Prevalence and associated factors for preoperative anxiety among women undergoing elective cesarean delivery in eastern Sudan: a cross-sectional study

Abstract Background Preoperative anxiety is a prevalent health issue that, if left unaddressed, may contribute to an elevated risk of perioperative complications. Limited data exist on this concern in Africa, with no studies conducted in Sudan. This research aims to evaluate the prevalence and assoc...

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Main Authors: Bahaeldin Hassan, Gamal K. Adam, Khalid Nasralla, Nadiah ALhabardi, Ishag Adam
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-025-07308-6
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author Bahaeldin Hassan
Gamal K. Adam
Khalid Nasralla
Nadiah ALhabardi
Ishag Adam
author_facet Bahaeldin Hassan
Gamal K. Adam
Khalid Nasralla
Nadiah ALhabardi
Ishag Adam
author_sort Bahaeldin Hassan
collection DOAJ
description Abstract Background Preoperative anxiety is a prevalent health issue that, if left unaddressed, may contribute to an elevated risk of perioperative complications. Limited data exist on this concern in Africa, with no studies conducted in Sudan. This research aims to evaluate the prevalence and associated factors of preoperative anxiety in Sudanese women scheduled for elective cesarean delivery. Methods A cross-sectional study was conducted among women scheduled for elective cesarean delivery at Gadarif Maternity Hospital. A questionnaire was used to collect sociodemographic and clinical data. The “State-Trait Anxiety Inventory—State” (STAI-S) subscale was used to assess preoperative anxiety. Results A total of 234 women participated in this study. The median (interquartile) of their age and parity was 28.0 (24.0–32.0) years and 3 (1–5), respectively. The mean anxiety score on the STAI-S was 41.24, and 96 (41%) of the women exhibited significant anxiety (STAI-S score of 44 or higher). Univariate regression analysis revealed that none of the investigated factors (age, parity, number of antenatal care visits, body mass index, educational level, residence, occupation, history of infertility, history of stillbirth, history of cesarean delivery, history of surgery other than cesarean delivery, family history of surgical complications, and history of blood transfusion) were associated with preoperative anxiety. Conclusion This study revealed that 41.0% of women scheduled for elective cesarean delivery experienced significant preoperative anxiety. Interestingly, this anxiety was not found to be associated with any of the factors previously reported to be linked with preoperative anxiety in other countries.
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spelling doaj-art-dd888aa635d3495592fc3bce3010d62e2025-08-20T02:59:37ZengBMCBMC Pregnancy and Childbirth1471-23932025-02-012511610.1186/s12884-025-07308-6Prevalence and associated factors for preoperative anxiety among women undergoing elective cesarean delivery in eastern Sudan: a cross-sectional studyBahaeldin Hassan0Gamal K. Adam1Khalid Nasralla2Nadiah ALhabardi3Ishag Adam4Department of Obstetrics and Gynecology, College of Medicine, King Khalid UniversityFaculty of Medicine, Gadarif UniversityDepartment of Obstetrics and Gynecology, College of Medicine, Qassim UniversityDepartment of Obstetrics and Gynecology, College of Medicine, Qassim UniversityDepartment of Obstetrics and Gynecology, College of Medicine, Qassim UniversityAbstract Background Preoperative anxiety is a prevalent health issue that, if left unaddressed, may contribute to an elevated risk of perioperative complications. Limited data exist on this concern in Africa, with no studies conducted in Sudan. This research aims to evaluate the prevalence and associated factors of preoperative anxiety in Sudanese women scheduled for elective cesarean delivery. Methods A cross-sectional study was conducted among women scheduled for elective cesarean delivery at Gadarif Maternity Hospital. A questionnaire was used to collect sociodemographic and clinical data. The “State-Trait Anxiety Inventory—State” (STAI-S) subscale was used to assess preoperative anxiety. Results A total of 234 women participated in this study. The median (interquartile) of their age and parity was 28.0 (24.0–32.0) years and 3 (1–5), respectively. The mean anxiety score on the STAI-S was 41.24, and 96 (41%) of the women exhibited significant anxiety (STAI-S score of 44 or higher). Univariate regression analysis revealed that none of the investigated factors (age, parity, number of antenatal care visits, body mass index, educational level, residence, occupation, history of infertility, history of stillbirth, history of cesarean delivery, history of surgery other than cesarean delivery, family history of surgical complications, and history of blood transfusion) were associated with preoperative anxiety. Conclusion This study revealed that 41.0% of women scheduled for elective cesarean delivery experienced significant preoperative anxiety. Interestingly, this anxiety was not found to be associated with any of the factors previously reported to be linked with preoperative anxiety in other countries.https://doi.org/10.1186/s12884-025-07308-6PreoperativeAnxietyCesarean deliveryAgeParity
spellingShingle Bahaeldin Hassan
Gamal K. Adam
Khalid Nasralla
Nadiah ALhabardi
Ishag Adam
Prevalence and associated factors for preoperative anxiety among women undergoing elective cesarean delivery in eastern Sudan: a cross-sectional study
BMC Pregnancy and Childbirth
Preoperative
Anxiety
Cesarean delivery
Age
Parity
title Prevalence and associated factors for preoperative anxiety among women undergoing elective cesarean delivery in eastern Sudan: a cross-sectional study
title_full Prevalence and associated factors for preoperative anxiety among women undergoing elective cesarean delivery in eastern Sudan: a cross-sectional study
title_fullStr Prevalence and associated factors for preoperative anxiety among women undergoing elective cesarean delivery in eastern Sudan: a cross-sectional study
title_full_unstemmed Prevalence and associated factors for preoperative anxiety among women undergoing elective cesarean delivery in eastern Sudan: a cross-sectional study
title_short Prevalence and associated factors for preoperative anxiety among women undergoing elective cesarean delivery in eastern Sudan: a cross-sectional study
title_sort prevalence and associated factors for preoperative anxiety among women undergoing elective cesarean delivery in eastern sudan a cross sectional study
topic Preoperative
Anxiety
Cesarean delivery
Age
Parity
url https://doi.org/10.1186/s12884-025-07308-6
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AT khalidnasralla prevalenceandassociatedfactorsforpreoperativeanxietyamongwomenundergoingelectivecesareandeliveryineasternsudanacrosssectionalstudy
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