Informational video impact before caesarean delivery on anxiety and satisfaction: a systematic review and meta-analysis.

IF 2.1 4区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Journal of Reproductive and Infant Psychology Pub Date : 2025-03-01 Epub Date: 2023-07-29 DOI:10.1080/02646838.2023.2241062

Saeed Baradwan, Abdulrahim Gari, Albaraa Alnoury, Khalid Khadawardi, Ehab Badghish, Samir Khamis Galal, Osama Deif, Ahmed Hashim Mohammed, Ahmed Mouner Ibrahim, Mohamad Ismail, Mohamed Elmezaien, Ahmed Mohamed Abdelhakim, Ahmed Mahmoud M M Elgarhy, Tamer M A Ewieda, Wael Mohamed Elmahdi Ibrahim, Mohamed K Etman

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Abstract

Background: Anxiety prior to caesarean section can lead to a negative birth experience, which may affect different aspects of woman's life in the long term. Improving preoperative information may result in lower anxiety leading to a more positive birth experience. Thus, we aimed to evaluate the impact of informational video before planned caesarean delivery on maternal anxiety and satisfaction.

Methods: Four different databases were searched from inception till March 2023. We selected randomised controlled trials (RCTs) that compared educational or informative videos about the aspects of the expected caesarean delivery process versus no preoperative information in the control group. No language restrictions were imposed. We used Revman software during performing our meta-analysis. Our main outcomes were preoperative and postoperative anxiety as well as maternal satisfaction post-procedure.

Results: Six RCTs were retrieved with a total number of 702 patients. Informative video significantly reduced the anxiety level before caesarean delivery in comparison with the control group (MD = -4.21, 95% CI [-5.46, -2.95], p<0001). Moreover, the postoperative anxiety level was significantly improved in the informational video group (MD = -4.71, 95% CI [-7.06, -2.36], p<0001). In addition, there was a significant improvement in maternal satisfaction score after caesarean delivery among the informational video group (p = 0.001).

Conclusions: Informational video prior to caesarean delivery decreases preoperative and postoperative anxiety levels with improvement in maternal post-procedure satisfaction. However, the existing evidence is limited by several shortcomings, chiefly small sample size. More trials with larger sample size are required to confirm our findings.

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剖宫产前信息视频对焦虑和满意度的影响:系统回顾和荟萃分析。

背景:剖宫产前的焦虑会导致消极的分娩体验，这可能会长期影响女性生活的各个方面。改善术前信息可能会降低焦虑，从而带来更积极的分娩体验。因此，我们旨在评估计划剖宫产前信息视频对产妇焦虑和满意度的影响。方法:检索自成立至2023年3月的4个不同数据库。我们选择了随机对照试验(rct)，将对照组中有关预期剖宫产过程各方面的教育或信息视频与没有术前信息的视频进行比较。没有施加语言限制。我们使用Revman软件进行meta分析。我们的主要结果是术前和术后焦虑以及术后产妇满意度。结果:共检索到6项rct，共702例患者。与对照组相比，信息视频显著降低了剖宫产前的焦虑水平(MD = -4.21, 95% CI [-5.46， -2.95]， ppp = 0.001)。结论:剖宫产前的信息录像降低了术前和术后的焦虑水平，提高了产妇术后满意度。然而，现有的证据受到几个缺点的限制，主要是样本量小。需要更多样本量更大的试验来证实我们的发现。

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来源期刊

Journal of Reproductive and Infant Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.80

自引率

8.00%

发文量

期刊介绍： The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.