HEALTH OF WOMAN. 2017.9(125):17–21

Baranova V. V., Limanskaya  A. Yu., Davydova  Iu. V.
SI «Institute of Pediatrics, Obstetrics and Gynecology, NAMS of Ukraine», Kiev

Objective is to assess the quality of life of the high-risk patients of cardiologic and varicose vein diseases in postpartum period; to establish the physical and psychological profile of women in the first months after childbirth; to develop a comprehensive approach to the correction of psychological and clinical changes.
Material and methods. The research included 128 women with cardiovascular diseases of grade I according to WHO, in whom across the pregnancy varicose vein disease was diagnosed and they were administered the proposed complex of medical-preventive measures (the main group). The comparison group comprised 64 women with cardiovascular diseases of grade I (WHO), who received a routine treatment. All women were provided ultrasound of superficial veins and patency of deep veins of lower extremities, blood coagulation analyses The methods of body-oriented therapy, music therapy, breathing techniques and individual counselling of clinical psychologist are used in management of these women. In this research the self-developed questionnaire on the women’s self-esteem of emotional and physical condition, the Patient Health Questionnaire (PHQ)-9 for screening diagnostics of depression, Spielberger-Khanin Anxiety Scale to identify personal and state anxiety, the questionnaire SF36 for assessment of the quality of life were used.
Results. Comprehensive psychological follow-up of the pregnant women with cardiovascular and varicose vein diseases allows detecting the certain violations of psychoemotional status at an early stage of such women and establishing the program of psychocorrection.
The use of vein tonic Phlebodia 600, which has antioxidant and haemorheologic effects, tonic influence on peripheral veins, as well as system venotonic effect; in the main group it contributes not only to the improving of vein functioning, but due to overcoming the violations of microcirculation, it minimizes the emergence of certain obstetrical complications, including hypertension and threatening miscarriage.
Conclusions. Taking into account the set of factors of varicose vein disease origin across the pregnancy, as well as the need to develop a comprehensive approach to the prevention and treatment of vascular disorders in women with cardiovascular pathology, there was scientifically substantiated and developed a complex of medical and preventive measures using sanological, medical and psychological components, which contributed to the improvement of the quality of life of women across the pregnancy and in postpartum period.
Key words: pregnant women, high cardiologic risk, varicose disease.

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