• Psychoemotional aspects of pregnant women with a threatenedpreterm birth

Psychoemotional aspects of pregnant women with a threatenedpreterm birth

HEALTH OF WOMAN. 2018.10(136):51–55; doi 10.15574/HW.2018.136.51

Shevchenko A. A., Krut Yu. Ya.
Zaporozhye state medical University

The objective: to study the psychoemotional condition of pregnant women with the threatened of preterm birth.

Materials and methods. 92 pregnant women with singleton pregnancies in the gestation period of 22–34 weeks were examined. The main group of pregnant women consisted of 32 pregnant women with the threatened of preterm birth, who received standard therapy; comparison group – 30 pregnant women with the threatened of preterm birth, which was held psychopreventive conversation; the control group – 28 pregnant women with a physiological course of pregnancy.The exclusion criteria were: multiple pregnancies, severe extragenital pathology, preeclampsia, genital abnormalities, pregnancies that occurred with the help of assisted reproductive technologies. The psycho-emotional state of women was assessed by interviewing using a scale proposed by S.D. Spielberg and adapted by Yu.A. Khanina (1978). The SAN questionnaire was chosen to assess the comfort of the state of pregnancy for the patients.

Results. When studying the level of anxiety in pregnant women with the threatened preterm birth using the SD questionnaire. Spielberger and Yu. Khanin, we found a significant difference in the magnitude of situational anxiety (SA) in the main group and the comparison group. The level of SAwas significantly greater in pregnant women of the main group and was 44.38 (p=0.002), which was 1.31 times more than in the control group (34.0±6.1%). In the level of personal anxiety (PA), we were able to detect a statistical difference (p=0.02) between the comparison group and the control group. In the main group, high and medium levels of SAwere distributed equally by 50%.In the comparison group as followed: the average level – 56.25%, high – 34.37%.In the main group, the average PA level occurred in 43.75% of pregnant women, a high level – in 56.25%. In the comparison group, a high level of PA was found in almost 60% of pregnant women, the average – in 40.63%, respectively. In pregnant women of the 1st group, according to the SAN questionnaire, the most active component (p=0.0022, Mann–Whitney U-test) was the most reduced compared to the norm (SAN control questionnaire), less difference was observed in terms of «Well-being». The «Mood» index was significantly lower in the main group compared with the control group (p=0.002, Mann–Whitney U-test).

Conclusion. The use of test methods allows for the early detection of abnormalities in the psychological state of pregnant women and their timely correction in order to reduce the risk of miscarriage and perinatal pathology.in order to maximize the effectiveness of treatment for threatened abortion, where the continuity and consistency in the management of women during gestation is a determining element, in addition to the standard treatment algorithm for the threat of preterm birth, a psychologist should be involved in the practice of obstetricians and gynecologists of female consultations, departments of pathology of pregnant women psychoprophylaxis and psychocorrection of complications of the gestational process.

Key words: pregnancy, preterm birth, anxiety, psychoemotional condition.

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