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Personality and mode of delivery
Ingela Wiklund1, Gunnar Edman, Christina Larsson
1Division of Obstetrics and Gynaecology, R&D Section, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden. ingela.wiklund@bb.ptj.se
Women requesting cesarean sections, often older, show distinct personality traits like lower Socialization and Monotony avoidance compared to those planning vaginal births. These differences are evident before delivery.
Area of Science:
- Reproductive Health
- Maternal Psychology
- Personality Studies
Background:
- Debate on elective cesarean section (CS) without medical indication is ongoing.
- Understanding maternal motivations for CS requests is crucial.
- Previous research has not fully explored personality differences in this context.
Purpose of the Study:
- To investigate personality differences between women requesting elective CS and those planning vaginal delivery.
- To compare demographic and health-related factors, including age and perceived health.
Main Methods:
- Cross-sectional study involving 328 pregnant women.
- Two groups: elective cesarean section on maternal request (n=84) and planned vaginal delivery (n=242).
- Karolinska Scales of Personality (KSP) administered at 37-39 weeks gestation.
Main Results:
- Women requesting CS were significantly older (mean 33.9 vs 30.8 years).
- Significant differences observed in personality traits: lower Monotony avoidance and Socialization in the CS request group.
- No significant differences in anxiety proneness between the groups.
Conclusions:
- Specific personality traits, namely Socialization and Monotony avoidance, differentiate women who request cesarean sections from those who do not.
- These psychological differences are present prior to delivery.
- Findings contribute to understanding maternal decision-making regarding birth mode.
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