Is Generalized Maternal Optimism or Pessimism During Pregnancy Associated with Unplanned Cesarean Section Deliveries in China?

Moyer, Cheryl A.; Elsayed, Yasmin; Zhu, Yuanfeng; Wei, Yuqiu; Engmann, Cyril; Yang, Huixia

doi:10.1155/2010/754938

Cited by 6 publications

(3 citation statements)

References 57 publications

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“…This trait is conducive to motivation, perseverance, and determination in pursuing and achieving goals [ 2 , 28 , 29 , 30 ]. The literature on the subject provides a highly inconsistent view on dispositional optimism and its predictors in various patient groups studied in the world, depending on their health status [ 2 , 25 , 28 , 29 , 30 , 31 ]. In their study on the relationship between dispositional optimism and acceptance of illness in a group of patients with Graves’ disease, Basińska et al (2008) found comorbidity to be the only variable significantly affecting the patients’ optimism levels.…”

Section: Discussionmentioning

confidence: 99%

Generalized Self-Efficacy, Dispositional Optimism, and Illness Acceptance in Women with Polycystic Ovary Syndrome

Rzońca

Iwanowicz-Palus

Bień

et al. 2018

IJERPH

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Polycystic ovary syndrome (PCOS) is one of the most common chronic endocrinopathies affecting between 5 and 10% of reproductive age women. A diagnosis of PCOS very often causes a deterioration in the woman’s self-esteem and self-image, and consequently her quality of life (QoL). The purpose of the study was to investigate generalized self-efficacy, dispositional optimism and acceptance of illness in women with PCOS and to explore factors that affect these variables. The study was performed between January and November 2016 among women with PCOS using health care services. The study used a diagnostic survey with questionnaires. The research instruments included the Generalized Self-Efficacy Scale (GSES), the Life Orientation Test-Revised (LOT-R), the Acceptance of Illness Scale (AIS), and a standardized interview questionnaire. Among the PCOS patients studied, the mean score for generalized self-efficacy was 28.74 (±5.16), dispositional optimism—13.56 (±4.28), and acceptance of illness—27.90 (±7.74). The respondents’ generalized self-efficacy was determined by their residence, education, socio-economic standing, BMI, and time from diagnosis (p < 0.05), while socio-economic standing was a determinant of dispositional optimism (p < 0.05). Determinants of illness acceptance in women with PCOS included their residence, socio-economic standing, and time from diagnosis (p < 0.05). Increased generalized self-efficacy and dispositional optimism contributed to more illness acceptance in PCOS patients. The present study, compared with others on the subject, will enable specialists providing care to women with PCOS to gain a deeper and more comprehensive understanding of the situation and condition of their patients. It will also allow for a better response to the needs of PCOS patients, and provide them with individualized, holistic specialist care, diagnostics, and treatment.

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Section: Discussionmentioning

confidence: 99%

Generalized Self-Efficacy, Dispositional Optimism, and Illness Acceptance in Women with Polycystic Ovary Syndrome

Rzońca

Iwanowicz-Palus

Bień

et al. 2018

IJERPH

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“…Bar et al ( 23 ) in a study on optimism and its effects on delivery type, found that pessimism is related to C-section increase, whereas optimism had no effect on C-section rate. Mayer et al, ( 24 ) in another study, showed that in comparison with pessimism, optimism leads to more relaxation during labor by means of improving stress-opposing ways; therefore resulting in a reduction of the lack of delivery progress and a decrease in unplanned C-section rates. Although natural delivery is not always recommended as the best delivery method due to increase in C-section rate, its percentage has shown a decreasing trend during recent years.…”

Section: Introductionmentioning

confidence: 99%

Comparative study of teaching natural delivery benefits and optimism training on mothers' attitude and intention to select a type of delivery: an educational experiment

