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- W4200324930 abstract "We aimed to study the impact of exposure to a detailed informative video on maternal anxiety levels, childbirth experience, and patient satisfaction – in patients undergoing a primary Cesarean delivery (CD). We performed a multicenter randomized control trial. Patients planned to undergo a scheduled primary CD were recruited. All patients in the intervention group were exposed to an informative video upon recruitment. This 6-minute video described in detail the expected CD process: preparations before entering the operation room, regional anesthesia administration, sterile covering, the surgical procedure itself, and recovery (including mobilization and lactation). Situation-specific anxiety was measured at recruitment, before exposure to the video (S1), at the day of operation (S2) and at postpartum day 1 (S3) using the State-Trait Anxiety Inventory (STAI-Y) score. Additionally, patients answered 11- item Childbirth experience questionnaire (CEQ). A sample size of 63 per group was planned to achieve 80% power to detect a difference of 5 points in the primary outcome ( STAI-Y score at the day of operation). Overall, 157 patients from 4 medical centers in Israel were randomized and 132 patients were analyzed after completing all questionnaires, 64 patients in the video group and 68 patients in the control group. The groups did not differ in demographics and delivery characteristics as well as similar baseline anxiety levels (S1). On operation day (S2, the primary outcome), significantly lower anxiety levels were reported in the video group compared to control group (STAI-Y scores 41.3±9.5 vs. 49.3±10.3, p<0.001). Moreover, anxiety levels in postpartum day 1 (S3) remained significantly lower in the video group (p < 0.001). No differences between the groups in CEQ score or patient satisfaction were demonstrated. A detailed informative video prior to primary CD decreased maternal anxiety before and after the procedure.View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
- W4200324930 created "2021-12-31" @default.
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- W4200324930 date "2022-01-01" @default.
- W4200324930 modified "2023-09-28" @default.
- W4200324930 title "Exposure to an informative video before planned Cesarean-delivery and maternal anxiety-a multicenter randomized controlled trial" @default.
- W4200324930 doi "https://doi.org/10.1016/j.ajog.2021.11.161" @default.
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