Does cognitive flexibility affect the course of labor? A prospective study. Issue 2 (13th December 2019)
- Record Type:
- Journal Article
- Title:
- Does cognitive flexibility affect the course of labor? A prospective study. Issue 2 (13th December 2019)
- Main Title:
- Does cognitive flexibility affect the course of labor? A prospective study
- Authors:
- Asali, Aula
Miller, Netanella
Engel, Offra
Haj‐Yahia, Nasreen
Cohen, Omer
Ben‐Kimhy, Reut
Biron‐Shental, Tal - Abstract:
- Abstract: Objective: To evaluate cognitive flexibility and labor and delivery outcomes. Methods: A prospective study was conducted of nulliparas with singleton term pregnancy, admitted for labor to a tertiary referral center from 1 January to 31 July, 2017. After epidural anesthesia, parturients completed the validated Psychological Flexibility Questionnaire (20 questions that evaluate a person's level of cognitive flexibility) before delivery. They were asked to grade (from 1 to 10) their hope for vaginal delivery (Hope score). Within 2 hours after delivery, they graded (1–10) the similarity between their delivery and their expectations (Expectation score). Outcomes of the flexible versus less flexible group were compared. Results: Among the flexible (n=120) versus less flexible (n=40) group, vaginal delivery was more common (74.2% vs 20.8%) than vacuum extraction (20.8% vs 35%) or cesarean delivery (5% vs 12.5%) ( P =0.031). High Expectation score and delivery without grade III–IV perineal tear ( P =0.032) were correlated. Groups were similar regarding Expectation ( P =0.163) and Hope scores ( P =0.591). The mode of delivery of parturients was not correlated with their mothers' ( P =0.836) or sisters' ( P =0.758). Conclusion: High cognitive flexibility increases the likelihood of vaginal delivery. These findings support the mind–body correlation. Maternal cognitive perceptions can influence labor and delivery and should be considered when counseling patients during labor.Abstract: Objective: To evaluate cognitive flexibility and labor and delivery outcomes. Methods: A prospective study was conducted of nulliparas with singleton term pregnancy, admitted for labor to a tertiary referral center from 1 January to 31 July, 2017. After epidural anesthesia, parturients completed the validated Psychological Flexibility Questionnaire (20 questions that evaluate a person's level of cognitive flexibility) before delivery. They were asked to grade (from 1 to 10) their hope for vaginal delivery (Hope score). Within 2 hours after delivery, they graded (1–10) the similarity between their delivery and their expectations (Expectation score). Outcomes of the flexible versus less flexible group were compared. Results: Among the flexible (n=120) versus less flexible (n=40) group, vaginal delivery was more common (74.2% vs 20.8%) than vacuum extraction (20.8% vs 35%) or cesarean delivery (5% vs 12.5%) ( P =0.031). High Expectation score and delivery without grade III–IV perineal tear ( P =0.032) were correlated. Groups were similar regarding Expectation ( P =0.163) and Hope scores ( P =0.591). The mode of delivery of parturients was not correlated with their mothers' ( P =0.836) or sisters' ( P =0.758). Conclusion: High cognitive flexibility increases the likelihood of vaginal delivery. These findings support the mind–body correlation. Maternal cognitive perceptions can influence labor and delivery and should be considered when counseling patients during labor. Abstract : High cognitive flexibility affects pregnancy outcomes by increasing the likelihood of vaginal delivery. … (more)
- Is Part Of:
- International journal of gynaecology and obstetrics. Volume 148:Issue 2(2020)
- Journal:
- International journal of gynaecology and obstetrics
- Issue:
- Volume 148:Issue 2(2020)
- Issue Display:
- Volume 148, Issue 2 (2020)
- Year:
- 2020
- Volume:
- 148
- Issue:
- 2
- Issue Sort Value:
- 2020-0148-0002-0000
- Page Start:
- 187
- Page End:
- 191
- Publication Date:
- 2019-12-13
- Subjects:
- Cesarean delivery -- Cognitive flexibility -- Labor and delivery outcomes -- Parturient -- Psychological Flexibility Questionnaire -- Vaginal delivery
Gynecology -- Periodicals
Obstetrics -- Periodicals
Electronic journals
618 - Journal URLs:
- http://www.clinicalkey.com/dura/browse/journalIssue/00207292 ↗
http://www.sciencedirect.com/science/journal/00207292 ↗
https://obgyn.onlinelibrary.wiley.com/journal/18793479 ↗
http://www.elsevier.com/journals ↗ - DOI:
- 10.1002/ijgo.13063 ↗
- Languages:
- English
- ISSNs:
- 0020-7292
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4542.273000
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 12604.xml