title: Association between preoperative maternal anxiety and neonatal outcomes: a prospective observational study.
abstract: OBJECTIVE
  Preoperative anxiety can be associated with poor postoperative clinical outcomes. We aimed to assess whether preoperative maternal anxiety level of obstetric patients scheduled for elective cesarean surgery has an effect on clinical outcome of the newborn.
  
  
  METHODS
  A prospective observational study.
  
  
  METHODS
  Operating room.
  
  
  METHODS
  Sixty pregnant women with American Society of Anesthesiologists physical status 1 and 2 scheduled for elective cesarean surgery were enrolled.
  
  
  METHODS
  All patients received spinal anesthesia with hyperbaric bupivacaine 12.5mg.
  
  
  METHODS
  We performed a State-Trait Anxiety Inventory questionnaire to evaluate preoperative maternal anxiety. We used the Apgar scoring system to assess the physical condition of the newborn. Hemodynamic measurements (heart rate, systolic and diastolic blood pressure) were recorded at baseline, skin incision, childbirth, and 10, 15, and 30minutes after skin incision. The use of ephedrine, nausea, and vomiting were recorded as well.
  
  
  RESULTS
  Average preoperative maternal state anxiety score was 41.1±4.6, and trait anxiety score was 50.9±5.7. Average Apgar scores of newborns were 7.6±0.8 and 9.2±0.6, at first minute and fifth minute, respectively. We found no significant relationship between the anxiety scores and Apgar scores at first and fifth minute. Forty-two patients required ephedrine, 5 patients had nausea, and 5 patients had vomiting.
  
  
  CONCLUSIONS
  We concluded that there was no relationship between preoperative maternal anxiety scores and Apgar scores at the first and fifth minute.
authors.affiliation: Anesthesiology Clinic, Adana Numune Training and Research Hospital, 01260, Adana, Turkey. Electronic address: drtunas@hotmail.com.
authors.forename: Tuna
authors.initials: T
authors.lastname: Sahin
authors.affiliation: Department of Anesthesiology, Cukurova University Faculty of Medicine, 01380, Adana, Turkey. Electronic address: gulecersel@yahoo.com.
authors.forename: Ersel
authors.initials: E
authors.lastname: Gulec
authors.affiliation: Anesthesiology Clinic, Adana Numune Training and Research Hospital, 01260, Adana, Turkey. Electronic address: meziyetahrazoglu@gmail.com.
authors.forename: Meziyet
authors.initials: M
authors.lastname: Sarac Ahrazoglu
authors.affiliation: Anesthesiology Clinic, Adana Numune Training and Research Hospital, 01260, Adana, Turkey. Electronic address: sibeltet@hotmail.com.
authors.forename: Sibel
authors.initials: S
authors.lastname: Tetiker
mesh_terms: D000293:Adolescent; D000328:Adult; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D000779:Anesthetics, Local; D001007:Anxiety / Q000150:complications / Q000523:psychology*; D001034:Apgar Score; D002045:Bupivacaine; D002585:Cesarean Section / Q000523:psychology*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008875:Middle Aged; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000523:psychology*; D057234:Preoperative Period; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine
keywords: Anxiety; Cesarean delivery; Newborn; Pregnancy