• Psychoemotional peculiarities of women who have a history of miscarriage and a loss during the current pregnancy

Psychoemotional peculiarities of women who have a history of miscarriage and a loss during the current pregnancy

PERINATOLOGIYA I PEDIATRIYA. 2017.1(69):70-73; doi 10.15574/PP.2017.69.70

Psychoemotional peculiarities of women who have a history of miscarriage and a loss during the current pregnancy

Baranova V. V.
SI «Institute of Pediatrics, Obstetrics and Gynecology of NAMS of Ukraine», Kyiv

Purpose — to determine the emotional and psychological status of women with the history of reproductive losses.

Materials and methods. To perform the assigned tasks the following research methods were used:as Spielberger-Khanin Anxiety Scale to identify personal and state anxiety, the Patient Health Questionnaire (PHQ)-9 to determine depression, a personally developed questionnaire covering issues of patient's social status and acceptance of the basic physiological conditions during the pregnancy, the Dobryakov's Gravida's Attitudes Test to determine the type of gestational dominance.

Results. According to the results, it was found that pregnant women experienced with reproductive losses had a greater anxiety level that influenced on the physiological processes during pregnancy compared with the pregnant women without such a negative experience.

Conclusions. The pregnant women who experience psychotraumatic situation of previous perinatal loss demonstrate attachment discordance in building the mother!child dyad, and fear of pregnancy recognition as a coping pattern during the current pregnancy. A woman who has had an early or late miscarriage is at risk for long!term depression and anxiety symptoms in subsequent life. The latter stimulates continuous release of adrenaline that, in its turn, affects the blood vessels of placenta and uterine. All of these factors are responsible for threatened miscarriage or foetal distress regarding the current pregnancy. Thus, the woman finds herself involved in a real vicious circle of anxiety!spasm (of the uterine)!threat! anxiety.

Key words: pregnancy, perinatal loss, psychological status.

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