The Influence of MotherÃ¢ÂÂs Personality on the Decision about the Elective Cesarean Section: A Pilot Study with a Sample of 16 New MothersFranca Aceti1*, Corinna Pancheri1, Nicoletta Giacchetti1, Vanessa Paladini1 and Paola Ciolli2
- *Corresponding Author:
- Franca Aceti
Department of Neurology and Psychiatry
Policlinico Umberto I
Sapienza University of Rome
E-mail: [email protected]
Received date: November 11, 2016; Accepted date: November 29, 2016; Published date: November 30, 2016
Citation: Aceti F, Pancheri C, Giacchetti N, Paladini V, Ciolli P (2016) The Influence of Mother’s Personality on the Decision about the Elective Cesarean Section: A Pilot Study with a Sample of 16 New Mothers. Gynecol Obstet (Sunnyvale) 6:413. doi: 10.4172/2161-0932.1000413
Copyright: © 2016 Aceti F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: To investigate the psychological profile of a sample of new mothers, who requested an elective caesarean section (CS), compared with a group of women who had a CS in emergency. Furthermore, the study examined psychiatric, environmental, medical and obstetrical risk factors related to the mother’s choice of an elective CS, in order to develop specific intervention strategies.
Methods: A sample of 16 mothers aged 34.88 ± 8.53 years were enrolled and assessed using a semi-structured face-to-face interview, the Minnesota Personality Inventory Test-2 (MMPI-2) and the Edinburgh Postnatal Depression Scale (EPDS). The sample was divided in two groups: cases (8 women who had an elective CS) and controls (8 women who had a CS in emergency).
Results: The analysis identified a statistical significance among the two groups with a higher prevalence in cases’s group of: previous mood disorders (100% of the cases group), maternal comorbidities (100% of the cases group), neuroticism (MMPI-2’s scale ‘NEGE’: p=0.013), ‘defensive’ attitude (MMPI-2’s scale ‘K’: p=0.013), hypochondria (MMPI-2’ scale ‘Hs’: p=0.046), health concerns (MMPI-2’s scale ‘Hea’: p=0.013) and depression (MMPI-2’s scales ‘D’: p=0.012 and ‘Dep’: p=0.023; EPDS’s scores: p=0.007), with a general tendency to have higher scores of psychopathology (p=0.033). No statistical significance was found concerning socio-demographic information and obstetrical risk factors.
Conclusion: Women who chose CS without medical indications showed more somatic anxiety levels, expressed with a hypochondriac rumination and an obsessive way to control their body. This seems associated with more neuroticism and more symptoms of depression which may lead to a higher risk of develop postnatal depression. Gynaecologists should pay attention to the reasons behind the mother’s choice of an election CS by ensuring a detailed psychological counselling and try to mitigate levels of anxiety and fears related to the childbirth.