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Stress, sleep quality and unplanned C aesarean section in pregnant women
Author(s) -
Ko YiLi,
Lin PiChu,
Chen ShuChuan
Publication year - 2015
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12267
Subject(s) - confidence interval , odds ratio , medicine , obstetrics , pregnancy , sleep quality , prospective cohort study , demography , gynecology , insomnia , biology , psychiatry , genetics , sociology
This study examines the relationship among prenatal maternal stress, sleep quality and unplanned C aesarean 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 C aesarean sections; (ii) based on a P ittsburg S leep Q uality I ndex split point of 5, approximately 90.5% of the participants experienced poor sleep quality; and (iii) the odds ratio for primiparas undergoing an unplanned C aesarean 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 C aesarean sections; a 1‐point increase on the P regnancy S tress R ating S cale was associated with a 1.033‐fold higher probability of undergoing an unplanned C aesarean section (95% CI = 1.002 to 1.065). Furthermore, prenatal stress was a significant variable that can be used to predict unplanned C aesarean deliveries.