Abstract

Purpose

The aim of this study is to understand the motives behind CS requests in nulliparous women in their late pregnancy better and to investigate if specific personality traits affect the maternal decision on mode of delivery.

Material and Method

This prospective study was conducted with 70 healthy, nulliparous parturient with singleton pregnancies. Women at their 28–32. weeks of gestation were asked to fill a socio-demographic data form and the questionnaires; Personality Belief Questionnaire – Short Form (PBQ-SF) and The Childbirth Attitudes Questionnaire (CAQ). After delivery, all the results of pre-filled questionnaires and women’s mode of delivery were analyzed and compared.

Results

There were significant differences in personality types; dependent (p = 0.033), passive-aggressive (p = 0.031), obsessive-compulsive (p = 0.001), antisocial (p = 0.014), narcissistic (p = 0.014) and borderline (p = 0.014) between vaginal delivery and CS groups. The CAQ scores of the mothers who requested CS were significantly higher (p:0.007). Weak but significant positive relation was found between total CAQ scores and avoidant (p = 0.022), dependent (p = 0.034), passive-aggressive (p = 0.040), narcissistic (p = 0,006), schizoid (p = 0.007), paranoid (p = 0.007) and borderline (p = 0.007) personality types.

Conclusion

This is the first study that investigates the relationship between mode of delivery and personality traits according to the Diagnostic and Statistical Manual of Mental Disorders (DSM) and cognitive behavioral perspective in the literature. These personality traits can be carried at a level that is not clinically significant to create an obvious pathology, yet they might play a role as the motives behind the apparent reasons for women who request CS. Understanding women’s motives and attitudes for childbirth during their pregnancy may help healthcare providers to tailor women’s approach to childbirth to avoid unnecessary CS.

中文翻译：

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人格特质对分娩方式的作用

摘要

目的

本研究的目的是更好地了解孕晚期未生育妇女要求进行 CS 的动机，并调查特定的人格特征是否会影响母亲对分娩方式的决定。

材料和方法

这项前瞻性研究是在 70 名健康的未生育单胎妊娠的产妇中进行的。28-32 岁的女性。要求妊娠周数填写社会人口数据表和问卷；人格信念问卷 - 简表 (PBQ-SF) 和分娩态度问卷 (CAQ)。分娩后，对预填问卷和女性分娩方式的所有结果进行分析比较。

结果

人格类型存在显着差异；依赖（p  = 0.033），被动攻击（p  = 0.031），强迫（p  = 0.001），反社会（p  = 0.014），自恋（p  = 0.014）和边缘（p  = 0.014）阴道分娩和CS之间团体。要求进行 CS 的母亲的 CAQ 分数明显更高（p：0.007）。CAQ 总分与回避型（p  = 0.022）、依赖型（p  = 0.034）、被动攻击型（p  = 0.040）、自恋型（p  = 0.006）、分裂型（p  = 0.007）、偏执型之间存在弱但显着的正相关关系(p  = 0.007) 和边缘 ( p  = 0.007) 人格类型。

结论

这是第一项根据《精神疾病诊断和统计手册》（DSM）和文献中的认知行为视角调查分娩方式与人格特征之间关系的研究。这些人格特征可以在没有临床意义的水平上产生明显的病理学，但它们可能作为女性要求 CS 的明显原因背后的动机发挥作用。了解女性在怀孕期间分娩的动机和态度可能有助于医疗保健提供者调整女性的分娩方法，以避免不必要的 CS。