Is generalized maternal optimism or pessimism during pregnancy associated with unplanned cesarean section deliveries in China?

This research examines whether maternal optimism/pessimism is associated with unplanned cesarean section deliveries in china. if so,does the association remain after controlling for clinical factors associated with c-sections? a sample of 227 mostly primiparous women in the third trimester of pregnancy was surveyed in a large tertiary care hospital in beijing,china. post-delivery data were collected from medical records. in bivariate analysis,both optimism and pessimism were related to unplanned c-section. however,when optimism and pessimism were entered into a regression model together,optimism was no longer statistically significant. pessimism remained significant,even when adjusting for clinical factors such as previous abortion,previous miscarriage,pregnancy complications,infant gestational age,infant birthweight,labor duration,birth complications,and self-rated difficulty of the pregnancy. this research suggests that maternal mindset during pregnancy has a role in mode of delivery. however,more research is needed to elucidate potential causal pathways and test potential interventions.