Медицинские науки/ 1. Акушерство и гинекология

Medical sciences / 1. Obstetrics and Gynecology

PhD of Medical Science, A.P., Syusyuka V.G.,

Komarova E.V., Peycheva E. V., Averchenko E.G.

State Medical University of Zaporozhye

Maternity hospital No. 9, Zaporozhye

The influence of anxiety on the developing

gestational dominant

Psychological component of gestational dominant (PCGD) prepares physiology of the prospective mother for conception. It appears before conception and is characterized by so-called dominant ideas of conception and pregnancy reflecting strong desire of woman to have a baby [5]. Dobryakov I.V. specified five types of PCGD such as optimal, hypogestognozic, euphoric, anxious and depressive based on study of anamnestic data clinical and psychological observations over pregnant women and conversations with them [2, 3]. It should be noted that pregnant woman attitude test is the additional method which permits to get approximate idea as to PCGD variant and its use doesn’t allow to reveal certain problems in family which are connected with pregnancy and labour; it only orientates psychotherapists, psychologists, family members in family relationship where disharmony reasons should be found [3, 4]. Modern researches have divergences as to prevalence of certain unfavorable type of PCGD which depends on contingent of pregnant women (who had taken part in research), available complications of pregnancy, the way of delivery etc.

Objective of research: analyze gestational dominant within the framework of anxiety based on estimation of psychoemotional state of pregnant women.

Examined group and methods of research.

336 Pregnant women were examined in ІІ and ІІІ trimesters (26.29 ± 0.55 week). Individual and psychological features of pregnant women and their psychoemotional state were studied using the complex of psychodiagnostic methods: Personality Questionnaire of Bekhterev University, Spielberger-Hanin scale, Pregnant Woman Attitude Test of I.V. Dobryakov [1, 2, 3, 6, 8, 9]. Variation and statistical processing of results was performed with STATISTICA 6.0 analysis programs.

Results of researches and their discussion.

Results of estimation of trait anxiety (TA) permit to determine that its level of 330 (98.21 %) pregnant women exceeds the bounds of low indices. Also such results are typical for state anxiety (SA) where medium and high indices are determined in 256 pregnant women that made 76.19 %.

Optimal variant of psychological component of gestational dominant (PCGD) is determined in 41 (12.20 %) pregnant women and euphoric one – in 3 (0.89 %) pregnant women. Prevalence of points in favour of certain type of PCGD (type which deviates from the optimal variant) was not determined in 292 pregnant women that made 86.91 %.

Analysis of characteristics of gestational dominant within framework of anxiety has shown that indicator of points (which characterizes optimal type and is estimated with consideration of SА level) was statistically proved (р < 0.05) and lower in pregnant women with high SA level (4.10 ± 0.60 points) comparing to appropriate index of pregnant women with both medium (4.68 ± 0.22 points) and lower (4.94 ± 0.36 points) levels.

Conclusions.

Course of pregnancy is characterized by high percent of women with medium and high indices of both trait (98.21 %) and state (76.19 %) anxiety which are not depend on term of pregnancy and age.

Estimation of psychological component of gestational dominant permitted to determine the fact that its optimal variant occurred only in 12.20% of pregnant women. Prevalence of points in favour of certain type was not determined in majority of pregnant women (86.91 %).

Analysis of characteristics of gestational dominant within framework of anxiety showed that index of points which characterizes optimal type and is estimated with consideration of SA level was statistically proved (р < 0.05) and lower in pregnant women with high SA level comparing to appropriate index of pregnant women with both medium and low level of SA.

Literature

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2. Dobryakov I.V. Perinatal'naya psikhologiya (2009). Saint Petersburg: Piter, 234p.

3. Dobryakov I.V. Perinatal'naya psikhologiya (2015). Saint Petersburg: Piter, 352p.

4. Dobryakov I.V. Retrospective identification of features of the psychological component of the gestational dominant (2014). Mental Health of Children and Adolescent Russian Journal of Psychiatry, 2, 71-75.

5. Dobryakov I.V., Maljarovskaja. M.M. How to give birth to a happy child? (2008). Saint Petersburg: Rech', 234p.

6. Malkina-Pyh I.G. Psihosomatika (2010). Moscow: Jeksm, 1024р.

7. Mendelevich V.D. Clinical and Health psychology (2008). Moscow: MEDpress-inform, 432.

8. Rabovaljuk L.N. Isolation of PKHD subtypes on the basis of a pregnancy test I.V. Dobryakova (2012). Social Sciences and Public Health. Penza - Moscow - Vitebsk: «Sociosfera», 124-136.

9. Rajgorodskij D.Ja. Practical psychodiagnosis (2002). Samara: «Bahrah-M», 672р.