Pregnancy induced psychosis is an essential factor that influencing maternal health postpartum. When gravidas, especially nulliparas, facing labor and delivery, they will undoubtedly encounter burden from their own and surrounding facts. Maternal psychosis takes a large part of women's psychological disorders. No matter which way, either spontaneous or surgical, they would choose, many factors influence their psychological state. Cesarean section poses higher risks for women than vaginal delivery. Therefore, how to seek effective methods to alleviate parturients' psychological stress response possesses pivotal clinical implications. Herein the investigators proposed that different linguistic interventions given pre-, intra- or post-operatively would produce different effect on maternal psychology and internal stress level.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
TRIPLE
Enrollment
365
Plain language without psychological intervention
Psychological linguistic intervention will be given
Nanjing Maternity and Child Health Care Hospital
Nanjing, Jiangsu, China
Self anxiety assessment scale (SAS)
Scorings of SAS evaluation by the patient herself
Time frame: One day prior surgery
Self depression assessment scale (SDS)
Scorings of SDS by the patient herself
Time frame: One day prior surgery
Visual analog scale of pain (VAS pain)
Patient self assessed pain scorings with a 100 mm (0-100) scale
Time frame: Five min before surgery (-5 min)
Saliva cortisol level
Saliva cortisol levels will be measured with EIA
Time frame: One day prior surgery
Vital signs
Blood pressure, heart rate, respiratory rate, oral temperature
Time frame: One day prior surgery
SAS scorings
Scorings of SAS by patient herself
Time frame: 15 min intraoperation
SAS scorings
Scorings of SAS by the patient herself
Time frame: 30 min postoperation
SDS scoring
Scorings of SDS by patient herself
Time frame: 15 min intraoperation
SDS scoring
Scorings of SDS by patient herself
Time frame: 30 min postoperation
VAS pain scoring
VAS scorings of pain by a 100 mm scale
Time frame: Immediately of surgery (0 min)
VAS pain scoring
Scorings of VAS pain by a 100 mm scale
Time frame: 5 min after surgery begin (+5 min)
VAS pain scoring
Scorings of VAS pain by a 100 mm scale
Time frame: Immediately at the end of surgery (this time changed individually)
VAS pain scoring
Scorings of VAS pain by a 100 mm scale
Time frame: 3 h after surgery
Saliva cortisol level
Saliva cortisol level will be measured with EIA
Time frame: 15 min intraoperation
Saliva cortisol level
Saliva cortisol level will be measured with EIA
Time frame: 30 min postoperation
Vital signs
Blood pressure, heart rate, respiratory rate, oral temperature
Time frame: 15 min intraoperation
Vital signs
Blood pressure, heart rate, respiratory rate, oral temperature
Time frame: 30 min postoperation
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