title: Stress, sleep quality and unplanned Caesarean section in pregnant women.
abstract: This study examines the relationship among prenatal maternal stress, sleep quality and unplanned Caesarean delivery. For this research, we adopted a prospective survey design and a sample of 200 women in the early stages of labour. The findings were as follows: (i) 11.5% of the participants underwent unplanned Caesarean sections; (ii) based on a Pittsburg Sleep Quality Index split point of 5, approximately 90.5% of the participants experienced poor sleep quality; and (iii) the odds ratio for primiparas undergoing an unplanned Caesarean section was 4.183 times that for multiparas (95% confidence interval (CI) = 1.177 to 14.864), indicating a statistically significant difference. The results also showed that stress was a significant factor related to unplanned Caesarean sections; a 1-point increase on the Pregnancy Stress Rating Scale was associated with a 1.033-fold higher probability of undergoing an unplanned Caesarean section (95% CI = 1.002 to 1.065). Furthermore, prenatal stress was a significant variable that can be used to predict unplanned Caesarean deliveries.
authors.affiliation: Department of Nursing, College of Medicine, Fu Jen Catholic University, Taiwan.
authors.forename: Yi-Li
authors.initials: YL
authors.lastname: Ko
authors.affiliation: School of Nursing, College of Nursing, Taipei Medical University, Taiwan.
authors.forename: Pi-Chu
authors.initials: PC
authors.lastname: Lin
authors.affiliation: Nursing Department, Shin Kong Wu Ho-Su Memorial Hospital, Taiwan.
authors.forename: Shu-Chuan
authors.initials: SC
authors.lastname: Chen
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D010298:Parity; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology*; D011446:Prospective Studies; D012893:Sleep Wake Disorders / Q000150:complications*; D013315:Stress, Psychological / Q000150:complications*; D011795:Surveys and Questionnaires
keywords: pregnant women; sleep quality; stress; unplanned Caesarean section