PERINATOLOGIYA I PEDIATRIYA. 2016.3(67):43-48; doi 10.15574/PP.2016.67.43 
 

Estimation of influence of introduced program of medical and psychological correction of psychoemotional disadaptation of pregnant women on perinatal consequences of their delivery

Syusyuka V. G.

State Medical University of Zaporozhye, Ukraine

Purpose — to introduce and estimate influence of program of medical and psychological correction of psychoemotional disadaptation of pregnant women on perinatal consequences of their delivery.

Patients and methods. 125 pregnant women were examined in ІІ and ІІІ trimesters. Group І — is 28 pregnant women with middle and high level of the state anxiety (SA) who participated in complex program of medical and psychological correction. Group ІІ — is 62 pregnant women who refused to participate in medical and psychological correction. ІІІ group included 29 pregnant women with anxiety level of 30 points and lower which characterizes low level of the SA. Exclusion criteria were severe somatic diseases, and excluded 6 pregnant women (4.8%) with the type of disharmonious relationships to physical illness. Individual and psychological features of pregnant women and their psychological and emotional state were investigated by means of set of psychological and diagnostic methods.

Results. Results of performed investigation show that the rate of complicated deliveries had direct influence on increase of percentage of perinatal pathology the rate of which in group II made 42% and was 1.5 times higher than index of group I (28.6%) and ІІІ group (27.6%). Fetus distress during labour had occurred 2 times only in group II and that made 3.2%. In І group and control group the fetus distress didn't occur. By means of distinguishing the results of estimation according to Apgar scale it was determined that general index at first minute was (p<0.05) higher in group I comparing to appropriate index of group II. Rate of intrauterine growth restriction (IGR) in case of calculation by means of mass-height parameters in group II made 30.7% and exceeded index of group I (21.4%) and group ІІ (20.7%). Percent of premature newborns in group II (8.1%) is more than 2 times higher (p<0.05) than appropriate index in group І (3.6%) and ІІІ (3.5%) group. It should be noted that antenatal death of fetus occurred at term of 39 weeks in group II.

Conclusions. Use of developed and introduced program of medical and psychological correction of psychoemotional disadaptation of pregnant women enables statistically proved (p<0.05) decrease of rate of complications during delivery and of perinatal complications comparing to women who refused to participate in the program. Taking into account positive result of application of program of medical and psychological correction of psychoemotional disdaptation of pregnant women, introduction of proposed medical method in health protection practice enables to improve results of successful labour process for mother and fetus.

Key words: pregnancy, psychoemotional state, medical and psychological correction, obstetric and perinatal complications.

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