Is Generalized Maternal Optimism or Pessimism During Pregnancy Associated with Unplanned Cesarean Section Deliveries in China?
This research examines whether maternal optimism/pessimism is associated with unplanned Cesarean section deliveries in China. If so, does the association remain after controlling for clinical factors associated with C-sections? A sample of 227 mostly primiparous women in the third trimester of pregn...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2010/754938 |
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| _version_ | 1850110560428883968 |
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| author | Cheryl A. Moyer Yasmin Elsayed YuChun Zhu Yumei Wei Cyril M. Engmann Huixia Yang |
| author_facet | Cheryl A. Moyer Yasmin Elsayed YuChun Zhu Yumei Wei Cyril M. Engmann Huixia Yang |
| author_sort | Cheryl A. Moyer |
| collection | DOAJ |
| description | This research examines whether maternal optimism/pessimism is associated with unplanned Cesarean section deliveries in China. If so, does the association remain after controlling for clinical factors associated with C-sections? A sample of 227 mostly primiparous women in the third trimester of pregnancy was surveyed in a large tertiary care hospital in Beijing, China. Post-delivery data were collected from medical records. In bivariate analysis, both optimism and pessimism were related to unplanned c-section. However, when optimism and pessimism were entered into a regression model together, optimism was no longer statistically significant. Pessimism remained significant, even when adjusting for clinical factors such as previous abortion, previous miscarriage, pregnancy complications, infant gestational age, infant birthweight, labor duration, birth complications, and self-rated difficulty of the pregnancy. This research suggests that maternal mindset during pregnancy has a role in mode of delivery. However, more research is needed to elucidate potential causal pathways and test potential interventions. |
| format | Article |
| id | doaj-art-45fb3da10f1f467db702a769512460eb |
| institution | OA Journals |
| issn | 2090-2727 2090-2735 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Pregnancy |
| spelling | doaj-art-45fb3da10f1f467db702a769512460eb2025-08-20T02:37:49ZengWileyJournal of Pregnancy2090-27272090-27352010-01-01201010.1155/2010/754938754938Is Generalized Maternal Optimism or Pessimism During Pregnancy Associated with Unplanned Cesarean Section Deliveries in China?Cheryl A. Moyer0Yasmin Elsayed1YuChun Zhu2Yumei Wei3Cyril M. Engmann4Huixia Yang5Global REACH, Medical School, University of Michigan, 5115 Med Sci 1, 1301 Catherine Street, Ann Arbor, MI 48109, USAGlobal REACH, Medical School, University of Michigan, 5115 Med Sci 1, 1301 Catherine Street, Ann Arbor, MI 48109, USADepartment of Obstetrics and Gynecology, Peking University First Hospital, 8 Xishiku Street, Xicheng District, Beijing 100034, ChinaDepartment of Obstetrics and Gynecology, Peking University First Hospital, 8 Xishiku Street, Xicheng District, Beijing 100034, ChinaDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill, CB 7596, 4th Floor, UNC Hospitals, Chapel Hill, NC 27599-7596, USAMinority and Health Disparities International Research Training Program (MHIRT), Center for Human Growth and Development, University of Michigan, MI 48109, USAThis research examines whether maternal optimism/pessimism is associated with unplanned Cesarean section deliveries in China. If so, does the association remain after controlling for clinical factors associated with C-sections? A sample of 227 mostly primiparous women in the third trimester of pregnancy was surveyed in a large tertiary care hospital in Beijing, China. Post-delivery data were collected from medical records. In bivariate analysis, both optimism and pessimism were related to unplanned c-section. However, when optimism and pessimism were entered into a regression model together, optimism was no longer statistically significant. Pessimism remained significant, even when adjusting for clinical factors such as previous abortion, previous miscarriage, pregnancy complications, infant gestational age, infant birthweight, labor duration, birth complications, and self-rated difficulty of the pregnancy. This research suggests that maternal mindset during pregnancy has a role in mode of delivery. However, more research is needed to elucidate potential causal pathways and test potential interventions.http://dx.doi.org/10.1155/2010/754938 |
| spellingShingle | Cheryl A. Moyer Yasmin Elsayed YuChun Zhu Yumei Wei Cyril M. Engmann Huixia Yang Is Generalized Maternal Optimism or Pessimism During Pregnancy Associated with Unplanned Cesarean Section Deliveries in China? Journal of Pregnancy |
| title | Is Generalized Maternal Optimism or Pessimism During Pregnancy Associated with Unplanned Cesarean Section Deliveries in China? |
| title_full | Is Generalized Maternal Optimism or Pessimism During Pregnancy Associated with Unplanned Cesarean Section Deliveries in China? |
| title_fullStr | Is Generalized Maternal Optimism or Pessimism During Pregnancy Associated with Unplanned Cesarean Section Deliveries in China? |
| title_full_unstemmed | Is Generalized Maternal Optimism or Pessimism During Pregnancy Associated with Unplanned Cesarean Section Deliveries in China? |
| title_short | Is Generalized Maternal Optimism or Pessimism During Pregnancy Associated with Unplanned Cesarean Section Deliveries in China? |
| title_sort | is generalized maternal optimism or pessimism during pregnancy associated with unplanned cesarean section deliveries in china |
| url | http://dx.doi.org/10.1155/2010/754938 |
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