Ìåäèöèíñêèå íàóêè/ 1. Àêóøåðñòâî è ãèíåêîëîãèÿ
Medical sciences / 1. Obstetrics and
Gynecology
PhD of Medical Science, Assistant
professor Syusyuka V.G.
State Medical University of Zaporozhye
Department of
Obstetrics and Gynecology
ESTIMATION
OF INFLUENCE OF MEDICAL AND PSYCHOLOGICAL CoRRECTION AND SANATORIUM
REHABILITATION OF PREGNANT WOMEN PROGRAM
the outcome
of delivery
Prenatal negative effects
have the strongest destructive influence. If during pregnancy mother had severe stress,
intensive anxiety or depression or took glucocorticoids this could lead to
reduction of weight and body size of fetus by delivery, decrease of hippocampus
size and cellular damages in the brain [6].
One of the most effective methods is psychoprophylactic preparation of
the pregnant women to labor – the system of measures aimed at health promotion
of the pregnant women. Woman, who has good psychological and physical
preparation and individual support of the doctor and partner during labor, more
easily yields to medicamental anesthesia with the better outcomes for mother
and fetus and more quickly recovers after labor that improves the life quality
of both woman and her family [7].
Our performed analysis of efficiency of aid to the pregnant women, women
in labor and new mothers allows to determine that one of reserves for
decreasing of the complicated labor is organization and preparation of the
pregnant women to labor with participation of her family in training at School
of family preparation to labor, aim of which is to prepare spouses to
responsible parenthood, birth of healthy baby and to save mother health [3, 4].
Hypothesis of investigation– medical and psychological correction
was made at the stage of sanatorium rehabilitation of pregnant women;
having influence on the anxiety level the correction enables decrease of
obstetrical and perinatal complications.
Object of the work – is to estimate efficiency of developed and implemented medical and
psychological program in decrease of anxiety level and to estimate its
influence on the state of newborns and course of their early neonatal period.
Group of examined women
and methods of investigations
210 pregnant women were examined in
²² and ²²² trimesters. Group ² – is 80 pregnant women with middle and high
level of the state anxiety (SA) who participated in complex program of medical
and psychological correction and sanatorium rehabilitation. Group ²² – is 57
pregnant women who refused to participate in medical and psychological
correction. Control group included 48 pregnant women with anxiety level of 30
points and lower which characterizes low level of the SA. Individual and
psychological features of pregnant women and their psychological and emotional
state were investigated by means of set of psychological and diagnostic methods [1, 2, 5].
Results of
investigations and their discussion
Results of
performed investigation show that use of developed and introduced program of
medical and psychological correction among 80 pregnant women at the stage of
sanatorium rehabilitation promotes reliable decrease of state anxiety indicator
in 82.5% of cases.
In the group 57
pregnant women who had refused to participate in the program and got
rehabilitation under the standards of sanatorium and resort therapy, decrease
of state anxiety indicator occurred only in 52.6%. Carrying out of program of
medical and psychological correction of psychoemotional state and sanatorium
rehabilitation of pregnant women, having influence on anxiety level, it enables
decrease (p < 0,05) of obstetric and perinatal
complications, namely, decrease of preterm delivery rate, poor uterine
contraction strength and fetus distress.
Conclusion
Medical and psychological correction was made at the stage of sanatorium
rehabilitation of the pregnant women; having influence on the anxiety level it
enables decrease of obstetric (preterm delivery, abnormalities of labour
process, distress of fetus) and perinatal complications (asphyxia, neonatal
encephalopathy, growth retardation of fetus).
Literature
1. Dobryakov I.V. Perinatal'naya psikhologiya (2009). Saint Petersburg:
Piter, 234p. [in Russian]
2. Malkina-Pyh I.G. Psihosomatika (2010). Moscow: Jeksm, 1024ð. [in Russian]
3. Order of the Ministry of Healthcare of Ukraine No. 417 of 15.07.2011. «Pro organizatsiyu ambulatornoyi akushersko-ginekologichnoyi dopomogy v Ukraini” [About organization of ambulatory obstetric and gynecologic aid in Ukraine”. [in Ukrainian]
4. Otsinka effectyvnosti nadannya spetsializovanoyi medychnoyi dopomogy zhinochomu naselennyu (2014) [Estimation of efficiency of rendering special medical aid to women]
/ Syusyuka V.G., Komarova O.V., Peycheva O.V. et al. // Zdorovye zhenschiny, 4, 55-57. [in Ukrainian]
5. Rajgorodskij D.Ja. Practical psychodiagnosis (2002). Samara: «Bahrah-M»,
672ð. [in Russian] No
6. Rozanov Stress and mental health (2013). Social'naja i klinicheskaja
psihiatrija, 1, 79-86.
7. Sukhobokova L.S. Mnogokomponentnaya sistema
individualnoy podgotovki supruzheskoy pary k beremennosti i partnerskim rodam
(2009) [Multicomponent system of theindividual preparation of married couple to
the labor with partner] / L.S. Sukhobokova // Aspirantskiy vestnik Povolzhya, 8,
133-136. [in Russian]