Research Article
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The relationship between preoperative anxiety level, ABO blood types and birth outcomes in cesarean sections

Year 2021, Volume: 4 Issue: 6, 949 - 953, 24.09.2021
https://doi.org/10.32322/jhsm.985774

Abstract

Objective: There is a relationship between ABO blood groups, which are part of the genetic phenotype, and various psychiatric diseases. Our primer aim in this study is to examine the relationship between ABO blood groups and preoperative anxiety (POA) levels in patients undergoing elective cesarean section. The secondary aim is to determine the relationship between POA levels and birth outcomes in pregnant women.
Material and Method: A total of 132 patients with different ABO blood groups who were scheduled for elective cesarean section under spinal anesthesia between August 2020 and July 2021 at the Medical Faculty Hospital were included in this prospective observational study. State Anxiety Inventory scores (SAI) were used to assess preoperative anxiety in groups A, B, AB, and O. Birth outcomes (fetal birth weight, birth sex and APGAR scores at the 1st and 5th minutes) were recorded.
Results: There were 55 people (41.7%) in the A blood group, 43 people (32.6%) in the O blood group, 25 people (18.9%) in the B blood group, 9 people (6.8%) in the AB blood group. A total of 73/132 (55.3%) patients with SAI score >40 were identified. There was no significant difference in mean SAI scores in A, B, AB and O blood groups (p=0.531). Fetal birth weight was found to be lower in patients with high SAI scores (p=0.044).
Conclusion: There was no relationship between ABO blood groups and preoperative anxiety and birth outcomes in elective cesarean sections under spinal anesthesia, but low fetal birth weight was found in pregnant women with high anxiety. More studies with larger sample sizes in the future are needed to confirm the results of our study.