Darmian¹,

Yousefzadeh²,

Najafi³

et al. 2018

Electron Physician

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BackgroundDespite advantages of normal vaginal delivery (NVD) and disadvantages of caesarean section (C-section) and the increasing C-section rate Iran, appropriate training is essential in reducing this trend. Optimism is one of the important psychological determinants which is a combination of positive desire and attitude in people.ObjectiveThe purpose of this study was to determine the effects of optimism training as well as training the benefits of natural childbirth on attitude and intentions to choose the type of delivery.MethodsIn this experimental study, 96 primiparous women referring to health centers in Mashhad (Iran) in 2014 with pregnancy duration of 30 to 34 weeks and without indication of C-section, were selected and randomly divided into two training groups and one control group. Optimism training was provided during six 60-minute sessions, whereas training the benefits of NVD was conducted in four 60-minute sessions. Pre-test and post-test were performed using valid and reliable questionnaires, researcher-made questionnaire, attitude-measuring questions on NVD and C-section, and optimism-measuring standard questionnaires (LOT-R). Data were analyzed by IBM-SPSS version 22, using Kruskal-Wallis, Chi square, paired-samples t-test, Independent-samples t-test, Man-Whitney U, and Wilcoxon signed-rank test.ResultThere was a significant difference between the mean scores of attitudes towards natural delivery in the group that received both optimism and natural delivery advantages trainings compared with the group receiving only the latter (p>0.001). Frequency of intentions to choose the type of delivery after optimism and natural delivery advantages trainings compared with training the benefits of natural childbirth only, did not show a significant difference (p=0.135).ConclusionOptimism training combined with training the benefits of natural childbirth is more effective in creating positive attitude towards natural delivery in comparison with only the NVD advantages education, but it has no effect on selecting the type of delivery. Probably one of the most important reasons of failure of achieving a proper result is the low sample size.Trial registrationThe trial was registered at the Iranian Registry of Clinical Trials (http://www.irct.ir) with the Irct ID: IRCT2015063022995N1.FundingThis trial is funded by Mashhad University of Medical Sciences in collaboration with the Evidence-Based Research Center (Ref: research/930321/1/172).

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“…There is mounting evidence that low DO is also associated with differences in labor experience including increased fear of the labor process 16 and labor pain, 11 as well as mode of delivery. 17 DO, 9 12 13 mode of delivery, 18 and lack of control during labor 19 20 21 22 23 24 are linked to elevated risk of postpartum depression and anxiety and posttraumatic stress disorder. However, the association of DO with perceived labor control has never been studied.…”

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confidence: 99%

Dispositional Optimism, Mode of Delivery, and Perceived Labor Control among Recently Delivered Parturients

et al. 2022

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Objective: Dispositional optimism (DO) is an understudied transdiagnostic resilience factor among peripartum individuals. Low DO is associated with increased fear and pain in labor and increased rates of emergent cesarean delivery, but it is unknown whether DO is associated with perceived control over the labor process. Study design: This a planned secondary analysis of a prospective observational cohort of term parturients (n=164) who were recruited in July and August 2021 during their delivery hospitalization at a single, tertiary medical center. Participants completed a baseline demographic survey prior to delivery and then completed evaluations of DO (Revised Life-Orientation Test, LOT-R) and control over the labor process (Labour Agentry Scale- LAS) during their postpartum hospitalization. DO was dichotomized into low and high by score of ≤ 14 or >14 on LOT-R, respectively, and labor agentry scores were compared between groups. Maternal demographics, pregnancy and delivery characteristics were compared by DO status. Multivariable regression was performed, adjusting for known confounders (induction, labor analgesia and mode of delivery). Results: Demographic, pregnancy and neonatal characteristics were similar between those with low compared to high DO. People with low DO had significantly higher rates of cesarean section (44 vs 24%, p=0.02) and overall had lower LAS scores (139.4 vs 159.4, P<0.001), indicating that they felt less control over their labor process than those with high DO. In the multivariable regression, those with low DO had higher odds of a low LAS score after controlling for induction, labor analgesia, and mode of delivery (aOR 1.29, 95% CI 1.20-1.39). Conclusions: People with low DO had significantly lower perceived control over their labor, even after controlling for differences in mode of delivery. Interventions to alter DO may be an innovative way to improve birth experience and its associated perinatal mental health morbidities.

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Is Generalized Maternal Optimism or Pessimism During Pregnancy Associated with Unplanned Cesarean Section Deliveries in China?

Cited by 6 publications

References 57 publications

Generalized Self-Efficacy, Dispositional Optimism, and Illness Acceptance in Women with Polycystic Ovary Syndrome

Generalized Self-Efficacy, Dispositional Optimism, and Illness Acceptance in Women with Polycystic Ovary Syndrome

Comparative study of teaching natural delivery benefits and optimism training on mothers' attitude and intention to select a type of delivery: an educational experiment

Dispositional Optimism, Mode of Delivery, and Perceived Labor Control among Recently Delivered Parturients

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