The effects of maternal presence during anesthesia induction on the mother’s anxiety and changes in children’s behavior
S. Banu Akıncı, E. Arzu Köse, Turgay Öcal, Ülkü Aypar
Department of Anesthesiology and Reanimation, Hacettepe University Faculty of Medicine, Ankara, Turkey
Akıncı SB, Köse EA, Öcal T, Aypar Ü. The effects of maternal
presence during anesthesia induction on the mother’s anxiety and changes
in children’s behavior. Turk J Pediatr 2008; 50: 566-571.
This study aimed to evaluate whether maternal presence during induction
has additional beneficial effects on a mother’s anxiety or changes in the
child’s behavior when an information booklet was given to all mothers and
premedication was given to all patients.
One hundred children, aged 2-10 years, scheduled for ambulatory surgery
were randomly assigned to a mother-present (Group M) or mother-absent
group (Group C) after premedication with intranasal midazolam. All mothers
were informed about general anesthesia with a detailed information booklet.
Preoperatively (pre) and one week after the operation (post), maternal
anxiety was assessed using State-Trait Anxiety Inventory (STAI), and Posthospitalization
Behavior Questionnaire (PHBQ) was used to measure changes
in children’s behavior. Anesthesia was induced using sevoflurane-oxygen-nitrous
oxide inhalation. The anesthesiologist graded the level of the children’s stress
at anesthesia induction with a four-point scale.
There were no differences between the two groups regarding demographics,
anxiety levels of the mothers and postoperative behavioral changes and stress
scores of the children (p>0.05 between the groups *p<0.005 within groups).
In summary, maternal presence during induction in addition to premedication
for children and information booklets for mothers had no additive effects
in terms of reducing the mother’s or the child’s anxiety or postoperative