References

  • Akildiz M, Aksoy Y, Kaydu A, Kaçar CK, Şahin ÖF, Yıldırım ZB. Effect of anaesthesia method on preoperative anxiety level in elective caesarean section surgeries. Turk J Anaesthesiol Reanim 2017; 45: 36-40.
  • Badner NH, Nielson WR, Munk S, Kwiatkowska C, Gelb AW. Preoperative anxiety: detection and contributing factors. Can J Anaesth 1990; 37: 444–7.
  • Sun Y, Huang K, Hu Y, et al. Pregnancy-specific anxiety and elective cesarean section in primiparas: A cohort study in China. PLoS One 2019; 14: 1–13.
  • Horsch A, Gilbert L, Lanzi S, Kang JS, Vial Y, Puder JJ. Prospective associations between maternal stress during pregnancy and fasting glucose with obstetric and neonatal outcomes. J Psychosom Res 2019; 125: 109795.
  • Van Den Bergh BRH, Mulder EJH, Mennes M, Glover V. Antenatal maternal anxiety and stress and the neurobehavioural development of the fetus and child: Links and possible mechanisms. A review. Neurosci Biobehav Rev 2005; 29: 237–58.
  • O Pimenta BS, Y Nomura RM, Nakamura MU, Moron AF. Maternal anxiety and fetal movement patterns in late pregnancy. J Matern Neonatal Med 2016; 29: 2008–12.
  • Ding XX, Wu Y Le, Xu SJ, et al. Maternal anxiety during pregnancy and adverse birth outcomes: A systematic review and meta-analysis of prospective cohort studies. J Affect Disord 2014; 159: 103–10.
  • Theunissen M, Peters ML, Bruce J, Gramke HF, Marcus MA. Preoperative anxiety and catastrophizing: A systematic review and meta-analysis of the association with chronic postsurgical pain. Clin J Pain 2012; 28: 819–41.
  • Fogelman N, Canli T. Early life stress, physiology, and genetics: a review. Front Psychol 2019; 10: 1668.
  • De Gregori M, Diatchenko L, Ingelmo PM, et al. Human genetic variability contributes to postoperative morphine consumption. J Pain 2016; 17: 628–36.
  • Xu F, Yin JW, Xiong EF, et al. Correlation between preoperative anxiety and ABO blood types: Evidence from a clinical cross-sectional study. Dis Markers 2019; ID: 1761693 (doi: 10.1155/2019/1761693).
  • Franchini M, Mengoli C, Lippi G. Relationship between ABO blood group and pregnancy complications: A systematic literature analysis. Blood Transfus 2016; 14: 441–8.
  • Stakišaitis D, Juknevičienė M, Ulys A, et al. ABO blood group polymorphism has an impact on prostate, kidney and bladder cancer in association with longevity. Oncol Lett 2018; 16: 1321–31.
  • Thorngren-Jerneck K, Herbst A. Low 5-minute Apgar score: A population-based register study of 1 million term births. Obstet Gynecol 2001; 98: 65–70.
  • Anstee DJ. The relationship between blood groups and disease. Blood 2010; 115: 4635–43.
  • Wilson AF, Elston RC, Siervogel RM, Tran LD. Linkage of a gene regulating dopamine-β-hydroxylase activity and the ABO blood group locus. Am J Hum Genet 1988; 42: 160–6.
  • Irvıne DG, Mıyashıta H. Blood types in relation to depressions and schizophrenia: a preliminary report. Can Med Assoc J 1965; 92: 551–4.
  • Parker JB, Theılıe A, Spielberger CD. Frequency of blood types in a homogeneous group of manic-depressıve patients. BJP 1961; 107: 936-42.
  • Tsuchimine S, Saruwatari J, Kaneda A, Yasui-Furukori N. ABO blood type and personality traits in healthy Japanese subjects. PLoS One 2015; 10: 1–10.
  • Kakathkar S, Srinivasan I, Setty J, Akhil P, Suting C, Nayana K. Correlation between A, B, and O blood group system and dental anxiety in children of age 6–12 years in East Bengaluru. J Int Clin Dent Res Organ 2020; 12: 127–31.
  • Alataş M. Kan grupları ve stres düzeyi arasindaki ilişkiler. Int J Innov Eng Appl 2018; 2: 50–2.
  • Beyazıt F, Pek E, Güngör AÇ, Gencer M, Unsal MA. Effect of maternal ABO blood type on birth weight and preeclampsia. Int J Reprod Contraception Obstet Gynecol 2017; 6: 2164.
  • Aghasadeghi F, Saadat M. Association between ABO and Rh blood groups and risk of preeclampsia: A case-control study from Iran. Open Access Maced J Med Sci 2017; 5: 173–6.
  • Sjöström K, Valentin L, Thelin T, Maršál K. Maternal anxiety in late pregnancy and fetal hemodynamics. Eur J Obstet Gynecol Reprod Biol 1997; 74: 149–55.
  • Andersson L, Sundström-Poromaa I, Wulff M, Åström M, Bixo M. Neonatal outcome following maternal antenatal depression and anxiety: A population-based study. Am J Epidemiol 2004; 159: 872–81.
Year 2021, Volume: 4 Issue: 6, 949 - 953, 24.09.2021
https://doi.org/10.32322/jhsm.985774

