• Threat of premature birth: psycho-social aspects

Threat of premature birth: psycho-social aspects

HEALTH OF WOMAN. 2016.6(112):86–89; doi 10.15574/HW.2016.112.86 
 

Threat of premature birth: psycho-social aspects 
 

Zhuk S., Schurevska O.

Shupyk National Medical Academy of Postgraduate Education, Kiev 
 

The objective: to study the psychological characteristics of women’s status in one of the most common complications of pregnancy – the threat of termination of pregnancy, depending on the level of stress load.


Patients and methods. We have studied the psychological status (the Holmes-Rahe level of psychosocial stress, the Spielberg-Hanin level of anxiety, V.I.Dobryakov’s related to a pregnancy test, diagnosis of psychological defense mechanisms, assessment of quality of life) 60 pregnant women with threat of premature birth in the third trimester of pregnancy. Surveyed women were divided into 2 groups: group 1 included 30 pregnant women – forced migrant of Donetsk and Lugansk area and 2 group – 30 pregnant women who resided in Kiev.


Results. At the same clinical picture of the threat of premature birth we detected discrepancy between the subjective assessment of their condition in women – forced migrants: a high level of situational and personal anxiety, decrease in physical (physical functioning, role-physical functioning) and psychological (social functioning, role emotional functioning) health, doubtful and pathological subtypes of gestational dominant. This creates prerequisites for complications of pregnancy, childbirth and postpartum future period and requires the participation of psychologists in the work with this category of patients.


Conclusion. So, revealed a discrepancy between the objective clinical signs similar obstetric pathology (on the example of threatened abortion) in pregnant women with different levels of stress load and their subjective evaluation of their condition that affects their psychological status. This should be reflected in individually tailored therapy and be mainstreamed into the work of obstetricians and gynecologists with these patients, and requires mandatory participation of psychologists in the work with this category of patients.


Key words: pregnancy, the threat of premature birth, stress, psychological status.


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