Abstract With no indication cesarean section rate increasing in the world, people began to look for the cause of this result. Negative emotions may be the most important reason, but they have been ignored. Whether negative emotions play an important role for delivery? For the answer to this question will reveal the truecause of no indication cesarean section. It can guide the clinical work，to reduce the cesarean section rate. Four hundred and onepregnant women from a top three hospital were asked to fill out Beck Depression Inventory. State-Trait Anxiety Inventory and Wijma Delivery Expectancy Questionnaire. The mean maternal age was 29.38 years old. The average gestational age was 37+4 weeks. Their choice of delivery mode and final delivery outcome were analysis with the score of questionnaires. The main results are as following: 1.The background information of the pregnant women does not affect their delivery will. 2. Pregnant women gain weight, increase the risk of cesarean section. On the contrary, age, height, personal income and educational level have nothing to do with the delivery mode. 3.The degree of depression, anxiety and childbirth fear of the choosing cesarean delivery group is much higher than the other groups. 4.The degree of depression, anxiety and childbirth fear of the cesarean delivery group is much higher than the spontaneous labor group, negative emotions affect the delivery course, Sothey affect delivery mode. 5. When the pregnant women’s age, height, weight and neonates, weight controlled, the negative emotions affect the delivery mode. They are the risk factors of cesarean section. 6. Application of oxytocin in labor associated with childbirth fear, Childbirth fear degree is higher the greater the chances of application of oxytocin. The application of oxytocin has nothing to do with depression and anxiety. 7. Highly correlated among all kinds of negative emotions. Key words depression anxiety childbirth fear delivery mode
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