Effects of an Informational Video About Anesthesia on Pre- and Post-Elective Cesarean Section Anxiety and Recovery: A Randomized Controlled Trial

Abstract

Departmental sources Background:Showing an informational anesthesia video can reduce the preoperative anxiety of parturients undergoing elective cesarean section (CS). However, the best method for presenting such videos remains unclear, and whether such videos can reduce the anxiety level of women during the entire perioperative period for CS (including preoperative and postoperative) has not been studied yet. Material/Methods:This study was a single-center prospective randomized trial. We randomly divided 121 pregnant women who were scheduled to undergo elective cesarean section (CS) into 2 groups: one group was shown an informational video (video group) and another group was not (control group). Spielberger's state-trait anxiety inventory was used to evaluate the perioperative anxiety level of parturient women at 3 time points: 1 day before CS, after video education, and 2 days after CS. Salivary cortisol level was evaluated to assess the patients' anxiety level at these 3 time points. Finally, the maternal satisfaction scale for CS and an obstetric quality-of-recovery score (OBsQoR-11) were used to evaluate the satisfaction and recovery of the parturient women 2 days after CS. Results:Watching a video about anesthesia significantly reduced the anxiety level of the parturient women during the perioperative period (1 day before CS: p=1.00, p=0.96; after video education: p<0.01, p=0.004; 2 days after CS: p=0.01, p=0.01). The postoperative satisfaction scores were significantly improved in the video group (p=0.007).OBsQoR-11 scores in the video group and control group were not significantly different (p=0.48). Maternal anxiety level was moderately positively correlated with cortisol hormone level. Conclusions:Showing an informational video about anesthesia (video+education) can significantly reduce perioperative anxiety and improve satisfaction after CS. Although it did not improve the postoperative recovery, it was still significant for anesthesia.

Is there evidence behind pre- or perioperative cognitive training in gynaecological patients on the prevention of perioperative cognitive dysfunction? A review

“…The gynaecological diagnoses found were breast cancer [9,11] , caesarean section [7] , endometrium cancer [10] and cervical cancer [8] . The number of included patients ranged from 0 [8] to 75 [11] and the type of publications was randomised trials [9,11,12] , case reports [10] and a protocol for a systematic review [8] .…”

“…After screening the title and abstract for relevance, five results met the strict inclusion criteria (gynaecological/ breast surgery/cognitive prehabilitation [6][7][8][9][10] of the search.…”

Embedding evidence of early postoperative off-bed activities and rehabilitation in a real clinical setting in China: an interrupted time-series study

“…Another study also found that complications of postoperative infection and POI tended to be higher in the drainage group than in the no-drainage group [ 23 ]. Abdominal drainage was first performed in abdominal surgery by Chassaignac in 1859 [ 24 ]. One of the main goals of prophylactic abdominal drainage placement at the end of the procedure was to shorten the time to diagnosis of haemorrhage [ 25 ].…”

Epidural analgesia information sessions provided by anesthetic nurses: impact on satisfaction and anxiety of parturient women a prospective sequential study

“…Despite their practicality and ease of implementation, written brochures have important limitations, such as not being adapted to the pre-existing individual knowledge and expectations of patients, or of being poorly read [ 17 ]. Others have assessed the impact of videos, with mitigated results on satisfaction and anxiety [ 18 – 21 ]. More recently, numerous websites have emerged, providing very accessible information, but often of very imperfect quality and relevance [ 22 ].…”