Abstract

References

  • Akildiz M, Aksoy Y, Kaydu A, Kaçar CK, Şahin ÖF, Yıldırım ZB. Effect of anaesthesia method on preoperative anxiety level in elective caesarean section surgeries. Turk J Anaesthesiol Reanim 2017; 45: 36-40.
  • Badner NH, Nielson WR, Munk S, Kwiatkowska C, Gelb AW. Preoperative anxiety: detection and contributing factors. Can J Anaesth 1990; 37: 444–7.
  • Sun Y, Huang K, Hu Y, et al. Pregnancy-specific anxiety and elective cesarean section in primiparas: A cohort study in China. PLoS One 2019; 14: 1–13.
  • Horsch A, Gilbert L, Lanzi S, Kang JS, Vial Y, Puder JJ. Prospective associations between maternal stress during pregnancy and fasting glucose with obstetric and neonatal outcomes. J Psychosom Res 2019; 125: 109795.
  • Van Den Bergh BRH, Mulder EJH, Mennes M, Glover V. Antenatal maternal anxiety and stress and the neurobehavioural development of the fetus and child: Links and possible mechanisms. A review. Neurosci Biobehav Rev 2005; 29: 237–58.
  • O Pimenta BS, Y Nomura RM, Nakamura MU, Moron AF. Maternal anxiety and fetal movement patterns in late pregnancy. J Matern Neonatal Med 2016; 29: 2008–12.
  • Ding XX, Wu Y Le, Xu SJ, et al. Maternal anxiety during pregnancy and adverse birth outcomes: A systematic review and meta-analysis of prospective cohort studies. J Affect Disord 2014; 159: 103–10.
  • Theunissen M, Peters ML, Bruce J, Gramke HF, Marcus MA. Preoperative anxiety and catastrophizing: A systematic review and meta-analysis of the association with chronic postsurgical pain. Clin J Pain 2012; 28: 819–41.
  • Fogelman N, Canli T. Early life stress, physiology, and genetics: a review. Front Psychol 2019; 10: 1668.
  • De Gregori M, Diatchenko L, Ingelmo PM, et al. Human genetic variability contributes to postoperative morphine consumption. J Pain 2016; 17: 628–36.
  • Xu F, Yin JW, Xiong EF, et al. Correlation between preoperative anxiety and ABO blood types: Evidence from a clinical cross-sectional study. Dis Markers 2019; ID: 1761693 (doi: 10.1155/2019/1761693).
  • Franchini M, Mengoli C, Lippi G. Relationship between ABO blood group and pregnancy complications: A systematic literature analysis. Blood Transfus 2016; 14: 441–8.
  • Stakišaitis D, Juknevičienė M, Ulys A, et al. ABO blood group polymorphism has an impact on prostate, kidney and bladder cancer in association with longevity. Oncol Lett 2018; 16: 1321–31.
  • Thorngren-Jerneck K, Herbst A. Low 5-minute Apgar score: A population-based register study of 1 million term births. Obstet Gynecol 2001; 98: 65–70.
  • Anstee DJ. The relationship between blood groups and disease. Blood 2010; 115: 4635–43.
  • Wilson AF, Elston RC, Siervogel RM, Tran LD. Linkage of a gene regulating dopamine-β-hydroxylase activity and the ABO blood group locus. Am J Hum Genet 1988; 42: 160–6.
  • Irvıne DG, Mıyashıta H. Blood types in relation to depressions and schizophrenia: a preliminary report. Can Med Assoc J 1965; 92: 551–4.
  • Parker JB, Theılıe A, Spielberger CD. Frequency of blood types in a homogeneous group of manic-depressıve patients. BJP 1961; 107: 936-42.
  • Tsuchimine S, Saruwatari J, Kaneda A, Yasui-Furukori N. ABO blood type and personality traits in healthy Japanese subjects. PLoS One 2015; 10: 1–10.
  • Kakathkar S, Srinivasan I, Setty J, Akhil P, Suting C, Nayana K. Correlation between A, B, and O blood group system and dental anxiety in children of age 6–12 years in East Bengaluru. J Int Clin Dent Res Organ 2020; 12: 127–31.
  • Alataş M. Kan grupları ve stres düzeyi arasindaki ilişkiler. Int J Innov Eng Appl 2018; 2: 50–2.
  • Beyazıt F, Pek E, Güngör AÇ, Gencer M, Unsal MA. Effect of maternal ABO blood type on birth weight and preeclampsia. Int J Reprod Contraception Obstet Gynecol 2017; 6: 2164.
  • Aghasadeghi F, Saadat M. Association between ABO and Rh blood groups and risk of preeclampsia: A case-control study from Iran. Open Access Maced J Med Sci 2017; 5: 173–6.
  • Sjöström K, Valentin L, Thelin T, Maršál K. Maternal anxiety in late pregnancy and fetal hemodynamics. Eur J Obstet Gynecol Reprod Biol 1997; 74: 149–55.
  • Andersson L, Sundström-Poromaa I, Wulff M, Åström M, Bixo M. Neonatal outcome following maternal antenatal depression and anxiety: A population-based study. Am J Epidemiol 2004; 159: 872–81.
There are 25 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Ökkeş Hakan Miniksar 0000-0001-5645-7729

Dilşad Yıldız Miniksar 0000-0002-6389-4377

Erol Toy 0000-0001-6888-9924

Publication Date September 24, 2021
Published in Issue Year 2021 Volume: 4 Issue: 6

Cite

AMA Miniksar ÖH, Yıldız Miniksar D, Toy E. The relationship between preoperative anxiety level, ABO blood types and birth outcomes in cesarean sections. J Health Sci Med / JHSM. September 2021;4(6):949-953. doi:10.32322/jhsm.985774

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