Impact of Maternal Anxiety and Hemodynamic Parameters during a Cesarean Section on the Neonatal Apgar Score
Mehrnush Mostafayi1, Behzad Imani2*, Shirdel Zandi1 and Faeze Jongi3
1MSc Student in Operating Room, Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
2Assistant Professor, Department of Operating Room, Faculty of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran
3Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
*Corresponding Author: Behzad Imani, Assistant Professor, Operating Room Department, School of Paramedical Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.
May 19, 2021; Published: May 28, 2021
Background and Objective: The stress and anxiety that a mother experiences during a cesarean section, by stimulating the sympathetic nerves, leads to changes in vital signs that can have adverse effects on the health of the fetus. Therefore, the aim of this study was to determine the relationship between neonatal Apgar score and maternal anxiety and hemodynamic parameters in cesarean section.
Methods: This cross-sectional descriptive-analytical study was performed on 120 patients who were candidates for cesarean section in Fatemieh Hospital in Hamadan in June and July 2020. Samples were selected by random sampling. Data collection tools were a demographic information questionnaire, a vital signs sheet, and neonatal Apgar score, and Spielberger situational anxiety. Data were analyzed using SPSS software version 16.
Result: The results of this study showed that the correlation between the first and fifth minute Apgar score of the infant and anxiety was positively and insignificantly (p ≤ 0.05). Also, there was no significant difference between the first and fifth minute Apgar score of the infant with heart rate and temperature, but there was a significant relationship between respiration and systolic and diastolic blood pressure.
Conclusion: According to the results, there is no significant relationship between the Apgar score of the first and fifth minute of the baby with anxiety, heart rate and temperature, but there is a significant relationship between respiration and systolic and diastolic blood pressure.
Keywords: Anxiety; Apgar Score; Cesarean Section; Vital Signs
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