;18(4):e0284578. doi: 10.1371/journal.pone.0284578.
Vũ Thị Thu Thủy, Hoàng Thị Nguyên, Nguyễn Thị Huyền Linh và cộng sự. Lo âu, trầm cảm và một số yếu tố liên quan ở các cặp vợ chồng khám, điều trị hiếm muộn tại Trung tâm Hỗ trợ sinh sản quốc gia, Bệnh viện Phụ sản Trung Ương năm 2022. Tạp chí Y học Việt Nam. 2023;526(2). https://doi.org/10.51298/vmj.v526i2.5514.
Nagandla K, Nalliah S, Yin LK, et al. Prevalence and associated risk factors of depression, anxiety and stress in pregnancy. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2016;5(7):2380-2389. https://doi.org/10.18203/2320-1770.ijrcog20162132.
Podvornik N, Velikonja VG, Praper P. Depression and Anxiety in Women During Pregnancy in Slovenia/Depresija In Anksioznost Pri Ženskah Med Nosečnostjo V Sloveniji. Slovenian Journal of Public Health. 2014;54(1):45-50. doi: 10.1515/sjph-2015-0006.
Alqahtani AH, Al Khedair K, Al-Jeheiman R, Al-Turki HA, Al Qahtani NH. Anxiety and depression during pregnancy in women attending clinics in a University Hospital in Eastern province of Saudi Arabia: prevalence and associated factors. International journal of women’s health. 2018:101-108. doi: 10.2147/IJWH.S153273.
Palma E, Armijo I, Cifuentes J, et al. Hospitalisation in high-risk pregnancy patients: is prenatal attachment affected? Journal of Reproductive and Infant Psychology. 2021;39(1):30-42. doi: 10.1080/02646838.2020.1740661.
Đào Thị Thanh Hường, Đỗ Thanh Huyền, Nguyễn Thị Thu Ngân. Mô tả một số yếu tố liên quan đến tâm lý phụ nữ sau sinh hai con cùng là gái. Tạp chí Phụ sản. 2024;22(4):37-42. doi: 10.46755/vjog.2024.4.1761.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2025 Journal of Nursing Science