title: [Prenatal anxiety and cesarean section with non-medical indication].
abstract: OBJECTIVE
  To explore the relationship between prenatal anxiety and cesarean section (c-section) with non-medical indication.
  
  
  METHODS
  Nested case-control study was used to analyze the risk factors for c-section with no medical needs: 433 pregnant women with gestational age longer than 24 weeks were enrolled in this study. According to the mode of delivery, we divided them into a vaginal delivery group, a c-section group without medical need and a c-section group with medical need.
  
  
  RESULTS
  The c-section rate was 62.1%, 55.8% of which was c-section without medical need at family request. The score of state anxiety (S-AI) and trait anxiety (T-AI) was 42.53±11.04 and 44.40±10.23 respectively, much higher than that of normal population. After the adjustment of maternal social economic status and other prenatal statuses for this pregnancy, the prenatal anxiety was still associated with c-section with non-medical indication. The adjusted odd ratio for prenatal anxiety state, prenatal trait anxiety state and c-section with non-medical indication was 1.41 (95% CI: 1.06-1.87) and 1.23 (95% CI: 1.08-1.40), respectively.
  
  
  CONCLUSIONS
  Prenatal anxiety state is a risk factor for c-section with non-medical indication.
authors.affiliation: Department of Obstetrics and Gynecology, Second Xiangya Hospital, Central South University, Changsha 410011; School of Public Health, Central South University, Changsha 410078, China.
authors.forename: Shaoling
authors.initials: S
authors.lastname: Zhang
authors.forename: Xin
authors.initials: X
authors.lastname: Huang
authors.forename: Hongzhuan
authors.initials: H
authors.lastname: Tan
mesh_terms: D001007:Anxiety; D016022:Case-Control Studies; D002585:Cesarean Section / Q000523:psychology*; D036861:Delivery, Obstetric; D005260:Female; D005865:Gestational Age; D006801:Humans; D011247:Pregnancy; D012307:Risk Factors