Медицинские науки/ 1. Акушерство и гинекология
Medical sciences / 1.
Obstetrics and Gynecology
PERINATAL
CONSEQUENCES OF DELIVERY OF WOMEN AFTER MEDICAL AND PSYCHOLOGICAL CORRECTION
OF
PSYCHOEMOTIONAL DISADAPTATION
DURING
PREGNANCY
PhD of Medical Science, Assistant professor
Syusyuka V.G.
State Medical University of Zaporozhye
One of important moments in preventive measures against psychosomatic disorders among children should provide qualitative symbiotic relations in dyad “mother-child” and increase level of mother’s competence in matters of responsible motherhood starting from the prenatal period [3]. Timely and adequate
rendered assistance not only improves situation in the family, gestation course and delivery process
and also is a preventive measure against problems with breast feeding, neurotic
and psychic disorders after delivery [4].
Object of the work is to introduce and estimate influence of program of medical and psychological correction of psychoemotional disadaptation of pregnant women on perinatal consequences of their delivery.
Group of examined women
and methods of investigations
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. Control 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 [1, 2, 5].
Results of investigation
and their discussion
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 control group
(27.6 %). Fetus distress during labour had occurred 2 times only in group II and that made 3.2
% and had influence on increase of the
rate of operations facilitating
labour process, namely fetus vacuum extraction. In І group and control group the fetus
distress didn’t occur (Fig. 1).
Fig. 1. Abnormal conditions of newborn group
study.
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 control
group (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 control (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. Labour
process of women due to participation in medical and psychological correction
program permits to decrease the rate of preterm delivery and consequently
preterm babies and enables to avoid cases of fetus distress and neonatal
encephalopathy. 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.
Literature
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Astakhov V.M., Batsyleva I.V., Puz'
I.V. (2010) Psychodiagnostic methods individual psychological characteristics
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2.
Malkina-Pyh I.G. Psihosomatika
(2010). Moscow: Jeksm, 1024р.
3.
Pasechnik I.P. Psyhosomatycheskye
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Petersburg, 16 November 2012h.
– St Petersburg., 2012. - Vol.
12. - P. 193-197.
4.
Rabovalyuk L.N. Valuable orientations of pregnant women with different types of
psychological dominant component // Recent studies of social problems. – 2012. – Vol.1. (electronic scientific
journal).
5.
Raygorodskiy D.Ya. (2002) Practical psychological testing. Methods and
Tests. – Samara: Bakhrakh-M, 672p.